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But carpal tunnel syndrome that sends shooting pains into both of her hands and an aversion to conventional steroid and surgical treatments is prompting her to consider some new options.[contextly_sidebar id=\"5ee5PAwSPV305kcHFGTk8K3BJPlD6Byj\"]\u003c/p>\n\u003cp>“It’s very painful, sometimes I can’t even open my hand,” Avedon said.\u003c/p>\n\u003cp>So for the second time in two months, she’s climbed on board a bus that provides seniors at the Laguna Woods Village retirement community in Orange County, with a free shuttle to a nearby marijuana dispensary.\u003c/p>\n\u003cp>The retired manager of an oncology office says she’s seeking the same relief she saw cancer patients get from smoking marijuana 25 years ago.\u003c/p>\n\u003cp>“At that time [marijuana] wasn’t legal, so they used to get it off their children,” she said with a laugh. “It was fantastic what it did for them.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Avedon, who doesn’t want to get high from anything she uses, picked up a topical cream on her first trip that was sold as a pain reliever. It contained cannabidiol, or CBD, but was formulated without THC, or tetrahydrocannabinol, marijuana’s psychoactive ingredient.\u003c/p>\n\u003cp>“It helped a little,” she said. “Now I’m going back for the second time hoping they have something better.”\u003c/p>\n\u003cp>As more states legalize marijuana for medical or recreational use — 30 states plus the District of Columbia to date — the cannabis industry is booming. Among the \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300687/\" target=\"_blank\" rel=\"noopener\">fastest growing group\u003c/a> of users: people over 50, with especially steep increases among those 65 and older. And some dispensaries are tailoring their pitches to seniors like Avedon who are seeking alternative treatments for their aches, pains and other medical conditions.[contextly_sidebar id=\"yVY8GMNy1scMP5h4RfGXepXWi4YTpexN\"]\u003c/p>\n\u003cp>On this particular morning, about 35 seniors climb on board the free shuttle — paid for by Bud and Bloom, a licensed cannabis dispensary in Santa Ana. After about a half-hour drive, the large white bus pulls up to the parking lot of the dispensary.\u003c/p>\n\u003cp>About half of the seniors on board today are repeat customers; the other half are cannabis newbies who’ve never tried it before, said Kandice Hawes, director of community outreach for Bud and Bloom.\u003c/p>\n\u003cfigure id=\"attachment_444512\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-444512\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/09/canna-bus_01_1350-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350.jpg 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Residents of Laguna Woods Village, a retirement community in Orange County, Calif., ride a free shuttle to a marijuana dispensary in August.(STEPHANIE O’NEILL FOR KHN)\u003c/figcaption>\u003c/figure>\n\u003cp>“Not everybody is coming to be a customer,” Hawes said. “A lot are just coming to be educated.”\u003c/p>\n\u003cp>Among them, Layla Sabet, 72, a first-timer seeking relief from back pain that keeps her awake at night, she said.\u003c/p>\n\u003cp>“I’m taking so much medication to sleep and still I can’t sleep,” she said. “So I’m trying it for the back pain and the sleep.”\u003c/p>\n\u003cp>Hawes invited the seniors into a large room with chairs and a table set up with free sandwiches and drinks. As they ate, she gave a presentation focused on the potential benefits of cannabis as a reliever of anxiety, insomnia and chronic pain and the various ways people can consume it.\u003c/p>\n\u003cp>Several vendors on site took turns speaking to the group about the goods they sell. Then, the seniors entered the dispensary for the chance to buy everything from old-school rolled joints and high-tech vaporizer pens to liquid sublingual tinctures, topical creams and an assortment of sweet, cannabis-infused edibles.[contextly_sidebar id=\"GecDtFoNYBPsmX1oCAw267dH2NyqP03S\"]\u003c/p>\n\u003cp>Jim Lebowitz, 75, is a return customer who suffers pain from back surgery two years ago.\u003c/p>\n\u003cp>He prefers to eat his cannabis, he said.\u003c/p>\n\u003cp>“I got chocolate and I got gummies,” he told a visitor. “Never had the chocolate before, but I’ve had the gummies and they worked pretty good.”\u003c/p>\n\u003cp>“Gummies” are cannabis-infused chewy candies. His contain both the CBD and THC, two active ingredients in marijuana.\u003c/p>\n\u003cp>Derek Tauchman rings up sales at one of several Bud and Bloom registers in the dispensary. Fear of getting high is the biggest concern expressed by senior consumers, who make up the bulk of the dispensary’s new business, he said.\u003c/p>\n\u003cp>“What they don’t realize is there’s so many different ways to medicate now that you don’t have to actually get high to relieve all your aches and pains,” he said.\u003c/p>\n\u003cp>But despite such enthusiasm, marijuana isn’t well researched, said Dr. David Reuben, the Archstone Foundation professor of medicine and geriatrics at UCLA’s David Geffen School of Medicine.\u003c/p>\n\u003cp>While cannabis is legal both medically and recreationally in California, it remains a Schedule 1 substance — meaning it’s illegal under federal law. And that makes it harder to study.\u003c/p>\n\u003cp>The limited research that exists suggests that marijuana may be helpful in treating pain and nausea, according to a research overview published last year by the National Academies of Sciences, Engineering and Medicine. Less conclusive research points to it helping with sleep problems and anxiety.[contextly_sidebar id=\"O0pnvY7nsyO04cAtYDrpqvAEjxhmliPb\"]\u003c/p>\n\u003cp>Reuben said he sees a growing number of patients interested in using it for things like anxiety, chronic pain and depression.\u003c/p>\n\u003cp>“I am, in general, fairly supportive of this because these are conditions [for which] there aren’t good alternatives,” he said.\u003c/p>\n\u003cp>But Reuben cautions his patients that products bought at marijuana dispensaries aren’t FDA-regulated, as are prescription drugs. That means dose and consistency can vary.\u003c/p>\n\u003cp>“There’s still so much left to learn about how to package, how to ensure quality and standards,” he said. “So the question is how to make sure the people are getting high-quality product and then testing its effectiveness.”\u003c/p>\n\u003cp>And there are risks associated with cannabis use too, said \u003ca href=\"https://www.samhsa.gov/about-us/who-we-are/leadership/biographies/elinore-mccance-katz\" target=\"_blank\" rel=\"noopener\">Dr. Elinore McCance-Katz\u003c/a>, who directs the Substance Abuse and Mental Health Services Administration.\u003c/p>\n\u003cp>“When you have an industry that does nothing but blanket our society with messages about the medicinal value of marijuana, people get the idea this is a safe substance to use. And that’s not true,” she said.\u003c/p>\n\u003cp>Side effects can include increased heart rate, nausea and vomiting, and with long-term use, there’s a potential for addiction, some studies say. \u003ca href=\"https://www.drugabuse.gov/publications/drugfacts/marijuana#ref\" target=\"_blank\" rel=\"noopener\">Research suggests\u003c/a> that between 9 and 30 percent of those who use marijuana may develop some degree of marijuana use disorder.[contextly_sidebar id=\"6j0KZXlPn7yaSYGjVSehNhYUNN3fBDa4\"]\u003c/p>\n\u003cp>Still, Reuben said, if it gets patients off more addictive and potentially dangerous prescription drugs — like opioids — all the better.\u003c/p>\n\u003cp>Jim Levy, 71, suffers a pinched nerve that shoots pain down both his legs. He uses a topical cream and ingests cannabis gelatin capsules and lozenges.\u003c/p>\n\u003cp>“I have no way to measure, but I’d say it gets rid of 90 percent of the pain,” said Levy, who — like other seniors here — pays for these products out-of-pocket, as Medicare doesn’t cover cannabis.\u003c/p>\n\u003cp>“I got something they say is wonderful and I hope it works,” said Shirley Avedon. “It’s a cream.”\u003c/p>\n\u003cp>The price tag: $90. Avedon said if it helps ease the carpal tunnel pain she suffers, it’ll be worth it.\u003c/p>\n\u003cp>“It’s better than having surgery,” she said.\u003c/p>\n\u003cp>\u003cstrong>Precautions To Keep In Mind\u003c/strong>\u003c/p>\n\u003cp>Though marijuana use remains illegal under federal law, it’s legal in some form in 30 states and the District of Columbia. And a growing number of Americans are considering trying it for health reasons. For people who are, doctors advise the following cautions.\u003c/p>\n\u003cp>\u003cstrong>Talk to your doctor.\u003c/strong> Tell your doctor you’re thinking about trying medical marijuana. Although he or she may have some concerns, most doctors won’t judge you for seeking out alternative treatments.\u003c/p>\n\u003cp>Make sure your prescriber is aware of all the medications you take. Marijuana might have dangerous interactions with prescription medications, particularly medicines that can be sedating, said Dr. Benjamin Han, a geriatrician at New York University School of Medicine who studies marijuana use in the elderly.[contextly_sidebar id=\"ALEswggsqFbUQfgVlASKJNkpkpppsnzm\"]\u003c/p>\n\u003cp>\u003cstrong>Watch out for dosing.\u003c/strong> Older adults metabolize drugs differently than young people. If your doctor gives you the go-ahead, try the lowest possible dose first to avoid feeling intoxicated. And be especially careful with edibles. They can have very concentrated doses that don’t take effect right away.\u003c/p>\n\u003cp>Elderly people are also more sensitive to side effects. If you start to feel unwell, talk to your doctor right away. “When you’re older, you’re more vulnerable to the side effects of everything,” Han said. “I’m cautious about everything.”\u003c/p>\n\u003cp>\u003cstrong>Look for licensed providers.\u003c/strong> In some states like California, licensed dispensaries must test for contaminants. Be especially careful with marijuana bought illegally. “If you’re just buying marijuana down the street … you don’t really know what’s in that,” said Dr. Joshua Briscoe, a palliative care doctor at Duke University School of Medicine who has studied the use of marijuana for pain and nausea in older patients. “Buyer, beware.”\u003c/p>\n\u003cp>\u003cstrong>Bottom line:\u003c/strong> The research on medical marijuana is limited. There’s even less we know about marijuana use in older people. Proceed with caution.\u003c/p>\n\u003cp>\u003cem>Jenny Gold and Mara Gordon contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This story is part of a partnership that includes \u003ca href=\"http://www.npr.org/sections/news/\" target=\"_blank\" rel=\"noopener\">NPR\u003c/a> and Kaiser Health News.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp class=\"credits\">\u003cem>KHN’s coverage of these topics is supported by \u003ca href=\"http://www.jhartfound.org/\" target=\"_blank\" rel=\"noopener\">John A. Hartford Foundation\u003c/a> and\u003ca href=\"http://www.thescanfoundation.org/\" target=\"_blank\" rel=\"noopener\">The SCAN Foundation\u003c/a>\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"The cannabis industry is booming and older Americans are among the fastest growing group of users. Some dispensaries are even tailoring their pitches to seniors seeking alternative treatments for their health conditions.","status":"publish","parent":0,"modified":1537393204,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":49,"wordCount":1631},"headData":{"title":"Day-Tripping to the Dispensary: Seniors Hop Aboard the Canna-Bus | KQED","description":"The cannabis industry is booming and older Americans are among the fastest growing group of users. Some dispensaries are even tailoring their pitches to seniors seeking alternative treatments for their health conditions.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Day-Tripping to the Dispensary: Seniors Hop Aboard the Canna-Bus","datePublished":"2018-09-19T21:04:49.000Z","dateModified":"2018-09-19T21:40:04.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"444510 https://ww2.kqed.org/futureofyou/?p=444510","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/09/19/day-tripping-to-the-dispensary-seniors-hop-aboard-the-canna-bus/","disqusTitle":"Day-Tripping to the Dispensary: Seniors Hop Aboard the Canna-Bus","source":"DIY Health","nprByline":"Stephanie O'Neill, KHN","path":"/futureofyou/444510/day-tripping-to-the-dispensary-seniors-hop-aboard-the-canna-bus","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Shirley Avedon, 90, had never been a cannabis user. But carpal tunnel syndrome that sends shooting pains into both of her hands and an aversion to conventional steroid and surgical treatments is prompting her to consider some new options.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>“It’s very painful, sometimes I can’t even open my hand,” Avedon said.\u003c/p>\n\u003cp>So for the second time in two months, she’s climbed on board a bus that provides seniors at the Laguna Woods Village retirement community in Orange County, with a free shuttle to a nearby marijuana dispensary.\u003c/p>\n\u003cp>The retired manager of an oncology office says she’s seeking the same relief she saw cancer patients get from smoking marijuana 25 years ago.\u003c/p>\n\u003cp>“At that time [marijuana] wasn’t legal, so they used to get it off their children,” she said with a laugh. “It was fantastic what it did for them.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Avedon, who doesn’t want to get high from anything she uses, picked up a topical cream on her first trip that was sold as a pain reliever. It contained cannabidiol, or CBD, but was formulated without THC, or tetrahydrocannabinol, marijuana’s psychoactive ingredient.\u003c/p>\n\u003cp>“It helped a little,” she said. “Now I’m going back for the second time hoping they have something better.”\u003c/p>\n\u003cp>As more states legalize marijuana for medical or recreational use — 30 states plus the District of Columbia to date — the cannabis industry is booming. Among the \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300687/\" target=\"_blank\" rel=\"noopener\">fastest growing group\u003c/a> of users: people over 50, with especially steep increases among those 65 and older. And some dispensaries are tailoring their pitches to seniors like Avedon who are seeking alternative treatments for their aches, pains and other medical conditions.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>On this particular morning, about 35 seniors climb on board the free shuttle — paid for by Bud and Bloom, a licensed cannabis dispensary in Santa Ana. After about a half-hour drive, the large white bus pulls up to the parking lot of the dispensary.\u003c/p>\n\u003cp>About half of the seniors on board today are repeat customers; the other half are cannabis newbies who’ve never tried it before, said Kandice Hawes, director of community outreach for Bud and Bloom.\u003c/p>\n\u003cfigure id=\"attachment_444512\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003cimg class=\"size-large wp-image-444512\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2018/09/canna-bus_01_1350-1020x680.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2018/09/canna-bus_01_1350.jpg 1024w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003cfigcaption class=\"wp-caption-text\">Residents of Laguna Woods Village, a retirement community in Orange County, Calif., ride a free shuttle to a marijuana dispensary in August.(STEPHANIE O’NEILL FOR KHN)\u003c/figcaption>\u003c/figure>\n\u003cp>“Not everybody is coming to be a customer,” Hawes said. “A lot are just coming to be educated.”\u003c/p>\n\u003cp>Among them, Layla Sabet, 72, a first-timer seeking relief from back pain that keeps her awake at night, she said.\u003c/p>\n\u003cp>“I’m taking so much medication to sleep and still I can’t sleep,” she said. “So I’m trying it for the back pain and the sleep.”\u003c/p>\n\u003cp>Hawes invited the seniors into a large room with chairs and a table set up with free sandwiches and drinks. As they ate, she gave a presentation focused on the potential benefits of cannabis as a reliever of anxiety, insomnia and chronic pain and the various ways people can consume it.\u003c/p>\n\u003cp>Several vendors on site took turns speaking to the group about the goods they sell. Then, the seniors entered the dispensary for the chance to buy everything from old-school rolled joints and high-tech vaporizer pens to liquid sublingual tinctures, topical creams and an assortment of sweet, cannabis-infused edibles.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Jim Lebowitz, 75, is a return customer who suffers pain from back surgery two years ago.\u003c/p>\n\u003cp>He prefers to eat his cannabis, he said.\u003c/p>\n\u003cp>“I got chocolate and I got gummies,” he told a visitor. “Never had the chocolate before, but I’ve had the gummies and they worked pretty good.”\u003c/p>\n\u003cp>“Gummies” are cannabis-infused chewy candies. His contain both the CBD and THC, two active ingredients in marijuana.\u003c/p>\n\u003cp>Derek Tauchman rings up sales at one of several Bud and Bloom registers in the dispensary. Fear of getting high is the biggest concern expressed by senior consumers, who make up the bulk of the dispensary’s new business, he said.\u003c/p>\n\u003cp>“What they don’t realize is there’s so many different ways to medicate now that you don’t have to actually get high to relieve all your aches and pains,” he said.\u003c/p>\n\u003cp>But despite such enthusiasm, marijuana isn’t well researched, said Dr. David Reuben, the Archstone Foundation professor of medicine and geriatrics at UCLA’s David Geffen School of Medicine.\u003c/p>\n\u003cp>While cannabis is legal both medically and recreationally in California, it remains a Schedule 1 substance — meaning it’s illegal under federal law. And that makes it harder to study.\u003c/p>\n\u003cp>The limited research that exists suggests that marijuana may be helpful in treating pain and nausea, according to a research overview published last year by the National Academies of Sciences, Engineering and Medicine. Less conclusive research points to it helping with sleep problems and anxiety.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Reuben said he sees a growing number of patients interested in using it for things like anxiety, chronic pain and depression.\u003c/p>\n\u003cp>“I am, in general, fairly supportive of this because these are conditions [for which] there aren’t good alternatives,” he said.\u003c/p>\n\u003cp>But Reuben cautions his patients that products bought at marijuana dispensaries aren’t FDA-regulated, as are prescription drugs. That means dose and consistency can vary.\u003c/p>\n\u003cp>“There’s still so much left to learn about how to package, how to ensure quality and standards,” he said. “So the question is how to make sure the people are getting high-quality product and then testing its effectiveness.”\u003c/p>\n\u003cp>And there are risks associated with cannabis use too, said \u003ca href=\"https://www.samhsa.gov/about-us/who-we-are/leadership/biographies/elinore-mccance-katz\" target=\"_blank\" rel=\"noopener\">Dr. Elinore McCance-Katz\u003c/a>, who directs the Substance Abuse and Mental Health Services Administration.\u003c/p>\n\u003cp>“When you have an industry that does nothing but blanket our society with messages about the medicinal value of marijuana, people get the idea this is a safe substance to use. And that’s not true,” she said.\u003c/p>\n\u003cp>Side effects can include increased heart rate, nausea and vomiting, and with long-term use, there’s a potential for addiction, some studies say. \u003ca href=\"https://www.drugabuse.gov/publications/drugfacts/marijuana#ref\" target=\"_blank\" rel=\"noopener\">Research suggests\u003c/a> that between 9 and 30 percent of those who use marijuana may develop some degree of marijuana use disorder.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Still, Reuben said, if it gets patients off more addictive and potentially dangerous prescription drugs — like opioids — all the better.\u003c/p>\n\u003cp>Jim Levy, 71, suffers a pinched nerve that shoots pain down both his legs. He uses a topical cream and ingests cannabis gelatin capsules and lozenges.\u003c/p>\n\u003cp>“I have no way to measure, but I’d say it gets rid of 90 percent of the pain,” said Levy, who — like other seniors here — pays for these products out-of-pocket, as Medicare doesn’t cover cannabis.\u003c/p>\n\u003cp>“I got something they say is wonderful and I hope it works,” said Shirley Avedon. “It’s a cream.”\u003c/p>\n\u003cp>The price tag: $90. Avedon said if it helps ease the carpal tunnel pain she suffers, it’ll be worth it.\u003c/p>\n\u003cp>“It’s better than having surgery,” she said.\u003c/p>\n\u003cp>\u003cstrong>Precautions To Keep In Mind\u003c/strong>\u003c/p>\n\u003cp>Though marijuana use remains illegal under federal law, it’s legal in some form in 30 states and the District of Columbia. And a growing number of Americans are considering trying it for health reasons. For people who are, doctors advise the following cautions.\u003c/p>\n\u003cp>\u003cstrong>Talk to your doctor.\u003c/strong> Tell your doctor you’re thinking about trying medical marijuana. Although he or she may have some concerns, most doctors won’t judge you for seeking out alternative treatments.\u003c/p>\n\u003cp>Make sure your prescriber is aware of all the medications you take. Marijuana might have dangerous interactions with prescription medications, particularly medicines that can be sedating, said Dr. Benjamin Han, a geriatrician at New York University School of Medicine who studies marijuana use in the elderly.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\u003cstrong>Watch out for dosing.\u003c/strong> Older adults metabolize drugs differently than young people. If your doctor gives you the go-ahead, try the lowest possible dose first to avoid feeling intoxicated. And be especially careful with edibles. They can have very concentrated doses that don’t take effect right away.\u003c/p>\n\u003cp>Elderly people are also more sensitive to side effects. If you start to feel unwell, talk to your doctor right away. “When you’re older, you’re more vulnerable to the side effects of everything,” Han said. “I’m cautious about everything.”\u003c/p>\n\u003cp>\u003cstrong>Look for licensed providers.\u003c/strong> In some states like California, licensed dispensaries must test for contaminants. Be especially careful with marijuana bought illegally. “If you’re just buying marijuana down the street … you don’t really know what’s in that,” said Dr. Joshua Briscoe, a palliative care doctor at Duke University School of Medicine who has studied the use of marijuana for pain and nausea in older patients. “Buyer, beware.”\u003c/p>\n\u003cp>\u003cstrong>Bottom line:\u003c/strong> The research on medical marijuana is limited. There’s even less we know about marijuana use in older people. Proceed with caution.\u003c/p>\n\u003cp>\u003cem>Jenny Gold and Mara Gordon contributed to this report.\u003c/em>\u003c/p>\n\u003cp>\u003cem>This story is part of a partnership that includes \u003ca href=\"http://www.npr.org/sections/news/\" target=\"_blank\" rel=\"noopener\">NPR\u003c/a> and Kaiser Health News.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp class=\"credits\">\u003cem>KHN’s coverage of these topics is supported by \u003ca href=\"http://www.jhartfound.org/\" target=\"_blank\" rel=\"noopener\">John A. Hartford Foundation\u003c/a> and\u003ca href=\"http://www.thescanfoundation.org/\" target=\"_blank\" rel=\"noopener\">The SCAN Foundation\u003c/a>\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/444510/day-tripping-to-the-dispensary-seniors-hop-aboard-the-canna-bus","authors":["byline_futureofyou_444510"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73"],"tags":["futureofyou_1562","futureofyou_1008","futureofyou_61","futureofyou_1041","futureofyou_198"],"collections":["futureofyou_1093"],"featImg":"futureofyou_444513","label":"source_futureofyou_444510"},"futureofyou_444469":{"type":"posts","id":"futureofyou_444469","meta":{"index":"posts_1591205157","site":"futureofyou","id":"444469","score":null,"sort":[1537212756000]},"guestAuthors":[],"slug":"study-a-daily-baby-aspirin-has-no-benefit-for-healthy-older-people","title":"For Older, Healthy People, Taking a Daily Aspirin Has No Benefit","publishDate":1537212756,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Many healthy Americans take a baby aspirin every day to reduce their risk of having a heart attack, getting cancer and even possibly dementia. But is it really a good idea?[contextly_sidebar id=\"TeVgffLo8LYnxiLIJLovHnm2siFYHMFR\"]\u003c/p>\n\u003cp>Results released Sunday from a major \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1800722\" target=\"_blank\" rel=\"noopener\">study\u003c/a> of low-dose aspirin contain a disappointing answer for older, otherwise healthy people.\u003c/p>\n\u003cp>\"We found there was no discernible benefit of aspirin on prolonging independent, healthy life for the elderly,\" says \u003ca href=\"https://www.hennepinhealthcare.org/provider/anne-m-murray-md/\" target=\"_blank\" rel=\"noopener\">Anne Murray\u003c/a>, a geriatrician and epidemiologist at Hennepin Healthcare in Minneapolis, who helped lead the study.\u003c/p>\n\u003cp>The study involved more than 19,000 people ages 65 and older in the United States and Australia. The results were published in three papers in the \u003cem>New England Journal of Medicine.\u003c/em>\u003c/p>\n\u003cp>There is still strong evidence that a daily baby aspirin can \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/aspirin-to-prevent-cardiovascular-disease-and-cancer\" target=\"_blank\" rel=\"noopener\">reduce the risk\u003c/a> that many people who have already suffered a heart attack or stroke will suffer another attack.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And there is some evidence that daily low-dose aspirin may help people younger than 70 who have at least a 10 percent risk of having a heart attack avoid a heart attack or stroke, according to the latest \u003ca href=\"https://www.npr.org/sections/health-shots/2015/09/15/440337151/panel-says-aspirin-lowers-heart-attack-risk-for-some-but-not-all\" target=\"_blank\" rel=\"noopener\">recommendations\u003c/a> from the U.S. Preventive Services Task Force.\u003c/p>\n\u003cp>But for older, healthy people, \"the risks outweigh the benefits for taking low-dose aspirin,\" Murray says.[contextly_sidebar id=\"06i7Zbzq5DlgqfooOTFa4lgjt6Ui9wr1\"]\u003c/p>\n\u003cp>The primary risk is bleeding. The study \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1805819\" target=\"_blank\" rel=\"noopener\">confirmed\u003c/a> that a daily baby aspirin increases the risk for serious, potentially life-threatening bleeding.\u003c/p>\n\u003cp>Surprisingly, those who took daily aspirin also appeared to be \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1803955\" target=\"_blank\" rel=\"noopener\">more likely\u003c/a> to die overall, apparently from an increased risk of succumbing to cancer. That was especially unexpected given previous evidence that aspirin might reduce the risk for colorectal cancer.\u003c/p>\n\u003cp>The researchers stressed, however, that the cancer finding might have been a fluke. There's also a possibility that any colorectal cancer benefit wasn't seen because the subjects had only been followed for about five years.\u003c/p>\n\u003cp>Regardless, the findings raise serious questions as to whether otherwise healthy older people should routinely take low-dose aspirin.\u003c/p>\n\u003cp>\"A lot of people read, 'Well, aspirin is good for people who have heart problems. Maybe I should take it, even if they haven't really had a heart attack,' \" Murray says. But \"for a long time there's been a need to establish appropriate criteria for when healthy people — elderly people — need aspirin.\"\u003c/p>\n\u003cp>That's why the researchers launched their study, called \u003ca href=\"https://www.aspree.org/\" target=\"_blank\" rel=\"noopener\">ASPREE\u003c/a>, in 2010. It involved 19,114 older people, with 16,703 in Australia and 2,411 in the United States. The U.S. portion included white volunteers ages 70 and older, and African-Americans and Hispanics subjects ages 65 and older.[contextly_sidebar id=\"lMIuMVSFXI9eLmCGzVINxi5SI7xGl6IV\"]\u003c/p>\n\u003cp>Participants took either 100 milligrams of aspirin every day or a placebo. People in the study were followed for an average of 4.7 years.\u003c/p>\n\u003cp>\"We were hoping that an inexpensive, very accessible medication might be something that we could recommend to elderly to maintain their independence but also decrease their risk of cardiovascular disease,\" Murray says.\u003c/p>\n\u003cp>But based on the findings, \u003ca href=\"https://www.nia.nih.gov/about/staff/hadley-evan\" target=\"_blank\" rel=\"noopener\">Dr. Evan Hadley\u003c/a> of the National Institute on Aging, which helped fund the study, says any elderly people taking aspirin or thinking about it should think twice.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This gives pause and a reason for older people and their physician to think carefully about the decision whether to take low-dose aspirin regularly or not,\" Hadley says. \"And in many cases the right answer may be: Not.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Study%3A+A+Daily+Baby+Aspirin+Has+No+Benefit+For+Healthy+Older+People&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Results from a large international study show that risks from taking daily low-dose aspirin outweigh the potential benefits for older people in generally good health.","status":"publish","parent":0,"modified":1537371778,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":587},"headData":{"title":"For Older, Healthy People, Taking a Daily Aspirin Has No Benefit | KQED","description":"Results from a large international study show that risks from taking daily low-dose aspirin outweigh the potential benefits for older people in generally good health.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"For Older, Healthy People, Taking a Daily Aspirin Has No Benefit","datePublished":"2018-09-17T19:32:36.000Z","dateModified":"2018-09-19T15:42:58.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"444469 https://ww2.kqed.org/futureofyou/?p=444469","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/09/17/study-a-daily-baby-aspirin-has-no-benefit-for-healthy-older-people/","disqusTitle":"For Older, Healthy People, Taking a Daily Aspirin Has No Benefit","source":"DIY Health","nprByline":"Rob Stein, NPR","nprStoryId":"647415462","nprApiLink":"http://api.npr.org/query?id=647415462&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/09/16/647415462/study-a-daily-baby-aspirin-has-no-benefit-for-healthy-older-people?ft=nprml&f=647415462","nprRetrievedStory":"1","nprPubDate":"Mon, 17 Sep 2018 11:24:00 -0400","nprStoryDate":"Sun, 16 Sep 2018 10:00:00 -0400","nprLastModifiedDate":"Mon, 17 Sep 2018 07:02:17 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/09/20180917_me_study_a_daily_baby_aspirin_has_no_benefit_for_healthy_older_people.mp3?orgId=1&topicId=1128&d=162&p=3&story=647415462&ft=nprml&f=647415462","nprAudioM3u":"http://api.npr.org/m3u/1648646357-be6a69.m3u?orgId=1&topicId=1128&d=162&p=3&story=647415462&ft=nprml&f=647415462","audioTrackLength":163,"path":"/futureofyou/444469/study-a-daily-baby-aspirin-has-no-benefit-for-healthy-older-people","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/09/20180917_me_study_a_daily_baby_aspirin_has_no_benefit_for_healthy_older_people.mp3?orgId=1&topicId=1128&d=162&p=3&story=647415462&ft=nprml&f=647415462","parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Many healthy Americans take a baby aspirin every day to reduce their risk of having a heart attack, getting cancer and even possibly dementia. But is it really a good idea?\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Results released Sunday from a major \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1800722\" target=\"_blank\" rel=\"noopener\">study\u003c/a> of low-dose aspirin contain a disappointing answer for older, otherwise healthy people.\u003c/p>\n\u003cp>\"We found there was no discernible benefit of aspirin on prolonging independent, healthy life for the elderly,\" says \u003ca href=\"https://www.hennepinhealthcare.org/provider/anne-m-murray-md/\" target=\"_blank\" rel=\"noopener\">Anne Murray\u003c/a>, a geriatrician and epidemiologist at Hennepin Healthcare in Minneapolis, who helped lead the study.\u003c/p>\n\u003cp>The study involved more than 19,000 people ages 65 and older in the United States and Australia. The results were published in three papers in the \u003cem>New England Journal of Medicine.\u003c/em>\u003c/p>\n\u003cp>There is still strong evidence that a daily baby aspirin can \u003ca href=\"https://www.uspreventiveservicestaskforce.org/Page/Document/UpdateSummaryFinal/aspirin-to-prevent-cardiovascular-disease-and-cancer\" target=\"_blank\" rel=\"noopener\">reduce the risk\u003c/a> that many people who have already suffered a heart attack or stroke will suffer another attack.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And there is some evidence that daily low-dose aspirin may help people younger than 70 who have at least a 10 percent risk of having a heart attack avoid a heart attack or stroke, according to the latest \u003ca href=\"https://www.npr.org/sections/health-shots/2015/09/15/440337151/panel-says-aspirin-lowers-heart-attack-risk-for-some-but-not-all\" target=\"_blank\" rel=\"noopener\">recommendations\u003c/a> from the U.S. Preventive Services Task Force.\u003c/p>\n\u003cp>But for older, healthy people, \"the risks outweigh the benefits for taking low-dose aspirin,\" Murray says.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The primary risk is bleeding. The study \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1805819\" target=\"_blank\" rel=\"noopener\">confirmed\u003c/a> that a daily baby aspirin increases the risk for serious, potentially life-threatening bleeding.\u003c/p>\n\u003cp>Surprisingly, those who took daily aspirin also appeared to be \u003ca href=\"http://www.nejm.org/doi/full/10.1056/NEJMoa1803955\" target=\"_blank\" rel=\"noopener\">more likely\u003c/a> to die overall, apparently from an increased risk of succumbing to cancer. That was especially unexpected given previous evidence that aspirin might reduce the risk for colorectal cancer.\u003c/p>\n\u003cp>The researchers stressed, however, that the cancer finding might have been a fluke. There's also a possibility that any colorectal cancer benefit wasn't seen because the subjects had only been followed for about five years.\u003c/p>\n\u003cp>Regardless, the findings raise serious questions as to whether otherwise healthy older people should routinely take low-dose aspirin.\u003c/p>\n\u003cp>\"A lot of people read, 'Well, aspirin is good for people who have heart problems. Maybe I should take it, even if they haven't really had a heart attack,' \" Murray says. But \"for a long time there's been a need to establish appropriate criteria for when healthy people — elderly people — need aspirin.\"\u003c/p>\n\u003cp>That's why the researchers launched their study, called \u003ca href=\"https://www.aspree.org/\" target=\"_blank\" rel=\"noopener\">ASPREE\u003c/a>, in 2010. It involved 19,114 older people, with 16,703 in Australia and 2,411 in the United States. The U.S. portion included white volunteers ages 70 and older, and African-Americans and Hispanics subjects ages 65 and older.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Participants took either 100 milligrams of aspirin every day or a placebo. People in the study were followed for an average of 4.7 years.\u003c/p>\n\u003cp>\"We were hoping that an inexpensive, very accessible medication might be something that we could recommend to elderly to maintain their independence but also decrease their risk of cardiovascular disease,\" Murray says.\u003c/p>\n\u003cp>But based on the findings, \u003ca href=\"https://www.nia.nih.gov/about/staff/hadley-evan\" target=\"_blank\" rel=\"noopener\">Dr. Evan Hadley\u003c/a> of the National Institute on Aging, which helped fund the study, says any elderly people taking aspirin or thinking about it should think twice.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"This gives pause and a reason for older people and their physician to think carefully about the decision whether to take low-dose aspirin regularly or not,\" Hadley says. \"And in many cases the right answer may be: Not.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Study%3A+A+Daily+Baby+Aspirin+Has+No+Benefit+For+Healthy+Older+People&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/444469/study-a-daily-baby-aspirin-has-no-benefit-for-healthy-older-people","authors":["byline_futureofyou_444469"],"categories":["futureofyou_1060","futureofyou_1062","futureofyou_1","futureofyou_73"],"tags":["futureofyou_823","futureofyou_190","futureofyou_1008","futureofyou_61","futureofyou_1056"],"collections":["futureofyou_1093","futureofyou_1097"],"featImg":"futureofyou_444470","label":"source_futureofyou_444469"},"futureofyou_444419":{"type":"posts","id":"futureofyou_444419","meta":{"index":"posts_1591205157","site":"futureofyou","id":"444419","score":null,"sort":[1536775602000]},"guestAuthors":[],"slug":"does-marijuana-use-impact-older-adults-differently","title":"Does Marijuana Use Impact Older Adults Differently?","publishDate":1536775602,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Members of the generation that came of age in the era of marijuana are reaching for weed in their golden years.\u003c/p>\n\u003cp>A\u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0376871618304538?via%3Dihub\" target=\"_blank\" rel=\"noopener\"> study\u003c/a> published in the journal \u003cem>Drug and Alcohol Dependence \u003c/em>this month suggests that increasing numbers of middle aged and older adults are using marijuana — and using it a lot.\u003c/p>\n\u003cp>The analysis comes from data gathered in the\u003ca href=\"https://nsduhweb.rti.org/respweb/homepage.cfm\" target=\"_blank\" rel=\"noopener\"> National Survey on Drug Use and Health\u003c/a> from 2015 and 2016. About 9 percent of U.S. adults between ages 50 and 64 used marijuana in the the previous year, according to survey results. About 3 percent of people over 65 used the drug in that time period.\u003c/p>\n\u003cp>This appears to be up from years past.\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300687/\" target=\"_blank\" rel=\"noopener\"> In 2013\u003c/a>, the same survey reported that 7 percent of middle-aged Americans used marijuana in the previous year, and only 1.4 percent of people over 65.\u003c/p>\n\u003cp>\u003ca href=\"https://med.nyu.edu/faculty/benjamin-han\" target=\"_blank\" rel=\"noopener\">Dr. Benjamin Han\u003c/a>, an assistant professor of internal medicine at New York University School of Medicine and lead author of the study, says he was surprised to learn that many of the older Americans turning to marijuana are new converts to its use. About 45 percent of those over 65 who use the drug said they got started after the age of 21.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And boomers who use marijuana also seem to be using it more often. Study authors found that 5.7 percent of middle-aged respondents said they'd tried it in the past month.\u003c/p>\n\u003cp>As laws surrounding marijuana use \u003ca href=\"http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx\" target=\"_blank\" rel=\"noopener\">become more permissive in many states nationwide\u003c/a>, more Americans of all ages seem to be giving the drug a try — some for recreation, and others in hopes of \u003ca href=\"https://www.npr.org/sections/health-shots/2018/06/15/620080148/lawmakers-in-illinois-embrace-medical-marijuana-as-an-opioid-alternative\" target=\"_blank\" rel=\"noopener\">easing medical ailments\u003c/a>.\u003c/p>\n\u003cp>Almost one quarter of Americans over 65 in the 2016 survey who had used marijuana in the previous year said they gotten the go-ahead from their doctors.\u003c/p>\n\u003cp>According to a \u003ca href=\"http://nationalacademies.org/hmd/~/media/Files/Report%20Files/2017/Cannabis-Health-Effects/Cannabis-chapter-highlights.pdf\" target=\"_blank\" rel=\"noopener\">research overview\u003c/a> published by the National Academies of Science, Engineering, and Medicine last year, a still small but growing number of studies suggest that marijuana may be helpful in treating pain, nausea, and spasticity.\u003c/p>\n\u003cp>\"For these conditions, the effects of cannabinoids are modest,\" the National Academies panel said.\u003c/p>\n\u003cp>But even modest benefits can be helpful for some patients, says\u003ca href=\"https://medicine.duke.edu/faculty/joshua-c-briscoe-md\" target=\"_blank\" rel=\"noopener\"> Dr. Joshua Briscoe\u003c/a>, a palliative care physician at Duke University School of Medicine who studies medical marijuana in the elderly.\u003c/p>\n\u003cp>\"We prescribe substances that are far more dangerous than cannabinoids,\" says Briscoe, noting that older people can be more likely to experience a medication's side effects.\u003c/p>\n\u003cp>And since marijuana's use is still tightly regulated by the federal government, he adds, it continues to be hard to study, so authoritative research on its harms and benefits is sparse.\u003c/p>\n\u003cp>Han sounds a note of caution for his patients turning to marijuana. He says he first became interested in studying drug and alcohol use in the elderly after doing house calls on his patients.\u003c/p>\n\u003cp>\"You see their home environment,\" Han says. \"I would see marijuana. I would see patients' family members engaged in drug use in the other room ... Open bottles of liquor everywhere.\"\u003c/p>\n\u003cp>He thinks marijuana use among older people who combine it with other drugs — like opioids or alcohol — might be a particular cause for concern.\u003c/p>\n\u003cp>Baby boomers who've had prior experience with marijuana shouldn't jump to using the same amount they did in their college days, Han says. The potency may be different, as well their ability to metabolize the drug.\u003c/p>\n\u003cp>\"A smaller amount is going to hit you a lot harder when you're older,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Han says his study highlights the need for more research on drug use in older adults. \"I get asked a lot, more and more, by my population, 'Hey, should I try marijuana for this? Should I try marijuana for that?'\" Han says. \"It's hard for me to know what to tell patients.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=More+Older+Americans+Are+Turning+To+Marijuana&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"As marijuana gains popularity among people 65 and older, geriatricians call for more research on how it affects elderly patients. Shifts in metabolism as we age can intensify any drug's side effects.","status":"publish","parent":0,"modified":1536775602,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":21,"wordCount":657},"headData":{"title":"Does Marijuana Use Impact Older Adults Differently? | KQED","description":"As marijuana gains popularity among people 65 and older, geriatricians call for more research on how it affects elderly patients. Shifts in metabolism as we age can intensify any drug's side effects.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Does Marijuana Use Impact Older Adults Differently?","datePublished":"2018-09-12T18:06:42.000Z","dateModified":"2018-09-12T18:06:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"444419 https://ww2.kqed.org/futureofyou/?p=444419","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/09/12/does-marijuana-use-impact-older-adults-differently/","disqusTitle":"Does Marijuana Use Impact Older Adults Differently?","source":"Health","nprByline":"Mara Gordon, NPR","nprImageAgency":"Manonallard/Getty Images","nprStoryId":"646423762","nprApiLink":"http://api.npr.org/query?id=646423762&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/09/12/646423762/more-older-americans-are-turning-to-marijuana?ft=nprml&f=646423762","nprRetrievedStory":"1","nprPubDate":"Wed, 12 Sep 2018 05:00:00 -0400","nprStoryDate":"Wed, 12 Sep 2018 05:00:22 -0400","nprLastModifiedDate":"Wed, 12 Sep 2018 05:00:22 -0400","path":"/futureofyou/444419/does-marijuana-use-impact-older-adults-differently","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Members of the generation that came of age in the era of marijuana are reaching for weed in their golden years.\u003c/p>\n\u003cp>A\u003ca href=\"https://www.sciencedirect.com/science/article/pii/S0376871618304538?via%3Dihub\" target=\"_blank\" rel=\"noopener\"> study\u003c/a> published in the journal \u003cem>Drug and Alcohol Dependence \u003c/em>this month suggests that increasing numbers of middle aged and older adults are using marijuana — and using it a lot.\u003c/p>\n\u003cp>The analysis comes from data gathered in the\u003ca href=\"https://nsduhweb.rti.org/respweb/homepage.cfm\" target=\"_blank\" rel=\"noopener\"> National Survey on Drug Use and Health\u003c/a> from 2015 and 2016. About 9 percent of U.S. adults between ages 50 and 64 used marijuana in the the previous year, according to survey results. About 3 percent of people over 65 used the drug in that time period.\u003c/p>\n\u003cp>This appears to be up from years past.\u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5300687/\" target=\"_blank\" rel=\"noopener\"> In 2013\u003c/a>, the same survey reported that 7 percent of middle-aged Americans used marijuana in the previous year, and only 1.4 percent of people over 65.\u003c/p>\n\u003cp>\u003ca href=\"https://med.nyu.edu/faculty/benjamin-han\" target=\"_blank\" rel=\"noopener\">Dr. Benjamin Han\u003c/a>, an assistant professor of internal medicine at New York University School of Medicine and lead author of the study, says he was surprised to learn that many of the older Americans turning to marijuana are new converts to its use. About 45 percent of those over 65 who use the drug said they got started after the age of 21.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And boomers who use marijuana also seem to be using it more often. Study authors found that 5.7 percent of middle-aged respondents said they'd tried it in the past month.\u003c/p>\n\u003cp>As laws surrounding marijuana use \u003ca href=\"http://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx\" target=\"_blank\" rel=\"noopener\">become more permissive in many states nationwide\u003c/a>, more Americans of all ages seem to be giving the drug a try — some for recreation, and others in hopes of \u003ca href=\"https://www.npr.org/sections/health-shots/2018/06/15/620080148/lawmakers-in-illinois-embrace-medical-marijuana-as-an-opioid-alternative\" target=\"_blank\" rel=\"noopener\">easing medical ailments\u003c/a>.\u003c/p>\n\u003cp>Almost one quarter of Americans over 65 in the 2016 survey who had used marijuana in the previous year said they gotten the go-ahead from their doctors.\u003c/p>\n\u003cp>According to a \u003ca href=\"http://nationalacademies.org/hmd/~/media/Files/Report%20Files/2017/Cannabis-Health-Effects/Cannabis-chapter-highlights.pdf\" target=\"_blank\" rel=\"noopener\">research overview\u003c/a> published by the National Academies of Science, Engineering, and Medicine last year, a still small but growing number of studies suggest that marijuana may be helpful in treating pain, nausea, and spasticity.\u003c/p>\n\u003cp>\"For these conditions, the effects of cannabinoids are modest,\" the National Academies panel said.\u003c/p>\n\u003cp>But even modest benefits can be helpful for some patients, says\u003ca href=\"https://medicine.duke.edu/faculty/joshua-c-briscoe-md\" target=\"_blank\" rel=\"noopener\"> Dr. Joshua Briscoe\u003c/a>, a palliative care physician at Duke University School of Medicine who studies medical marijuana in the elderly.\u003c/p>\n\u003cp>\"We prescribe substances that are far more dangerous than cannabinoids,\" says Briscoe, noting that older people can be more likely to experience a medication's side effects.\u003c/p>\n\u003cp>And since marijuana's use is still tightly regulated by the federal government, he adds, it continues to be hard to study, so authoritative research on its harms and benefits is sparse.\u003c/p>\n\u003cp>Han sounds a note of caution for his patients turning to marijuana. He says he first became interested in studying drug and alcohol use in the elderly after doing house calls on his patients.\u003c/p>\n\u003cp>\"You see their home environment,\" Han says. \"I would see marijuana. I would see patients' family members engaged in drug use in the other room ... Open bottles of liquor everywhere.\"\u003c/p>\n\u003cp>He thinks marijuana use among older people who combine it with other drugs — like opioids or alcohol — might be a particular cause for concern.\u003c/p>\n\u003cp>Baby boomers who've had prior experience with marijuana shouldn't jump to using the same amount they did in their college days, Han says. The potency may be different, as well their ability to metabolize the drug.\u003c/p>\n\u003cp>\"A smaller amount is going to hit you a lot harder when you're older,\" he says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Han says his study highlights the need for more research on drug use in older adults. \"I get asked a lot, more and more, by my population, 'Hey, should I try marijuana for this? Should I try marijuana for that?'\" Han says. \"It's hard for me to know what to tell patients.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=More+Older+Americans+Are+Turning+To+Marijuana&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/444419/does-marijuana-use-impact-older-adults-differently","authors":["byline_futureofyou_444419"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73"],"tags":["futureofyou_1008","futureofyou_61","futureofyou_1041"],"collections":["futureofyou_1093"],"featImg":"futureofyou_444420","label":"source_futureofyou_444419"},"futureofyou_443536":{"type":"posts","id":"futureofyou_443536","meta":{"index":"posts_1591205157","site":"futureofyou","id":"443536","score":null,"sort":[1532365245000]},"guestAuthors":[],"slug":"hormone-levels-likely-influence-a-womans-risk-of-alzheimers-but-exactly-how","title":"Hormone Levels Likely Influence A Woman's Risk Of Alzheimer's. But Exactly How?","publishDate":1532365245,"format":"standard","headTitle":"Women’s Health | KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>There's new evidence that a woman's levels of female sex hormones, including estrogen and progesterone, can influence her risk of Alzheimer's and other forms of dementia.[contextly_sidebar id=\"rPJOdHYPkIXQXRx2JEsrHPZVgzMtEJk7\"]\u003c/p>\n\u003cp>Women are less likely to develop dementia later in life if they begin to menstruate earlier, go through menopause later, and have more than one child, researchers \u003ca href=\"https://www.alz.org/aaic/pressroom.asp\" target=\"_blank\" rel=\"noopener\">reported\u003c/a> Monday at the \u003ca href=\"https://www.alz.org/aaic/\" target=\"_blank\" rel=\"noopener\">Alzheimer's Association International Conference\u003c/a> in Chicago.\u003c/p>\n\u003cp>And recent studies offer hints that \u003ca href=\"https://medlineplus.gov/hormonereplacementtherapy.html\" target=\"_blank\" rel=\"noopener\">hormone replacement therapy\u003c/a>, which fell out of favor more than a decade ago, might offer a way to protect a woman's brain if it is given at the right time, the researchers said.\u003c/p>\n\u003cp>The findings could help explain why women make up nearly two-thirds of people in the U.S. with Alzheimer's, says \u003ca href=\"http://nationalacademies.org/hmd/Activities/Research/NeuroForum/Member%20Profiles/Maria%20Carrillo.aspx\" target=\"_blank\" rel=\"noopener\">Maria Carrillo\u003c/a>, the association's chief scientific officer.\u003c/p>\n\u003cp>\"It isn't just that women are living longer,\" Carrillo says. \"There is some biological underpinning. And because of the large numbers of women that are affected, it is important to find out [what it is].\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Scientists have long suspected that sex hormones such as estrogen and progesterone play a role in Alzheimer's. And two studies on dementia and what occurs during a women's reproductive years support that idea.[contextly_sidebar id=\"Wwp2fmV71pvuOzg04oa6uZxzPex1NtQ3\"]\u003c/p>\n\u003cp>One of the studies looked at nearly 15,000 women in California. And it found an association between a woman's reproductive history and her risk of memory problems later in life.\u003c/p>\n\u003cp>The risk of dementia for women who had three or more children was 12 percent lower than the risk for women who had one child, according to \u003ca href=\"https://divisionofresearch.kaiserpermanente.org/researchers/gilsanz-paola\" target=\"_blank\" rel=\"noopener\">Paola Gilsanz\u003c/a> of Kaiser Permanente Northern California Division of Research, and \u003ca href=\"https://profiles.ucsf.edu/rachel.whitmer\" target=\"_blank\" rel=\"noopener\">Rachel Whitmer\u003c/a> of the University of California, Davis.\u003c/p>\n\u003cp>Also, women who began to menstruate earlier and went through menopause later were less likely to develop dementia. Menopause at age 45 or younger seemed to increase the risk by 28 percent.\u003c/p>\n\u003cp>Another study of 133 elderly women in the U.K. found that the more months of pregnancy they experienced during their lives, the lower their risk of developing Alzheimer's.\u003c/p>\n\u003cp>The findings all suggest that female sex hormones — which rise at puberty and during pregnancy, then fall at menopause — are somehow affecting a woman's risk of developing Alzheimer's and other forms of dementia. The results also suggest that greater exposure to these hormones, through more pregnancies or more reproductive years, can reduce a woman's risk.\u003c/p>\n\u003cp>But it's still not clear whether the mere presence of female sex hormones is a reason that the frequency of Alzheimer's is greater in women than in men.\u003c/p>\n\u003cp>One possibility is that it's not female sex hormones on their own, but rapid changes in their levels that are a problem, says \u003ca href=\"https://crwg.uic.edu/crwg-home/crwg-staff/pauline-maki-phd/\" target=\"_blank\" rel=\"noopener\">Pauline Maki\u003c/a>, a professor of psychiatry and psychology at the University of Illinois at Chicago, who presented research at the Alzheimer's conference.[contextly_sidebar id=\"YEYwp8N3sM3v9aN2dUZdqE3yWweQzhJS\"]\u003c/p>\n\u003cp>\"Women experience these very dramatic hormonal transitions that in the long run can give rise to Alzheimer's disease,\" she says.\u003c/p>\n\u003cp>One way for women to minimize the dramatic hormonal changes that occur at menopause is to use hormone replacement therapy.\u003c/p>\n\u003cp>That approach fell out of favor more than a decade ago when a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/12771112\" target=\"_blank\" rel=\"noopener\">large study\u003c/a> found that women who took estrogen plus progestin after menopause were actually more likely to get some form of dementia. They also appeared to have a higher risk of heart disease and breast cancer.\u003c/p>\n\u003cp>But Maki says more recent studies suggest that hormone therapy — especially estrogen alone — really can be helpful if women get it at the right time.\u003c/p>\n\u003cp>\"The effects of hormone therapy depend on the timing of use,\" Maki says. \"Use later in life is detrimental, whereas use early in the menopausal transition could be beneficial.\"\u003c/p>\n\u003cp>An analysis presented at the Alzheimer's conference supports that idea.\u003c/p>\n\u003cp>It found that in two recent studies, women who started taking estrogen after age 65 were more likely to have trouble with thinking and memory. But women who started taking estrogen between 50 and 54 were not.\u003c/p>\n\u003cp>And estrogen may benefit the mental function of younger women because it reduces the hot flashes associated with menopause, Maki says.[contextly_sidebar id=\"v9bruUJ5zucWs4sZPfqccXVqvwa2qouD\"]\u003c/p>\n\u003cp>\"The more hot flashes a woman has, the worse her memory performance,\" Maki says, citing her own research. \"And when we intervene to address those hot flashes, her memory performance bounces back.\"\u003c/p>\n\u003cp>Findings like that are renewing interest in the idea that someday, it may be possible to use hormones around the time of menopause to prevent Alzheimer's and other forms of dementia later on, Maki says.\u003c/p>\n\u003cp>In the meantime, there's evidence that hormonal differences between men and women may affect their brains in ways that affect doctors' ability to accurately diagnose Alzheimer's, Maki says.\u003c/p>\n\u003cp>At the Alzheimer's conference, she presented research showing that women tend to have higher verbal memory skills than men, even when they are in the early stages of Alzheimer's. As a result, women are likely to be diagnosed with the disease later than men.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It's unclear whether male hormones, such as testosterone, affect a man's risk of Alzheimer's.\u003c/p>\n\u003chr>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hormone+Levels+Likely+Influence+A+Woman%27s+Risk+Of+Alzheimer%27s.+But+Exactly+How%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Scientists are taking a second look at the idea that hormone replacement therapy could reduce a woman's risk of dementia. New research suggests the key may be in giving it at the right time.","status":"publish","parent":0,"modified":1532368619,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":886},"headData":{"title":"Hormone Levels Likely Influence A Woman's Risk Of Alzheimer's. But Exactly How? | KQED","description":"Scientists are taking a second look at the idea that hormone replacement therapy could reduce a woman's risk of dementia. New research suggests the key may be in giving it at the right time.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Hormone Levels Likely Influence A Woman's Risk Of Alzheimer's. But Exactly How?","datePublished":"2018-07-23T17:00:45.000Z","dateModified":"2018-07-23T17:56:59.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"443536 https://ww2.kqed.org/futureofyou/?p=443536","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/07/23/hormone-levels-likely-influence-a-womans-risk-of-alzheimers-but-exactly-how/","disqusTitle":"Hormone Levels Likely Influence A Woman's Risk Of Alzheimer's. But Exactly How?","source":"Health","nprImageCredit":"Ronnie Kaufman","nprByline":"Jon Hamilton, NPR","nprImageAgency":"Blend Images/Getty Images","nprStoryId":"630688342","nprApiLink":"http://api.npr.org/query?id=630688342&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/07/23/630688342/might-sex-hormones-help-protect-women-from-alzheimer-s-after-all-maybe?ft=nprml&f=630688342","nprRetrievedStory":"1","nprPubDate":"Mon, 23 Jul 2018 09:01:00 -0400","nprStoryDate":"Mon, 23 Jul 2018 09:01:17 -0400","nprLastModifiedDate":"Mon, 23 Jul 2018 09:01:17 -0400","path":"/futureofyou/443536/hormone-levels-likely-influence-a-womans-risk-of-alzheimers-but-exactly-how","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>There's new evidence that a woman's levels of female sex hormones, including estrogen and progesterone, can influence her risk of Alzheimer's and other forms of dementia.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Women are less likely to develop dementia later in life if they begin to menstruate earlier, go through menopause later, and have more than one child, researchers \u003ca href=\"https://www.alz.org/aaic/pressroom.asp\" target=\"_blank\" rel=\"noopener\">reported\u003c/a> Monday at the \u003ca href=\"https://www.alz.org/aaic/\" target=\"_blank\" rel=\"noopener\">Alzheimer's Association International Conference\u003c/a> in Chicago.\u003c/p>\n\u003cp>And recent studies offer hints that \u003ca href=\"https://medlineplus.gov/hormonereplacementtherapy.html\" target=\"_blank\" rel=\"noopener\">hormone replacement therapy\u003c/a>, which fell out of favor more than a decade ago, might offer a way to protect a woman's brain if it is given at the right time, the researchers said.\u003c/p>\n\u003cp>The findings could help explain why women make up nearly two-thirds of people in the U.S. with Alzheimer's, says \u003ca href=\"http://nationalacademies.org/hmd/Activities/Research/NeuroForum/Member%20Profiles/Maria%20Carrillo.aspx\" target=\"_blank\" rel=\"noopener\">Maria Carrillo\u003c/a>, the association's chief scientific officer.\u003c/p>\n\u003cp>\"It isn't just that women are living longer,\" Carrillo says. \"There is some biological underpinning. And because of the large numbers of women that are affected, it is important to find out [what it is].\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Scientists have long suspected that sex hormones such as estrogen and progesterone play a role in Alzheimer's. And two studies on dementia and what occurs during a women's reproductive years support that idea.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>One of the studies looked at nearly 15,000 women in California. And it found an association between a woman's reproductive history and her risk of memory problems later in life.\u003c/p>\n\u003cp>The risk of dementia for women who had three or more children was 12 percent lower than the risk for women who had one child, according to \u003ca href=\"https://divisionofresearch.kaiserpermanente.org/researchers/gilsanz-paola\" target=\"_blank\" rel=\"noopener\">Paola Gilsanz\u003c/a> of Kaiser Permanente Northern California Division of Research, and \u003ca href=\"https://profiles.ucsf.edu/rachel.whitmer\" target=\"_blank\" rel=\"noopener\">Rachel Whitmer\u003c/a> of the University of California, Davis.\u003c/p>\n\u003cp>Also, women who began to menstruate earlier and went through menopause later were less likely to develop dementia. Menopause at age 45 or younger seemed to increase the risk by 28 percent.\u003c/p>\n\u003cp>Another study of 133 elderly women in the U.K. found that the more months of pregnancy they experienced during their lives, the lower their risk of developing Alzheimer's.\u003c/p>\n\u003cp>The findings all suggest that female sex hormones — which rise at puberty and during pregnancy, then fall at menopause — are somehow affecting a woman's risk of developing Alzheimer's and other forms of dementia. The results also suggest that greater exposure to these hormones, through more pregnancies or more reproductive years, can reduce a woman's risk.\u003c/p>\n\u003cp>But it's still not clear whether the mere presence of female sex hormones is a reason that the frequency of Alzheimer's is greater in women than in men.\u003c/p>\n\u003cp>One possibility is that it's not female sex hormones on their own, but rapid changes in their levels that are a problem, says \u003ca href=\"https://crwg.uic.edu/crwg-home/crwg-staff/pauline-maki-phd/\" target=\"_blank\" rel=\"noopener\">Pauline Maki\u003c/a>, a professor of psychiatry and psychology at the University of Illinois at Chicago, who presented research at the Alzheimer's conference.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"Women experience these very dramatic hormonal transitions that in the long run can give rise to Alzheimer's disease,\" she says.\u003c/p>\n\u003cp>One way for women to minimize the dramatic hormonal changes that occur at menopause is to use hormone replacement therapy.\u003c/p>\n\u003cp>That approach fell out of favor more than a decade ago when a \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/12771112\" target=\"_blank\" rel=\"noopener\">large study\u003c/a> found that women who took estrogen plus progestin after menopause were actually more likely to get some form of dementia. They also appeared to have a higher risk of heart disease and breast cancer.\u003c/p>\n\u003cp>But Maki says more recent studies suggest that hormone therapy — especially estrogen alone — really can be helpful if women get it at the right time.\u003c/p>\n\u003cp>\"The effects of hormone therapy depend on the timing of use,\" Maki says. \"Use later in life is detrimental, whereas use early in the menopausal transition could be beneficial.\"\u003c/p>\n\u003cp>An analysis presented at the Alzheimer's conference supports that idea.\u003c/p>\n\u003cp>It found that in two recent studies, women who started taking estrogen after age 65 were more likely to have trouble with thinking and memory. But women who started taking estrogen between 50 and 54 were not.\u003c/p>\n\u003cp>And estrogen may benefit the mental function of younger women because it reduces the hot flashes associated with menopause, Maki says.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"The more hot flashes a woman has, the worse her memory performance,\" Maki says, citing her own research. \"And when we intervene to address those hot flashes, her memory performance bounces back.\"\u003c/p>\n\u003cp>Findings like that are renewing interest in the idea that someday, it may be possible to use hormones around the time of menopause to prevent Alzheimer's and other forms of dementia later on, Maki says.\u003c/p>\n\u003cp>In the meantime, there's evidence that hormonal differences between men and women may affect their brains in ways that affect doctors' ability to accurately diagnose Alzheimer's, Maki says.\u003c/p>\n\u003cp>At the Alzheimer's conference, she presented research showing that women tend to have higher verbal memory skills than men, even when they are in the early stages of Alzheimer's. As a result, women are likely to be diagnosed with the disease later than men.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>It's unclear whether male hormones, such as testosterone, affect a man's risk of Alzheimer's.\u003c/p>\n\u003chr>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Hormone+Levels+Likely+Influence+A+Woman%27s+Risk+Of+Alzheimer%27s.+But+Exactly+How%3F&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/443536/hormone-levels-likely-influence-a-womans-risk-of-alzheimers-but-exactly-how","authors":["byline_futureofyou_443536"],"series":["futureofyou_219"],"categories":["futureofyou_1060","futureofyou_1"],"tags":["futureofyou_999","futureofyou_1023","futureofyou_1008","futureofyou_61","futureofyou_80"],"collections":["futureofyou_1093"],"featImg":"futureofyou_443537","label":"source_futureofyou_443536"},"futureofyou_443236":{"type":"posts","id":"futureofyou_443236","meta":{"index":"posts_1591205157","site":"futureofyou","id":"443236","score":null,"sort":[1531162927000]},"guestAuthors":[],"slug":"family-caregivers-exchange-tips-share-stories-to-ease-alzheimers-losses","title":"Family Caregivers Exchange Tips, Share Stories To Ease Alzheimer's Losses","publishDate":1531162927,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Vicki Bartholomew started a support group for wives who are caring for a husband with Alzheimer's disease because she needed that sort of group herself.\u003c/p>\n\u003cp>They meet every month in a conference room at a new memory care facility in Nashville, Tenn., called \u003ca href=\"http://nashvillepublicradio.org/post/nashville-dementia-ward-aims-become-hub-memory-care-research#stream/0\" target=\"_blank\" rel=\"noopener\">Abe's Garden\u003c/a>, where Bartholomew's husband was one of the first residents — a Vietnam veteran and prominent attorney in Nashville.\u003c/p>\n\u003cp>\"My husband's still living, and now I'm in an even more difficult situation — I'm married, but I'm a widow,\" she says.\u003c/p>\n\u003cp>These women draw the shades and open up to each other in ways they can't with their lifelong friends.\u003c/p>\n\u003cp>\"They're still wonderful friends, but they didn't know how to handle this. It was hard for them, and as you all know, your friends don't come around as much as they used to,\" Bartholomew says. \"I was in bad shape. I didn't think I was — I did have health problems, and [now] I know I was depressed.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>As the numbers of Americans afflicted with Alzheimer's disease continue to swell to an estimated 5.7 million, so do the legions of loved ones caring for friends and family members. The toll on Bartholomew's own mental health is one of the reasons the Alzheimer's Foundation of America focuses on the nation's estimated \u003ca href=\"https://www.alz.org/facts/\" target=\"_blank\" rel=\"noopener\">16 million unpaid caregivers\u003c/a>.\u003c/p>\n\u003cp>With no cure on the horizon, the foundation has been highlighting the necessity of better support for those caregivers through a \u003ca href=\"https://alzfdn.org/afa-educating-america-tour/\">national tour\u003c/a>. It stopped in Nashville earlier this spring, was in Tempe, Ariz., in June and heads to Fairfax, Va., in September; the tour includes at least six more cities in the fall.\u003c/p>\n\u003cp>At the live events, Alzheimer's researchers and clinicians offer guidance on a number of topics, including how to ensure safety for patients at home, care planning and even how to \u003ca href=\"https://alzfdn.org/event/afa-educating-america-tour-tempe/\" target=\"_blank\" rel=\"noopener\">entertain someone\u003c/a> with memory loss.\u003c/p>\n\u003cp>The organization promotes in-person and \u003ca href=\"https://alzfdn.org/alzheimers-foundation-americas-national-toll-free-helpline-expanding-seven-days-week/\" target=\"_blank\" rel=\"noopener\">telephone support groups\u003c/a>, since being a caregiver is often a barrier to getting out of the house alone. But even virtual support systems have shown some effectiveness at reducing loneliness, stress and depression \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668714/\" target=\"_blank\" rel=\"noopener\">in a small 2014 study.\u003c/a>\u003c/p>\n\u003cp>\"We have to do everything we can to educate a caregiver, to provide them with the best practices on caring for somebody,\" says \u003ca href=\"https://alzfdn.org/team_member/charles-j-fuschillo-jr/\" target=\"_blank\" rel=\"noopener\">Charles J. Fuschillo Jr.,\u003c/a> the Alzheimer's Foundation of America's CEO.\u003c/p>\n\u003cp>For example, the AFA \u003ca href=\"https://alzfdn.org/caregiving-resources/fact-sheets-information/\" target=\"_blank\" rel=\"noopener\">recommends\u003c/a> that family members:\u003c/p>\n\u003cul>\n\u003cli>Feed Alzheimer's patients one food at a time. \"A busy plate can be confusing,\" the group says.\u003c/li>\n\u003cli>Mark rooms in the house with signs to avoid unnecessary confusion.\u003c/li>\n\u003cli>Remind a person with Alzheimer's to use the toilet; don't wait for them to ask.\u003c/li>\n\u003cli>When traveling, stick with familiar destinations.\u003c/li>\n\u003cli>Watch for a cough while eating; it can signal a swallowing disorder in people with dementia.\u003c/li>\n\u003cli>Schedule overnight stays at a memory-care facility so the caregiver gets some respite.\u003c/li>\n\u003c/ul>\n\u003cp>Just as important, Fuschillo says, \"We want to do everything we can to avoid caregiver burnout.\"\u003c/p>\n\u003cp>The breaking point sneaks up on even the most committed caregiver, say Alzheimer's advocates, especially as the nights grow more sleepless. Alzheimer's patients can tend to pace, or wake up their partner every few minutes. They can even become violent. Or, perhaps worse, they can leave the house.\u003c/p>\n\u003cp>\"And I've had some issues at night that I had to take care of alone,\" says Pam Hawkins, whose husband has Alzheimer's. \"But I'm not ready to have anyone there at night.\"\u003c/p>\n\u003cp>For now, she says, her husband usually sleeps all night. And if there's a problem, her son-in-law is 15 minutes away.\u003c/p>\n\u003cp>She's had to hire caregivers during the day. Knowing how to find and hire the right person is a shared concern by Alzheimer's family members that has inspired an entire\u003ca href=\"https://www.alz.org/national/documents/topicsheet_homehealth.pdf\" target=\"_blank\" rel=\"noopener\"> checklist\u003c/a> for navigating the process. The tips include these: Interview the aide in the home. Over-share information about the patient. Ask what kind of quality control a supervisor will provide.\u003c/p>\n\u003cp>Hawkins is adamant about keeping her husband at home, whatever the cost.\u003c/p>\n\u003cp>\"He's not going anywhere,\" she says. \"He's staying at our home until he moves to heaven. We made that decision a long time ago.\"\u003c/p>\n\u003cp>But many caregivers have no choice.\u003c/p>\n\u003cp>April Simpkins says tending to her husband became all consuming, and she's young enough that she still needs to keep her job; she works at a local university.\u003c/p>\n\u003cp>\"It was not possible for us to keep Joe at home,\" she says.\u003c/p>\n\u003cp>Simpkins found she'd often have to call her husband's siblings to settle him down over the phone. One night, she had to dial 911 when he kept yelling in the hallways of their condo building.\u003c/p>\n\u003cp>And yet she felt some societal pressure that she wasn't doing enough.\u003c/p>\n\u003cp>\"There's a lot of ... glory given to the whole idea of someone being long-suffering and staying at home and giving up their life, basically, to care for their loved one,\" Simpkins says. \"It makes it harder for people who can't do that.\"\u003c/p>\n\u003cp>Everyone around the table nods in agreement. Whatever stage of illness their loved one is experiencing, these caregivers understand the complicated existence that many have dubbed \"the long goodbye.\"\u003c/p>\n\u003cp>Along with sharing the sorrow, they find a way to share in the humor of it all — one woman says her husband wears a laundry-basket's-worth of shirts and pants because he forgets he's already gotten dressed. Even tips on how to reduce the odor from incontinence are offered with a loving laugh.\u003c/p>\n\u003cp>The support group ends with hugs. Some women head for the parking lot. Others buzz through the locked doors to see their husbands.\u003c/p>\n\u003cp>Simpkins sits down for lunch with Joe, who is a former state employee and a youthful-looking 66 years old. She drapes an arm around his slumping shoulders and assists him as he spears a cold strawberry with his fork.\u003c/p>\n\u003cp>\"You know, there are some days,\" she says, interrupted by a random reflection from Joe. \"Yeah, some days are clearer than others.\"\u003c/p>\n\u003cp>Simpkins tries to stop by to see her husband every day. But it's a wicked kind of blessing, she says, that when she misses a visit, Joe no longer notices.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003cem>This story is part of NPR's reporting partnership with Nashville Public Radio and Kaiser Health News.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 Nashville Public Radio. To see more, visit \u003ca href=\"http://www.wpln.org/\" target=\"_blank\" rel=\"noopener\">Nashville Public Radio\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Family+Caregivers+Exchange+Tips%2C+Share+Stories+To+Ease+Alzheimer%27s+Losses&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"As the number of people with Alzheimer's climbs, so does the number of loved ones caring for them. The health of 16 million unpaid U.S. caregivers has become a focus for Alzheimer's advocacy groups.","status":"publish","parent":0,"modified":1531169663,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1098},"headData":{"title":"Family Caregivers Exchange Tips, Share Stories To Ease Alzheimer's Losses | KQED","description":"As the number of people with Alzheimer's climbs, so does the number of loved ones caring for them. The health of 16 million unpaid U.S. caregivers has become a focus for Alzheimer's advocacy groups.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Family Caregivers Exchange Tips, Share Stories To Ease Alzheimer's Losses","datePublished":"2018-07-09T19:02:07.000Z","dateModified":"2018-07-09T20:54:23.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"443236 https://ww2.kqed.org/futureofyou/?p=443236","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/07/09/family-caregivers-exchange-tips-share-stories-to-ease-alzheimers-losses/","disqusTitle":"Family Caregivers Exchange Tips, Share Stories To Ease Alzheimer's Losses","source":"Health","nprImageCredit":"Tang Yau Hoong","nprByline":"Blake Farmer, NPR","nprImageAgency":"Ikon Images/Getty Images","nprStoryId":"621110042","nprApiLink":"http://api.npr.org/query?id=621110042&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/07/06/621110042/shared-tips-support-help-prevent-burnout-among-alzheimers-family-caregivers?ft=nprml&f=621110042","nprRetrievedStory":"1","nprPubDate":"Fri, 06 Jul 2018 13:18:00 -0400","nprStoryDate":"Fri, 06 Jul 2018 04:59:00 -0400","nprLastModifiedDate":"Fri, 06 Jul 2018 13:18:48 -0400","nprAudio":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/07/20180706_me_family_caregivers_exchange_tips_share_stories_to_ease_alzheimers_losses.mp3?orgId=577&topicId=1128&d=229&p=3&story=621110042&ft=nprml&f=621110042","nprAudioM3u":"http://api.npr.org/m3u/1626442145-cdcb9f.m3u?orgId=577&topicId=1128&d=229&p=3&story=621110042&ft=nprml&f=621110042","path":"/futureofyou/443236/family-caregivers-exchange-tips-share-stories-to-ease-alzheimers-losses","audioUrl":"https://ondemand.npr.org/anon.npr-mp3/npr/me/2018/07/20180706_me_family_caregivers_exchange_tips_share_stories_to_ease_alzheimers_losses.mp3?orgId=577&topicId=1128&d=229&p=3&story=621110042&ft=nprml&f=621110042","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Vicki Bartholomew started a support group for wives who are caring for a husband with Alzheimer's disease because she needed that sort of group herself.\u003c/p>\n\u003cp>They meet every month in a conference room at a new memory care facility in Nashville, Tenn., called \u003ca href=\"http://nashvillepublicradio.org/post/nashville-dementia-ward-aims-become-hub-memory-care-research#stream/0\" target=\"_blank\" rel=\"noopener\">Abe's Garden\u003c/a>, where Bartholomew's husband was one of the first residents — a Vietnam veteran and prominent attorney in Nashville.\u003c/p>\n\u003cp>\"My husband's still living, and now I'm in an even more difficult situation — I'm married, but I'm a widow,\" she says.\u003c/p>\n\u003cp>These women draw the shades and open up to each other in ways they can't with their lifelong friends.\u003c/p>\n\u003cp>\"They're still wonderful friends, but they didn't know how to handle this. It was hard for them, and as you all know, your friends don't come around as much as they used to,\" Bartholomew says. \"I was in bad shape. I didn't think I was — I did have health problems, and [now] I know I was depressed.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>As the numbers of Americans afflicted with Alzheimer's disease continue to swell to an estimated 5.7 million, so do the legions of loved ones caring for friends and family members. The toll on Bartholomew's own mental health is one of the reasons the Alzheimer's Foundation of America focuses on the nation's estimated \u003ca href=\"https://www.alz.org/facts/\" target=\"_blank\" rel=\"noopener\">16 million unpaid caregivers\u003c/a>.\u003c/p>\n\u003cp>With no cure on the horizon, the foundation has been highlighting the necessity of better support for those caregivers through a \u003ca href=\"https://alzfdn.org/afa-educating-america-tour/\">national tour\u003c/a>. It stopped in Nashville earlier this spring, was in Tempe, Ariz., in June and heads to Fairfax, Va., in September; the tour includes at least six more cities in the fall.\u003c/p>\n\u003cp>At the live events, Alzheimer's researchers and clinicians offer guidance on a number of topics, including how to ensure safety for patients at home, care planning and even how to \u003ca href=\"https://alzfdn.org/event/afa-educating-america-tour-tempe/\" target=\"_blank\" rel=\"noopener\">entertain someone\u003c/a> with memory loss.\u003c/p>\n\u003cp>The organization promotes in-person and \u003ca href=\"https://alzfdn.org/alzheimers-foundation-americas-national-toll-free-helpline-expanding-seven-days-week/\" target=\"_blank\" rel=\"noopener\">telephone support groups\u003c/a>, since being a caregiver is often a barrier to getting out of the house alone. But even virtual support systems have shown some effectiveness at reducing loneliness, stress and depression \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4668714/\" target=\"_blank\" rel=\"noopener\">in a small 2014 study.\u003c/a>\u003c/p>\n\u003cp>\"We have to do everything we can to educate a caregiver, to provide them with the best practices on caring for somebody,\" says \u003ca href=\"https://alzfdn.org/team_member/charles-j-fuschillo-jr/\" target=\"_blank\" rel=\"noopener\">Charles J. Fuschillo Jr.,\u003c/a> the Alzheimer's Foundation of America's CEO.\u003c/p>\n\u003cp>For example, the AFA \u003ca href=\"https://alzfdn.org/caregiving-resources/fact-sheets-information/\" target=\"_blank\" rel=\"noopener\">recommends\u003c/a> that family members:\u003c/p>\n\u003cul>\n\u003cli>Feed Alzheimer's patients one food at a time. \"A busy plate can be confusing,\" the group says.\u003c/li>\n\u003cli>Mark rooms in the house with signs to avoid unnecessary confusion.\u003c/li>\n\u003cli>Remind a person with Alzheimer's to use the toilet; don't wait for them to ask.\u003c/li>\n\u003cli>When traveling, stick with familiar destinations.\u003c/li>\n\u003cli>Watch for a cough while eating; it can signal a swallowing disorder in people with dementia.\u003c/li>\n\u003cli>Schedule overnight stays at a memory-care facility so the caregiver gets some respite.\u003c/li>\n\u003c/ul>\n\u003cp>Just as important, Fuschillo says, \"We want to do everything we can to avoid caregiver burnout.\"\u003c/p>\n\u003cp>The breaking point sneaks up on even the most committed caregiver, say Alzheimer's advocates, especially as the nights grow more sleepless. Alzheimer's patients can tend to pace, or wake up their partner every few minutes. They can even become violent. Or, perhaps worse, they can leave the house.\u003c/p>\n\u003cp>\"And I've had some issues at night that I had to take care of alone,\" says Pam Hawkins, whose husband has Alzheimer's. \"But I'm not ready to have anyone there at night.\"\u003c/p>\n\u003cp>For now, she says, her husband usually sleeps all night. And if there's a problem, her son-in-law is 15 minutes away.\u003c/p>\n\u003cp>She's had to hire caregivers during the day. Knowing how to find and hire the right person is a shared concern by Alzheimer's family members that has inspired an entire\u003ca href=\"https://www.alz.org/national/documents/topicsheet_homehealth.pdf\" target=\"_blank\" rel=\"noopener\"> checklist\u003c/a> for navigating the process. The tips include these: Interview the aide in the home. Over-share information about the patient. Ask what kind of quality control a supervisor will provide.\u003c/p>\n\u003cp>Hawkins is adamant about keeping her husband at home, whatever the cost.\u003c/p>\n\u003cp>\"He's not going anywhere,\" she says. \"He's staying at our home until he moves to heaven. We made that decision a long time ago.\"\u003c/p>\n\u003cp>But many caregivers have no choice.\u003c/p>\n\u003cp>April Simpkins says tending to her husband became all consuming, and she's young enough that she still needs to keep her job; she works at a local university.\u003c/p>\n\u003cp>\"It was not possible for us to keep Joe at home,\" she says.\u003c/p>\n\u003cp>Simpkins found she'd often have to call her husband's siblings to settle him down over the phone. One night, she had to dial 911 when he kept yelling in the hallways of their condo building.\u003c/p>\n\u003cp>And yet she felt some societal pressure that she wasn't doing enough.\u003c/p>\n\u003cp>\"There's a lot of ... glory given to the whole idea of someone being long-suffering and staying at home and giving up their life, basically, to care for their loved one,\" Simpkins says. \"It makes it harder for people who can't do that.\"\u003c/p>\n\u003cp>Everyone around the table nods in agreement. Whatever stage of illness their loved one is experiencing, these caregivers understand the complicated existence that many have dubbed \"the long goodbye.\"\u003c/p>\n\u003cp>Along with sharing the sorrow, they find a way to share in the humor of it all — one woman says her husband wears a laundry-basket's-worth of shirts and pants because he forgets he's already gotten dressed. Even tips on how to reduce the odor from incontinence are offered with a loving laugh.\u003c/p>\n\u003cp>The support group ends with hugs. Some women head for the parking lot. Others buzz through the locked doors to see their husbands.\u003c/p>\n\u003cp>Simpkins sits down for lunch with Joe, who is a former state employee and a youthful-looking 66 years old. She drapes an arm around his slumping shoulders and assists him as he spears a cold strawberry with his fork.\u003c/p>\n\u003cp>\"You know, there are some days,\" she says, interrupted by a random reflection from Joe. \"Yeah, some days are clearer than others.\"\u003c/p>\n\u003cp>Simpkins tries to stop by to see her husband every day. But it's a wicked kind of blessing, she says, that when she misses a visit, Joe no longer notices.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cem>This story is part of NPR's reporting partnership with Nashville Public Radio and Kaiser Health News.\u003c/em>\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 Nashville Public Radio. To see more, visit \u003ca href=\"http://www.wpln.org/\" target=\"_blank\" rel=\"noopener\">Nashville Public Radio\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Family+Caregivers+Exchange+Tips%2C+Share+Stories+To+Ease+Alzheimer%27s+Losses&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/443236/family-caregivers-exchange-tips-share-stories-to-ease-alzheimers-losses","authors":["byline_futureofyou_443236"],"categories":["futureofyou_1060","futureofyou_1","futureofyou_73"],"tags":["futureofyou_999","futureofyou_56","futureofyou_1023","futureofyou_1008","futureofyou_61"],"collections":["futureofyou_1093"],"featImg":"futureofyou_443237","label":"source_futureofyou_443236"},"futureofyou_440994":{"type":"posts","id":"futureofyou_440994","meta":{"index":"posts_1591205157","site":"futureofyou","id":"440994","score":null,"sort":[1524769220000]},"guestAuthors":[],"slug":"medicare-to-require-hospitals-to-post-prices-online","title":"Medicare to Require Hospitals to Post Prices Online","publishDate":1524769220,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Medicare will require hospitals to post their standard prices online and make electronic medical records more readily available to patients, officials said Tuesday.\u003c/p>\n\u003cp>The program is also starting a comprehensive review of how it will pay for costly new forms of immunotherapy to battle cancer.[contextly_sidebar id=\"HODGqRLEtV1B3RpHUo0k0t9wyrSPA5lr\"]\u003c/p>\n\u003cp>Seema Verma, head of the Centers for Medicare and Medicaid Services, said the new requirement for online prices reflects the Trump administration’s ongoing efforts to encourage patients to become better-educated decision makers in their own care.\u003c/p>\n\u003cp>“We are just beginning on price transparency,” said Verma. “We know that hospitals have this information and we’re asking them to post what they have online.”\u003c/p>\n\u003cp>Hospitals are required to disclose prices publicly, but the latest change would put that information online in machine-readable format that can be easily processed by computers. It may still prove to be confusing to consumers, since standard rates are like list prices and don’t reflect what insurers and government programs pay.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Patients concerned about their potential out-of-pocket costs from a hospitalization would still be advised to consult with their insurer. Most insurance plans nowadays have an annual limit on how much patients must pay in copays and deductibles — although traditional Medicare does not.[contextly_sidebar id=\"2h9g5iEXdqdOugweYZDg5bWHhS2W2vNa\"]\u003c/p>\n\u003cp>Likewise, many health care providers already make computerized records available to patients, but starting in 2021 Medicare would base part of a hospital’s payments on how good a job they do.\u003c/p>\n\u003cp>Using electronic medical records remains a cumbersome task, and the Trump administration has invited technology companies to design secure apps that would let patients access their records from all their providers instead of having to go to different portals.\u003c/p>\n\u003cp>Verma also announced Medicare is starting a comprehensive review of how it will pay for a costly new form of immunotherapy called CAR-T. It’s gene therapy that turbocharges a patient’s own immune system cells to attack cancer.\u003c/p>\n\u003cp>Immune system T cells are filtered from the patient’s own blood and reprogrammed to target and kill cancer cells that had managed to evade them. Hundreds of millions of copies of the revved-up cells are then returned to the patient’s blood to take on the cancer.\u003c/p>\n\u003cp>Though only a couple of such treatments have been approved for blood cancers, the cost can exceed $370,000 per patient.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s a new area for the agency,” said Verma. “We haven’t seen drugs priced at this level and we’re having to think about our strategy.”\u003c/p>\n\n","blocks":[],"excerpt":"Medicare is also starting a comprehensive review of how it will pay for a costly new form of immunotherapy called CAR-T. Though only a couple of such treatments have been approved for blood cancers, the cost can exceed $370,000 per patient.","status":"publish","parent":0,"modified":1524764184,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":14,"wordCount":444},"headData":{"title":"Medicare to Require Hospitals to Post Prices Online | KQED","description":"Medicare is also starting a comprehensive review of how it will pay for a costly new form of immunotherapy called CAR-T. Though only a couple of such treatments have been approved for blood cancers, the cost can exceed $370,000 per patient.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Medicare to Require Hospitals to Post Prices Online","datePublished":"2018-04-26T19:00:20.000Z","dateModified":"2018-04-26T17:36:24.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"440994 https://ww2.kqed.org/futureofyou/?p=440994","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/04/26/medicare-to-require-hospitals-to-post-prices-online/","disqusTitle":"Medicare to Require Hospitals to Post Prices Online","source":"Health","nprByline":"Ricardo Alonso-Zaldivar\u003cbr />The Associated Press","path":"/futureofyou/440994/medicare-to-require-hospitals-to-post-prices-online","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Medicare will require hospitals to post their standard prices online and make electronic medical records more readily available to patients, officials said Tuesday.\u003c/p>\n\u003cp>The program is also starting a comprehensive review of how it will pay for costly new forms of immunotherapy to battle cancer.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Seema Verma, head of the Centers for Medicare and Medicaid Services, said the new requirement for online prices reflects the Trump administration’s ongoing efforts to encourage patients to become better-educated decision makers in their own care.\u003c/p>\n\u003cp>“We are just beginning on price transparency,” said Verma. “We know that hospitals have this information and we’re asking them to post what they have online.”\u003c/p>\n\u003cp>Hospitals are required to disclose prices publicly, but the latest change would put that information online in machine-readable format that can be easily processed by computers. It may still prove to be confusing to consumers, since standard rates are like list prices and don’t reflect what insurers and government programs pay.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Patients concerned about their potential out-of-pocket costs from a hospitalization would still be advised to consult with their insurer. Most insurance plans nowadays have an annual limit on how much patients must pay in copays and deductibles — although traditional Medicare does not.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>Likewise, many health care providers already make computerized records available to patients, but starting in 2021 Medicare would base part of a hospital’s payments on how good a job they do.\u003c/p>\n\u003cp>Using electronic medical records remains a cumbersome task, and the Trump administration has invited technology companies to design secure apps that would let patients access their records from all their providers instead of having to go to different portals.\u003c/p>\n\u003cp>Verma also announced Medicare is starting a comprehensive review of how it will pay for a costly new form of immunotherapy called CAR-T. It’s gene therapy that turbocharges a patient’s own immune system cells to attack cancer.\u003c/p>\n\u003cp>Immune system T cells are filtered from the patient’s own blood and reprogrammed to target and kill cancer cells that had managed to evade them. Hundreds of millions of copies of the revved-up cells are then returned to the patient’s blood to take on the cancer.\u003c/p>\n\u003cp>Though only a couple of such treatments have been approved for blood cancers, the cost can exceed $370,000 per patient.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“It’s a new area for the agency,” said Verma. “We haven’t seen drugs priced at this level and we’re having to think about our strategy.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/440994/medicare-to-require-hospitals-to-post-prices-online","authors":["byline_futureofyou_440994"],"categories":["futureofyou_1","futureofyou_73"],"tags":["futureofyou_1077","futureofyou_952","futureofyou_1008","futureofyou_61","futureofyou_419","futureofyou_686"],"featImg":"futureofyou_441002","label":"source_futureofyou_440994"},"futureofyou_439750":{"type":"posts","id":"futureofyou_439750","meta":{"index":"posts_1591205157","site":"futureofyou","id":"439750","score":null,"sort":[1519426064000]},"guestAuthors":[],"slug":"superagers-maintain-memory-into-80s-and-90s","title":"‘Superagers’ Maintain Memory Into 80s and 90s","publishDate":1519426064,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1093,"site":"futureofyou"},"content":"\u003cp>It's pretty extraordinary for people in their 80s and 90s to keep the same sharp memory as someone several decades younger, and now scientists are peeking into the brains of these \"superagers\" to uncover their secret.\u003c/p>\n\u003cp>The work is the flip side of the disappointing hunt for new drugs to fight or prevent Alzheimer's disease.\u003c/p>\n\u003cp>Instead, \"why don't we figure out what it is we might need to do to maximize our memory?\" said neuroscientist Emily Rogalski, who leads the SuperAging study at Northwestern University in Chicago.\u003c/p>\n\u003cp>Parts of the brain shrink with age, one of the reasons why most [contextly_sidebar id=\"G3H8QC9o82TylnWZAr296D2zVHqEWAob\"]people experience a gradual slowing of at least some types of memory late in life, even if they avoid diseases like Alzheimer's.\u003c/p>\n\u003cp>But it turns out that superagers' brains aren't shrinking nearly as fast as their peers'. And autopsies of the first superagers to die during the study show they harbor a lot more of a special kind of nerve cell in a deep brain region that's important for attention, Rogalski told a recent meeting of the American Association for the Advancement of Science.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>These elite elders are \"more than just an oddity or a rarity,\" said neuroscientist Molly Wagster of the National Institute on Aging, which helps fund the research. \"There's the potential for learning an enormous amount and applying it to the rest of us, and even to those who may be on a trajectory for some type of neurodegenerative disease.\"\u003c/p>\n\u003cp>What does it take to be a superager? A youthful brain in the body of someone 80 or older. Rogalski's team has given a battery of tests to more than 1,000 people who thought they'd qualify, and only about 5 percent pass. The key \u003ca href=\"https://ww2.kqed.org/futureofyou/2018/02/07/a-tiny-pulse-of-electricity-to-the-brain-can-boost-memory/\" target=\"_blank\" rel=\"noopener\">memory challenge\u003c/a>: Listen to 15 unrelated words, and a half-hour later recall at least nine. That's the norm for 50-year-olds, but the average 80-year-old recalls five. Some superagers remember them all.[contextly_sidebar id=\"CmEYEjCmwB2h2qN7hBJIIlooU2YvQ8dj\"]\u003c/p>\n\u003cp>\"It doesn't mean you're any smarter,\" stressed superager William \"Bill\" Gurolnick, who turns 87 next month and joined the study two years ago.\u003c/p>\n\u003cp>Nor can he credit protective genes: Gurolnick's father developed Alzheimer's in his 50s. He thinks his own \u003ca href=\"https://ww2.kqed.org/perspectives/2018/02/12/the-memory-of-stuff/\" target=\"_blank\" rel=\"noopener\">stellar memory\u003c/a> is bolstered by keeping busy. He bikes, and plays tennis and water volleyball. He stays social through regular lunches and meetings with a men's group he co-founded.\u003c/p>\n\u003cp>\"Absolutely that's a critical factor about keeping your wits about you,\" exclaimed Gurolnick, fresh off his monthly gin game.\u003c/p>\n\u003cp>\u003cstrong>Brain Scans\u003c/strong>\u003c/p>\n\u003cp>Rogalski's superagers tend to be extroverts and report strong social networks, but otherwise they come from all walks of life, making it hard to find a common trait \u003ca href=\"https://ww2.kqed.org/forum/2017/04/11/emotions-are-a-construct-of-the-brain-says-psychologist-lisa-feldman-barrett/\" target=\"_blank\" rel=\"noopener\">for brain health\u003c/a>. Some went to college, some didn't. Some have high IQs, some are average. She's studied people who've experienced enormous trauma, including a Holocaust survivor; fitness buffs and smokers; teetotalers and those who tout a nightly martini.\u003c/p>\n\u003cp>But deep in their brains is where she's finding compelling hints that somehow, superagers are more resilient against the ravages of time.\u003c/p>\n\u003cp>Early on, brain scans showed that a superager's cortex — an outer brain layer critical for memory and other key functions — is much thicker than normal for their age. It looks more like the cortex of healthy 50- and 60-year-olds.\u003c/p>\n\u003cp>It's not clear if they were born that way. But Rogalski's team found another possible explanation: A superager's cortex doesn't shrink as fast. Over 18 months, average 80-somethings experienced more than twice the rate of loss.\u003c/p>\n\u003cp>Another clue: Deeper in the brain, that attention region is larger in superagers, too. And inside, autopsies showed that brain region was packed with unusual large, spindly neurons — a special and little understood type called von Economo neurons thought to play a role in social processing and awareness.\u003c/p>\n\u003cp>The superagers had four to five times more of those neurons than the typical octogenarian, Rogalski said — more even than the average young adult.[contextly_sidebar id=\"AJFvjFXNb2dpYXWnAkrRzU9vWHQngSNl\"]\u003c/p>\n\u003cp>The Northwestern study isn't the only attempt at unraveling long-lasting memory. At the University of California, Irvine, Dr. Claudia Kawas studies the oldest-old, people 90 and above. Some have Alzheimer's. Some have maintained excellent memory and some are in between.\u003c/p>\n\u003cp>About 40 percent of the oldest-old who showed no symptoms of dementia in life nonetheless have full-fledged signs of Alzheimer's disease\u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/08/09/lag-in-brain-donation-hampers-understanding-of-dementia-in-blacks/\" target=\"_blank\" rel=\"noopener\"> in their brains\u003c/a> at death, Kawas told the AAAS meeting.\u003c/p>\n\u003cp>Rogalski also found varying amounts of amyloid and tau, hallmark Alzheimer's proteins, in the brains of some superagers.\u003c/p>\n\u003cp>Now scientists are exploring how these people deflect damage. Maybe superagers have different pathways\u003ca href=\"https://ww2.kqed.org/futureofyou/2017/01/06/obesity-can-lead-to-memory-loss/\" target=\"_blank\" rel=\"noopener\"> to brain health.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"They are living long and living well,\" Rogalski said. \"Are there modifiable things we can think about today, in our everyday lives\" to do the same?\u003c/p>\n\n","blocks":[],"excerpt":"Scientists are peeking into the brains of \"superagers\" to uncover their secrets to sharp memory.","status":"publish","parent":0,"modified":1519426064,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":835},"headData":{"title":"‘Superagers’ Maintain Memory Into 80s and 90s | KQED","description":"Scientists are peeking into the brains of "superagers" to uncover their secrets to sharp memory.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"‘Superagers’ Maintain Memory Into 80s and 90s","datePublished":"2018-02-23T22:47:44.000Z","dateModified":"2018-02-23T22:47:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"439750 https://ww2.kqed.org/futureofyou/?p=439750","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/02/23/superagers-maintain-memory-into-80s-and-90s/","disqusTitle":"‘Superagers’ Maintain Memory Into 80s and 90s","nprByline":"Lauran Neergaard\u003cbr />The Associated Press","path":"/futureofyou/439750/superagers-maintain-memory-into-80s-and-90s","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>It's pretty extraordinary for people in their 80s and 90s to keep the same sharp memory as someone several decades younger, and now scientists are peeking into the brains of these \"superagers\" to uncover their secret.\u003c/p>\n\u003cp>The work is the flip side of the disappointing hunt for new drugs to fight or prevent Alzheimer's disease.\u003c/p>\n\u003cp>Instead, \"why don't we figure out what it is we might need to do to maximize our memory?\" said neuroscientist Emily Rogalski, who leads the SuperAging study at Northwestern University in Chicago.\u003c/p>\n\u003cp>Parts of the brain shrink with age, one of the reasons why most \u003c/p>\u003cp>\u003c/p>\u003cp>people experience a gradual slowing of at least some types of memory late in life, even if they avoid diseases like Alzheimer's.\u003c/p>\n\u003cp>But it turns out that superagers' brains aren't shrinking nearly as fast as their peers'. And autopsies of the first superagers to die during the study show they harbor a lot more of a special kind of nerve cell in a deep brain region that's important for attention, Rogalski told a recent meeting of the American Association for the Advancement of Science.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>These elite elders are \"more than just an oddity or a rarity,\" said neuroscientist Molly Wagster of the National Institute on Aging, which helps fund the research. \"There's the potential for learning an enormous amount and applying it to the rest of us, and even to those who may be on a trajectory for some type of neurodegenerative disease.\"\u003c/p>\n\u003cp>What does it take to be a superager? A youthful brain in the body of someone 80 or older. Rogalski's team has given a battery of tests to more than 1,000 people who thought they'd qualify, and only about 5 percent pass. The key \u003ca href=\"https://ww2.kqed.org/futureofyou/2018/02/07/a-tiny-pulse-of-electricity-to-the-brain-can-boost-memory/\" target=\"_blank\" rel=\"noopener\">memory challenge\u003c/a>: Listen to 15 unrelated words, and a half-hour later recall at least nine. That's the norm for 50-year-olds, but the average 80-year-old recalls five. Some superagers remember them all.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"It doesn't mean you're any smarter,\" stressed superager William \"Bill\" Gurolnick, who turns 87 next month and joined the study two years ago.\u003c/p>\n\u003cp>Nor can he credit protective genes: Gurolnick's father developed Alzheimer's in his 50s. He thinks his own \u003ca href=\"https://ww2.kqed.org/perspectives/2018/02/12/the-memory-of-stuff/\" target=\"_blank\" rel=\"noopener\">stellar memory\u003c/a> is bolstered by keeping busy. He bikes, and plays tennis and water volleyball. He stays social through regular lunches and meetings with a men's group he co-founded.\u003c/p>\n\u003cp>\"Absolutely that's a critical factor about keeping your wits about you,\" exclaimed Gurolnick, fresh off his monthly gin game.\u003c/p>\n\u003cp>\u003cstrong>Brain Scans\u003c/strong>\u003c/p>\n\u003cp>Rogalski's superagers tend to be extroverts and report strong social networks, but otherwise they come from all walks of life, making it hard to find a common trait \u003ca href=\"https://ww2.kqed.org/forum/2017/04/11/emotions-are-a-construct-of-the-brain-says-psychologist-lisa-feldman-barrett/\" target=\"_blank\" rel=\"noopener\">for brain health\u003c/a>. Some went to college, some didn't. Some have high IQs, some are average. She's studied people who've experienced enormous trauma, including a Holocaust survivor; fitness buffs and smokers; teetotalers and those who tout a nightly martini.\u003c/p>\n\u003cp>But deep in their brains is where she's finding compelling hints that somehow, superagers are more resilient against the ravages of time.\u003c/p>\n\u003cp>Early on, brain scans showed that a superager's cortex — an outer brain layer critical for memory and other key functions — is much thicker than normal for their age. It looks more like the cortex of healthy 50- and 60-year-olds.\u003c/p>\n\u003cp>It's not clear if they were born that way. But Rogalski's team found another possible explanation: A superager's cortex doesn't shrink as fast. Over 18 months, average 80-somethings experienced more than twice the rate of loss.\u003c/p>\n\u003cp>Another clue: Deeper in the brain, that attention region is larger in superagers, too. And inside, autopsies showed that brain region was packed with unusual large, spindly neurons — a special and little understood type called von Economo neurons thought to play a role in social processing and awareness.\u003c/p>\n\u003cp>The superagers had four to five times more of those neurons than the typical octogenarian, Rogalski said — more even than the average young adult.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>The Northwestern study isn't the only attempt at unraveling long-lasting memory. At the University of California, Irvine, Dr. Claudia Kawas studies the oldest-old, people 90 and above. Some have Alzheimer's. Some have maintained excellent memory and some are in between.\u003c/p>\n\u003cp>About 40 percent of the oldest-old who showed no symptoms of dementia in life nonetheless have full-fledged signs of Alzheimer's disease\u003ca href=\"https://ww2.kqed.org/stateofhealth/2017/08/09/lag-in-brain-donation-hampers-understanding-of-dementia-in-blacks/\" target=\"_blank\" rel=\"noopener\"> in their brains\u003c/a> at death, Kawas told the AAAS meeting.\u003c/p>\n\u003cp>Rogalski also found varying amounts of amyloid and tau, hallmark Alzheimer's proteins, in the brains of some superagers.\u003c/p>\n\u003cp>Now scientists are exploring how these people deflect damage. Maybe superagers have different pathways\u003ca href=\"https://ww2.kqed.org/futureofyou/2017/01/06/obesity-can-lead-to-memory-loss/\" target=\"_blank\" rel=\"noopener\"> to brain health.\u003c/a>\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\"They are living long and living well,\" Rogalski said. \"Are there modifiable things we can think about today, in our everyday lives\" to do the same?\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/439750/superagers-maintain-memory-into-80s-and-90s","authors":["byline_futureofyou_439750"],"categories":["futureofyou_1060","futureofyou_1"],"tags":["futureofyou_999","futureofyou_56","futureofyou_1008","futureofyou_61","futureofyou_1047"],"collections":["futureofyou_1093"],"featImg":"futureofyou_439764","label":"futureofyou_1093"},"futureofyou_439274":{"type":"posts","id":"futureofyou_439274","meta":{"index":"posts_1591205157","site":"futureofyou","id":"439274","score":null,"sort":[1517950642000]},"guestAuthors":[],"slug":"risky-antipsychotic-drugs-still-overprescribed-in-nursing-homes","title":"Risky Antipsychotic Drugs Still Overprescribed In Nursing Homes","publishDate":1517950642,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{"term":1093,"site":"futureofyou"},"content":"\u003cp>A \u003ca href=\"https://www.hrw.org/report/2018/02/05/they-want-docile/how-nursing-homes-united-states-overmedicate-people-dementia\" target=\"_blank\" rel=\"noopener\">study\u003c/a> published Monday by \u003ca href=\"https://www.hrw.org/report/2018/02/05/they-want-docile/how-nursing-homes-united-states-overmedicate-people-dementia\" target=\"_blank\" rel=\"noopener\">Human Rights Watch\u003c/a> finds that about 179,000 nursing home residents are being given antipsychotic drugs, even though they don't have schizophrenia or other serious mental illnesses that those drugs are designed to treat.\u003c/p>\n\u003cp>Most of these residents have Alzheimer's disease or another form of dementia and \u003ca href=\"https://www.nimh.nih.gov/health/topics/mental-health-medications/index.shtml#part_149866\" target=\"_blank\" rel=\"noopener\">antipsychotics\u003c/a> aren't approved for that. What's more, antipsychotic drugs come with a \"\u003ca href=\"https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/020272s056,020588s044,021346s033,021444s03lbl.pdf\" target=\"_blank\" rel=\"noopener\">black box warning\u003c/a>\" from the FDA, stating that they increase the risk of death in older people with dementia.\u003c/p>\n\u003cp>The study concluded that antipsychotic drugs were often administered without informed consent and for the purpose of making dementia patients easier to handle in understaffed facilities.\u003c/p>\n\u003cp>Researchers focused on six states, including California and Texas, which have the most skilled nursing facilities. They used publicly available data, along with hundreds of interviews with residents, families and state ombudsmen, the officials who deal with complaints about long term care facilities.\u003c/p>\n\u003cp>In 2012, the federal government \u003ca href=\"https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/National-Partnership-to-Improve-Dementia-Care-in-Nursing-Homes.html\" target=\"_blank\" rel=\"noopener\">began a \u003c/a>program to reduce the use of antipsychotic drugs in nursing homes, in partnership with the nursing home industry, and advocacy organizations. \u003ca href=\"https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-10-02.html\" target=\"_blank\" rel=\"noopener\">Since then\u003c/a>, the use of the drugs has dropped by about a third nationwide, from 23.9 percent of residents in 2012 to 15.7 percent at the beginning of 2017. The Centers for Medicare and Medicaid Services have called for an additional 15 percent reduction by 2019 for those nursing homes that have lagged in curtailing their use of antipsychotics.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>But the Human Rights Watch study contends that the federal government hasn't done nearly enough. It faults the government for failing to enforce \u003ca href=\"https://www.medicare.gov/what-medicare-covers/part-a/rights-in-snf.html\" target=\"_blank\" rel=\"noopener\">laws that exist to protect nursing home residents\u003c/a> from what are sometimes called \"chemical restraints.\"\u003c/p>\n\u003cp>An NPR investigation into the first few years of the government's program to reduce the use of antipsychotic drugs found that \u003ca href=\"https://www.npr.org/sections/health-shots/2014/12/09/368538773/nursing-homes-rarely-penalized-for-oversedating-patients\" target=\"_blank\" rel=\"noopener\">only 2 percent\u003c/a> of cases were deemed serious enough to trigger a fine.\u003c/p>\n\u003cp>The study also calls for the government to strengthen informed consent procedures and to establish minimum staffing levels, something that has long been opposed by the nursing home industry.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.ahcancal.org/Pages/Default.aspx\" target=\"_blank\" rel=\"noopener\">The American Health Care Association\u003c/a>, which represents most nursing homes, said in a \u003ca href=\"https://www.ahcancal.org/News/news_releases/Pages/AHCA-Responds-to-Human-Rights-Watch-Report.aspx\" target=\"_blank\" rel=\"noopener\">statement\u003c/a> that the report \"does little to highlight the effort launched by our profession in 2012 that has resulted in a dramatic decline in the use of these medications.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Risky+Antipsychotic+Drugs+Still+Overprescribed+In+Nursing+Homes&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"Too many people with dementia are being given sedating drugs to make them easier to handle in understaffed facilities, a new study finds, despite federal warnings to stop the practice.","status":"publish","parent":0,"modified":1517950642,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":11,"wordCount":403},"headData":{"title":"Risky Antipsychotic Drugs Still Overprescribed In Nursing Homes | KQED","description":"Too many people with dementia are being given sedating drugs to make them easier to handle in understaffed facilities, a new study finds, despite federal warnings to stop the practice.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Risky Antipsychotic Drugs Still Overprescribed In Nursing Homes","datePublished":"2018-02-06T20:57:22.000Z","dateModified":"2018-02-06T20:57:22.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"439274 https://ww2.kqed.org/futureofyou/?p=439274","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/02/06/risky-antipsychotic-drugs-still-overprescribed-in-nursing-homes/","disqusTitle":"Risky Antipsychotic Drugs Still Overprescribed In Nursing Homes","nprImageCredit":"Bruno Ehrs","nprByline":"Ina Jaffe\u003cbr />NPR Shots","nprImageAgency":"Getty Images","nprStoryId":"583435517","nprApiLink":"http://api.npr.org/query?id=583435517&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/02/05/583435517/risky-antipsychotic-drugs-still-overprescribed-in-nursing-homes?ft=nprml&f=583435517","nprRetrievedStory":"1","nprPubDate":"Mon, 05 Feb 2018 20:51:00 -0500","nprStoryDate":"Mon, 05 Feb 2018 20:51:00 -0500","nprLastModifiedDate":"Mon, 05 Feb 2018 21:06:34 -0500","path":"/futureofyou/439274/risky-antipsychotic-drugs-still-overprescribed-in-nursing-homes","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A \u003ca href=\"https://www.hrw.org/report/2018/02/05/they-want-docile/how-nursing-homes-united-states-overmedicate-people-dementia\" target=\"_blank\" rel=\"noopener\">study\u003c/a> published Monday by \u003ca href=\"https://www.hrw.org/report/2018/02/05/they-want-docile/how-nursing-homes-united-states-overmedicate-people-dementia\" target=\"_blank\" rel=\"noopener\">Human Rights Watch\u003c/a> finds that about 179,000 nursing home residents are being given antipsychotic drugs, even though they don't have schizophrenia or other serious mental illnesses that those drugs are designed to treat.\u003c/p>\n\u003cp>Most of these residents have Alzheimer's disease or another form of dementia and \u003ca href=\"https://www.nimh.nih.gov/health/topics/mental-health-medications/index.shtml#part_149866\" target=\"_blank\" rel=\"noopener\">antipsychotics\u003c/a> aren't approved for that. What's more, antipsychotic drugs come with a \"\u003ca href=\"https://www.accessdata.fda.gov/drugsatfda_docs/label/2009/020272s056,020588s044,021346s033,021444s03lbl.pdf\" target=\"_blank\" rel=\"noopener\">black box warning\u003c/a>\" from the FDA, stating that they increase the risk of death in older people with dementia.\u003c/p>\n\u003cp>The study concluded that antipsychotic drugs were often administered without informed consent and for the purpose of making dementia patients easier to handle in understaffed facilities.\u003c/p>\n\u003cp>Researchers focused on six states, including California and Texas, which have the most skilled nursing facilities. They used publicly available data, along with hundreds of interviews with residents, families and state ombudsmen, the officials who deal with complaints about long term care facilities.\u003c/p>\n\u003cp>In 2012, the federal government \u003ca href=\"https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/National-Partnership-to-Improve-Dementia-Care-in-Nursing-Homes.html\" target=\"_blank\" rel=\"noopener\">began a \u003c/a>program to reduce the use of antipsychotic drugs in nursing homes, in partnership with the nursing home industry, and advocacy organizations. \u003ca href=\"https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2017-Fact-Sheet-items/2017-10-02.html\" target=\"_blank\" rel=\"noopener\">Since then\u003c/a>, the use of the drugs has dropped by about a third nationwide, from 23.9 percent of residents in 2012 to 15.7 percent at the beginning of 2017. The Centers for Medicare and Medicaid Services have called for an additional 15 percent reduction by 2019 for those nursing homes that have lagged in curtailing their use of antipsychotics.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>But the Human Rights Watch study contends that the federal government hasn't done nearly enough. It faults the government for failing to enforce \u003ca href=\"https://www.medicare.gov/what-medicare-covers/part-a/rights-in-snf.html\" target=\"_blank\" rel=\"noopener\">laws that exist to protect nursing home residents\u003c/a> from what are sometimes called \"chemical restraints.\"\u003c/p>\n\u003cp>An NPR investigation into the first few years of the government's program to reduce the use of antipsychotic drugs found that \u003ca href=\"https://www.npr.org/sections/health-shots/2014/12/09/368538773/nursing-homes-rarely-penalized-for-oversedating-patients\" target=\"_blank\" rel=\"noopener\">only 2 percent\u003c/a> of cases were deemed serious enough to trigger a fine.\u003c/p>\n\u003cp>The study also calls for the government to strengthen informed consent procedures and to establish minimum staffing levels, something that has long been opposed by the nursing home industry.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"https://www.ahcancal.org/Pages/Default.aspx\" target=\"_blank\" rel=\"noopener\">The American Health Care Association\u003c/a>, which represents most nursing homes, said in a \u003ca href=\"https://www.ahcancal.org/News/news_releases/Pages/AHCA-Responds-to-Human-Rights-Watch-Report.aspx\" target=\"_blank\" rel=\"noopener\">statement\u003c/a> that the report \"does little to highlight the effort launched by our profession in 2012 that has resulted in a dramatic decline in the use of these medications.\"\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit \u003ca href=\"http://www.npr.org/\" target=\"_blank\" rel=\"noopener\">http://www.npr.org/\u003c/a>.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Risky+Antipsychotic+Drugs+Still+Overprescribed+In+Nursing+Homes&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/439274/risky-antipsychotic-drugs-still-overprescribed-in-nursing-homes","authors":["byline_futureofyou_439274"],"categories":["futureofyou_1"],"tags":["futureofyou_1023","futureofyou_952","futureofyou_1008","futureofyou_61","futureofyou_23"],"collections":["futureofyou_1093"],"featImg":"futureofyou_439275","label":"futureofyou_1093"},"futureofyou_435417":{"type":"posts","id":"futureofyou_435417","meta":{"index":"posts_1591205157","site":"futureofyou","id":"435417","score":null,"sort":[1511190023000]},"guestAuthors":[],"slug":"dying-from-a-fall-is-top-danger-for-seniors-tech-devices-may-help","title":"Preventing Seniors From Falling is Going to Be a Huge Market","publishDate":1511190023,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>\u003cem>This story was originally published Sept. 20, 2017.\u003c/em>\u003c/p>\n\u003cp>Berkeley resident Janis Bordeaux lost her dad to a fall this summer. John wasn't frail. At 84, he was still the kind of man who never stopped building and making things. The summer before his fall, he was sanding the floor.\u003c/p>\n\u003cp>But by the following summer, John's health had declined. He was having problems with his heart and his weight, and he was taking 12 medications every day. He had no history of falls, but as Bordeaux watched her dad grow weaker, she became more and more worried that he could stumble or slip and hurt himself.\u003c/p>\n\u003caside class=\"pullquote alignright\">'One in four older adults falls every year, and less than half actually tell their doctors about it.'\u003ccite>Sanjay Khurana, AARP\u003c/cite>\u003c/aside>\n\u003cp>When her parents, who also live in Berkeley, decided to spend the summer at their second home on the New Jersey shore, John suffered his first fall. He wasn’t seriously injured, but a few days later, he fell again.\u003c/p>\n\u003cp>“I feel like falls are the thing that will take you out nowadays, because pharmaceuticals are extending your life into what seems like an unnatural range,” Bordeaux reflects. “That could just be someone trying to make peace with their dad dying from something that seemed preventable. But on the other hand, he was getting so weak that a fall was bound to happen.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>It wasn’t the second fall that killed her dad. Or the third. Bordeaux’s dad fell four times that week. The last two falls happened on the same day. He died shortly after.\u003c/p>\n\u003caside class=\"right\">\u003cstrong>Common Sense Fall Prevention\u003c/strong>\n\u003cul>\n\u003cli>Talk to your doctor about symptoms\u003c/li>\n\u003cli>Adjust medications, if necessary\u003c/li>\n\u003cli>Install better lighting, remove throw rugs, and install handrails\u003c/li>\n\u003cli>Strengthen leg muscles and improve balance with exercise programs such as Tai Chi\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>The saddest part is that, statistically speaking, John's story is so common. \u003ca href=\"https://www.cdc.gov/features/falls-prevention-day/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">More than half \u003c/a>of all elderly falls happen in the familiar surroundings of home. There are often warning signs well in advance, such as muscle weakness or gait imbalance. When your muscles are weak, it’s hard to stop yourself mid-fall. And most older adults who have fallen, or feel unsteady on their feet, don’t tell their doctors about it, according to the CDC.\u003c/p>\n\u003cp>Advice on how to prevent these traumatic falls has not changed much over the years. Experts say seniors who are unstable on their feet should invest in some easy home renovations to minimize slipping or tripping, such as better lighting, fewer rugs and more handrails. It’s important to talk to your doctor about your symptoms and, if needed, have your medications adjusted. The National Council on Aging \u003ca href=\"https://www.ncoa.org/healthy-aging/falls-prevention/falls-prevention-programs-for-older-adults/\">recommends\u003c/a> several evidence-based fall-prevention exercise programs for seniors, including Tai Chi, which is proven to \u003ca href=\"https://www.ncoa.org/resources/tai-ji-quan-moving-better-balance-program-information-guidance/\" target=\"_blank\" rel=\"noopener noreferrer\">increase balance\u003c/a> and strengthen leg muscles.\u003c/p>\n\u003cp>But that’s pretty much it. As any concerned caregiver who has Googled “how to prevent senior falls” on behalf of a loved one is aware, the preponderance of \u003ca href=\"http://stories.kera.org/the-broken-hip/2015/01/10/resources/\">helpful online resources\u003c/a> all \u003ca href=\"https://www.ncoa.org/healthy-aging/falls-prevention/preventing-falls-tips-for-older-adults-and-caregivers/take-control-of-your-health-6-steps-to-prevent-a-fall/\">cover similar ground\u003c/a> – annual physicals, eye exams, eating vitamin-rich foods, exercise and removal of safety hazards.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Falling once makes you twice as likely to fall again –- not to mention the residual trauma for you and your family.'\u003ccite>Sanjay Khurana, AARP\u003c/cite>\u003c/aside>\n\u003cp>In spite of these efforts, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/wr/mm6537a2.htm?s_cid=mm6537a2_w\">29 million Americans over 65\u003c/a> reported falling in 2014, with 7 million of those falls leading to injury, and direct medical costs of \u003ca href=\"https://www.cdc.gov/features/falls-prevention-day/index.html\">$31 billion annually\u003c/a>. Falling once makes you \u003ca href=\"https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html\">twice as likely to fall again\u003c/a>. And falls are the \u003ca href=\"https://www.cdc.gov/media/releases/2016/p0922-older-adult-falls.html\" target=\"_blank\" rel=\"noopener noreferrer\">leading cause of death\u003c/a> by injury for older adults.\u003c/p>\n\u003cp>Cancer is hard. It’s a hard problem. Preventing falls should be easy. Right?\u003c/p>\n\u003cp>If it were easy, we would be doing a better job of it, says Sanjay Khurana, Vice President of Caregiving Products and Services at AARP.\u003c/p>\n\u003cp>“As a society, we recognize that falling has a huge impact on degradation in quality of life,\" he says. \"One in four older adults falls every year, and less than half actually tell their doctors about it.”\u003c/p>\n\u003cp>[contextly_sidebar id=\"yAzeujBaecSSTgdnfssLoFtABhupOTCN\"]The problem is not going away. Here in the U.S., 10,000 Baby Boomers turn 65 \u003ca href=\"http://www.pewresearch.org/fact-tank/2010/12/29/baby-boomers-retire/\">\u003cem>every single day\u003c/em>\u003c/a>. Which means that by the year 2030, the number of older Americans projected to fall each year will grow from 29 million to \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/wr/mm6537a2.htm?s_cid=mm6537a2_w\">49 million\u003c/a>.\u003c/p>\n\u003cp>The whole world is getting older -– fast. And those demographics are about to make this crisis into a calamity. A 2007 \u003ca href=\"http://www.who.int/ageing/publications/Falls_prevention7March.pdf\">report\u003c/a> from the World Health Organization lays it on the line: “The economic and societal burden of falls will increase by epidemic proportions in all parts of the world over the next few decades.\" If countries, governments and communities don’t develop a coherent strategy to combat senior falls “in the immediate future,” the WHO projects the number of fall-related injuries will be 100 percent higher by 2030.\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=bQlpDiXPZHQ\u003c/p>\n\u003cp>\u003cstrong>Old-School Tech No More\u003c/strong>\u003c/p>\n\u003cp>The one thing none of the government reports and websites mention is technology. Which is odd, considering senior falls have always been associated with a certain personal medical technology still in widespread use today. It goes by different names, but the iconic brand is \u003ca href=\"http://lifecall.com/\" target=\"_blank\" rel=\"noopener noreferrer\">LifeCall\u003c/a>, whose infamous 1980s TV advertisement -- \u003ca href=\"https://www.youtube.com/watch?v=bQlpDiXPZHQ\">\"I’ve fallen and I can’t get up!”-\u003c/a>- has launched a thousand punchlines. Not to mention inspired countless satires, from \u003ca href=\"https://www.youtube.com/watch?v=Bwd5nmWFzA0\">Urkel\u003c/a> to \u003ca href=\"https://www.youtube.com/watch?v=lXrSDRnBm0E\">Pokémon\u003c/a>.\u003c/p>\n\u003cp>Here’s how it works: You wear a pendant or a wristband that you push to call an emergency responder when you fall. When they pick up, you can talk to them through a speaker installed in your home (provided you’re close enough for them to hear you, and conscious enough to push the button).\u003c/p>\n\u003cp>It seemed like a pretty impressive innovation when it was introduced in 1974. But now, we have the technology to do better, says the AARP’s Khurana. Way better.\u003c/p>\n\u003cp>Khurana has been keeping an eye on wearable and home-based sensors. Some can \u003ca href=\"http://www.emeraldforhome.com/\">\"see\" through walls\u003c/a> and discern whether an elderly person may be in distress, or allow you to \u003ca href=\"http://wellnest.care/\">check in on\u003c/a> your parent or grandparent remotely by reporting on where they are and whether they've been having trouble walking lately.\u003c/p>\n\u003cp>Others can help you improve your balance with personalized exercises via \u003ca href=\"http://nymblscience.com/faq/#link_home\">smartphone sensing\u003c/a> (or an at-home \u003ca href=\"http://www.ishoebalance.com/index.php/ishoe-the-balance-company/en-pointe-scale/\">scale\u003c/a>), or \u003ca href=\"https://lunalights.org/\">light the way\u003c/a> to the bathroom at night – without requiring a verbal command.\u003c/p>\n\u003cfigure id=\"attachment_435481\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/09/Wellnest.jpg\">\u003cimg class=\"size-medium wp-image-435481\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/09/Wellnest-800x477.jpg\" alt=\"Wellnest's screen allows an elderly person or caregiver to track key health issues.\" width=\"800\" height=\"477\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-800x477.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-160x95.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-768x458.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-1020x608.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-1180x703.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-960x572.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-240x143.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-375x224.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-520x310.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest.jpg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Wellnest's screen allows an elderly person or caregiver to track key health activities. \u003ccite>(Wellnest)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Khurana has made it his mission to persuade industry there's a financial upside to investing in fall prevention. He's confident that when entrepreneurs and investors realize how big the market is –- AARP says $2.9 billion for safety monitoring and fall-prevention tech alone –- the rate of innovation will kick into high gear.\u003c/p>\n\u003cp>The AARP did its part to goose the market this year with the \u003ca href=\"http://www.prnewswire.com/news-releases/fall-prevention-innovation-challenge-winners-announced-by-aarp-services-inc-unitedhealthcare-300473607.html\">Fall Prevention Innovation Challenge\u003c/a>, a worldwide product search with some serious prize money attached. The first-time partnership with OpenIDEO and UnitedHealthcare attracted 205 design ideas from 90 countries. The competition launched in February and concluded in June.\u003c/p>\n\u003caside class=\"pullquote alignright\">'As we age, we start changing our walking. For instance, we start taking shorter steps.'\u003ccite>Lise Pape, Walk With Path\u003c/cite>\u003c/aside>\n\u003cp>The $50,000 top prizewinner (which judges dubbed Most Viable Solution) was \u003ca href=\"https://lunalights.org/\">Luna Lights\u003c/a>, an automated lighting system that is activated when someone gets out of bed at night. It wirelessly lights the path along frequently traveled hallways toward, say, the bathroom or the kitchen. When the user gets back into bed, the lights snap off. Over time, cloud-based analytics compile habit data to signal to a caregiver that the elderly user may be spending extra time in the bathroom or wandering the house at night, which could suggest an underlying medical issue.\u003c/p>\n\u003cp>The competition’s $25,000 Most Promising Idea winner was \u003ca href=\"https://www.walkwithpath.com/path-feel\">Path Feel\u003c/a>, a smart insole that vibrates in several pressure points when the foot touches the ground. The idea is to help older adults (or people with neuropathy, Parkinson’s or multiple sclerosis) improve their balance in real time by helping them feel their feet on the floor. The company says it's aiming to launch the product in 2018. Its built-in gyroscopes and oscillometers transmit data on gait patterns to an app that physical therapists and caregivers can use to measure progress.\u003c/p>\n\u003cp>Down the road, all that data could give rise to a new way to map the gait characteristics of, say, a 65-year-old diabetic against a larger dataset of “healthy walkers,” which could eventually help create algorithms for being able to detect certain symptoms and contribute to developing new diagnostic methods.\u003c/p>\n\u003cp>“As we age, we start changing our walking,” says Lise Pape, founder of \u003ca href=\"UK-based\">Walk With Path\u003c/a>, the UK-based company that invented Path Feel. \"For instance, we start taking shorter steps. There’s indications in the literature that you can use walking to identify early onset Alzheimer’s and Parkinson’s.\"\u003c/p>\n\u003cp>El Camino Hospital in Mountain View, California, is already using predictive technology to reduce falls. A system made by \u003ca href=\"https://qventus.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Qventus\u003c/a> combines data from patients' electronic health records with call-light and bed-alarm data to alert nurses that the patient is at high risk of a fall. The staff can then implement additional monitoring, including the use of video, and intervene if the patient is going to attempt to stand. In April, Chief Nursing Officer Cheryl Reinking said the hospital saw a 39 percent decrease in falls over the first six months the system was in use.\u003c/p>\n\u003cp>\u003cstrong>The Missing Ingredient: Dignity \u003c/strong>\u003c/p>\n\u003cp>One reason that more modern apps and gadgets aren’t on the market: When it comes to wearable tech, seniors are a challenging population to design for.\u003c/p>\n\u003cp>“The vast majority of products we look at have major flaws,” says Richard Caro, a San Francisco-based scientist/inventor. “They’re basically designed with some 20-year-old audience in mind, not an 80-year-old audience.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'While the [emergency-call] devices are pretty useful, they are mostly rather ugly. They look like you’ve escaped from the hospital.'\u003ccite>Richard Caro, Longevity Explorers\u003c/cite>\u003c/aside>\n\u003cp>Caro organizes the \u003ca href=\"https://www.techenhancedlife.com/content/longevity-explorers\">Longevity Explorers\u003c/a>, an online and in-person community of people over 70, who meet up to talk about aging and test out new senior tech gadgets.\u003c/p>\n\u003cp>The products typically fall into one of two categories, he says. Either they solve a problem users don’t think they have, or they solve a problem people do have, but the solutions are so poorly implemented they're not that usable.\u003c/p>\n\u003cp>For instance, the products will come with instructions in tiny gray type or they’ll have buttons that don’t work well with shaky hands. On the other end of the spectrum, some products are so simple and dumbed down that they don’t offer the user interface and normal functionality people need.\u003c/p>\n\u003cp>“A lot of people buy them and don’t wear them,” says Caro. \"While the devices are pretty useful, they are mostly rather ugly. They look like you’ve escaped from the hospital.\"\u003c/p>\n\u003cp>Sanjay Khurana has heard those objections, too –- from his own mother, who lives in an independent living facility. He gave her an emergency pendant to wear, but she doesn’t like it.\u003c/p>\n\u003cp>“And I asked her, ‘Mom, why don’t you wear this?’ She goes, ‘I wouldn’t be caught dead with the device.’ Because it requires you to wear it around your neck, it signals to the rest of the world that you are in need of help.”\u003c/p>\n\u003cp>He says design could make the difference.\u003c/p>\n\u003cfigure id=\"attachment_435422\" class=\"wp-caption alignright\" style=\"max-width: 1280px\">\u003cimg class=\"wp-image-435422 size-full\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/09/mans-wrist-white.jpeg\" alt=\"\" width=\"1280\" height=\"721\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white.jpeg 1280w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-160x90.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-800x451.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-768x433.jpeg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-1020x575.jpeg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-1180x665.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-960x541.jpeg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-240x135.jpeg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-375x211.jpeg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-520x293.jpeg 520w\" sizes=\"(max-width: 1280px) 100vw, 1280px\">\u003cfigcaption class=\"wp-caption-text\">A man models the Wellnest smartwatch. \u003ccite>(Jonathan Ramaci/Wellnest)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"If the same product could be designed with a little more dignity, you would wear them, right? Maybe if it was a better-designed pendant, or a wristwatch. A smartwatch could integrate that.”\u003c/p>\n\u003cp>At least two companies are attempting just that. One is GreatCall, which makes the \u003ca href=\"https://www.youtube.com/watch?v=1S8ug0Xl1pU\">Lively Wearable,\u003c/a> a fitness tracker that looks like a sport watch with only one button –- an emergency button. It syncs to a smartphone but only works in an emergency if you’re carrying your smartphone with you.\u003c/p>\n\u003cp>The other one is \u003ca href=\"https://cl.ly/3K0r46251Y09\">Wellnest,\u003c/a> which\u003cem> is\u003c/em> a smartphone watch you dial by voice. It has built-in 4G LTE and you converse with it via an Amazon Alexa interface. It can guide you home, order an Uber for you, remind you to take your meds, and sense when you’ve fallen. It will notify your caregivers if you’ve missed your meds or have been slipping a lot as you walk. It also allows them to ping your location in an emergency. (Lively Wearable is already available; Wellnest is due out by the end of the year.)\u003c/p>\n\u003cp>Finally, what about after you’ve fallen, but before you hit the floor? One prototype idea in the Fall Prevention Challenge was a Spanx-like pair of underwear with \u003ca href=\"https://challenges.openideo.com/challenge/fall-prevention/ideas/upants-hip-protection-system\">built-in hip protectors\u003c/a> – and a motion sensor that calls an ambulance after a fall. In fact, the \"senior airbag\" concept abounds. One is a \"\u003ca href=\"http://activeprotective.com/\">smart belt\u003c/a>\" you attach around your waist that activates in milliseconds after a fall, theoretically before you hit the ground.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Of course, all this technology requires the elderly person to be willing to use it, which means acknowledging they are at risk. Marketing and design teams have a heavy lift to make fall prevention technology relevant to Baby Boomers, a generation distinguished more by rejecting aging than by accepting the limits it imposes.\u003c/p>\n\n","blocks":[],"excerpt":"American seniors were injured from falling 7 million times in 2014. Companies have just started to develop wearable and home-based sensors to help prevent fall-related injuries.","status":"publish","parent":0,"modified":1511374836,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":45,"wordCount":2367},"headData":{"title":"Preventing Seniors From Falling is Going to Be a Huge Market | KQED","description":"American seniors were injured from falling 7 million times in 2014. Companies have just started to develop wearable and home-based sensors to help prevent fall-related injuries.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Preventing Seniors From Falling is Going to Be a Huge Market","datePublished":"2017-11-20T15:00:23.000Z","dateModified":"2017-11-22T18:20:36.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"435417 https://ww2.kqed.org/futureofyou/?p=435417","disqusUrl":"https://ww2.kqed.org/futureofyou/2017/11/20/dying-from-a-fall-is-top-danger-for-seniors-tech-devices-may-help/","disqusTitle":"Preventing Seniors From Falling is Going to Be a Huge Market","source":"Hope/Hype","path":"/futureofyou/435417/dying-from-a-fall-is-top-danger-for-seniors-tech-devices-may-help","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>This story was originally published Sept. 20, 2017.\u003c/em>\u003c/p>\n\u003cp>Berkeley resident Janis Bordeaux lost her dad to a fall this summer. John wasn't frail. At 84, he was still the kind of man who never stopped building and making things. The summer before his fall, he was sanding the floor.\u003c/p>\n\u003cp>But by the following summer, John's health had declined. He was having problems with his heart and his weight, and he was taking 12 medications every day. He had no history of falls, but as Bordeaux watched her dad grow weaker, she became more and more worried that he could stumble or slip and hurt himself.\u003c/p>\n\u003caside class=\"pullquote alignright\">'One in four older adults falls every year, and less than half actually tell their doctors about it.'\u003ccite>Sanjay Khurana, AARP\u003c/cite>\u003c/aside>\n\u003cp>When her parents, who also live in Berkeley, decided to spend the summer at their second home on the New Jersey shore, John suffered his first fall. He wasn’t seriously injured, but a few days later, he fell again.\u003c/p>\n\u003cp>“I feel like falls are the thing that will take you out nowadays, because pharmaceuticals are extending your life into what seems like an unnatural range,” Bordeaux reflects. “That could just be someone trying to make peace with their dad dying from something that seemed preventable. But on the other hand, he was getting so weak that a fall was bound to happen.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>It wasn’t the second fall that killed her dad. Or the third. Bordeaux’s dad fell four times that week. The last two falls happened on the same day. He died shortly after.\u003c/p>\n\u003caside class=\"right\">\u003cstrong>Common Sense Fall Prevention\u003c/strong>\n\u003cul>\n\u003cli>Talk to your doctor about symptoms\u003c/li>\n\u003cli>Adjust medications, if necessary\u003c/li>\n\u003cli>Install better lighting, remove throw rugs, and install handrails\u003c/li>\n\u003cli>Strengthen leg muscles and improve balance with exercise programs such as Tai Chi\u003c/li>\n\u003c/ul>\n\u003c/aside>\n\u003cp>The saddest part is that, statistically speaking, John's story is so common. \u003ca href=\"https://www.cdc.gov/features/falls-prevention-day/index.html\" target=\"_blank\" rel=\"noopener noreferrer\">More than half \u003c/a>of all elderly falls happen in the familiar surroundings of home. There are often warning signs well in advance, such as muscle weakness or gait imbalance. When your muscles are weak, it’s hard to stop yourself mid-fall. And most older adults who have fallen, or feel unsteady on their feet, don’t tell their doctors about it, according to the CDC.\u003c/p>\n\u003cp>Advice on how to prevent these traumatic falls has not changed much over the years. Experts say seniors who are unstable on their feet should invest in some easy home renovations to minimize slipping or tripping, such as better lighting, fewer rugs and more handrails. It’s important to talk to your doctor about your symptoms and, if needed, have your medications adjusted. The National Council on Aging \u003ca href=\"https://www.ncoa.org/healthy-aging/falls-prevention/falls-prevention-programs-for-older-adults/\">recommends\u003c/a> several evidence-based fall-prevention exercise programs for seniors, including Tai Chi, which is proven to \u003ca href=\"https://www.ncoa.org/resources/tai-ji-quan-moving-better-balance-program-information-guidance/\" target=\"_blank\" rel=\"noopener noreferrer\">increase balance\u003c/a> and strengthen leg muscles.\u003c/p>\n\u003cp>But that’s pretty much it. As any concerned caregiver who has Googled “how to prevent senior falls” on behalf of a loved one is aware, the preponderance of \u003ca href=\"http://stories.kera.org/the-broken-hip/2015/01/10/resources/\">helpful online resources\u003c/a> all \u003ca href=\"https://www.ncoa.org/healthy-aging/falls-prevention/preventing-falls-tips-for-older-adults-and-caregivers/take-control-of-your-health-6-steps-to-prevent-a-fall/\">cover similar ground\u003c/a> – annual physicals, eye exams, eating vitamin-rich foods, exercise and removal of safety hazards.\u003c/p>\n\u003caside class=\"pullquote alignright\">'Falling once makes you twice as likely to fall again –- not to mention the residual trauma for you and your family.'\u003ccite>Sanjay Khurana, AARP\u003c/cite>\u003c/aside>\n\u003cp>In spite of these efforts, \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/wr/mm6537a2.htm?s_cid=mm6537a2_w\">29 million Americans over 65\u003c/a> reported falling in 2014, with 7 million of those falls leading to injury, and direct medical costs of \u003ca href=\"https://www.cdc.gov/features/falls-prevention-day/index.html\">$31 billion annually\u003c/a>. Falling once makes you \u003ca href=\"https://www.cdc.gov/homeandrecreationalsafety/falls/adultfalls.html\">twice as likely to fall again\u003c/a>. And falls are the \u003ca href=\"https://www.cdc.gov/media/releases/2016/p0922-older-adult-falls.html\" target=\"_blank\" rel=\"noopener noreferrer\">leading cause of death\u003c/a> by injury for older adults.\u003c/p>\n\u003cp>Cancer is hard. It’s a hard problem. Preventing falls should be easy. Right?\u003c/p>\n\u003cp>If it were easy, we would be doing a better job of it, says Sanjay Khurana, Vice President of Caregiving Products and Services at AARP.\u003c/p>\n\u003cp>“As a society, we recognize that falling has a huge impact on degradation in quality of life,\" he says. \"One in four older adults falls every year, and less than half actually tell their doctors about it.”\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>The problem is not going away. Here in the U.S., 10,000 Baby Boomers turn 65 \u003ca href=\"http://www.pewresearch.org/fact-tank/2010/12/29/baby-boomers-retire/\">\u003cem>every single day\u003c/em>\u003c/a>. Which means that by the year 2030, the number of older Americans projected to fall each year will grow from 29 million to \u003ca href=\"https://www.cdc.gov/mmwr/volumes/65/wr/mm6537a2.htm?s_cid=mm6537a2_w\">49 million\u003c/a>.\u003c/p>\n\u003cp>The whole world is getting older -– fast. And those demographics are about to make this crisis into a calamity. A 2007 \u003ca href=\"http://www.who.int/ageing/publications/Falls_prevention7March.pdf\">report\u003c/a> from the World Health Organization lays it on the line: “The economic and societal burden of falls will increase by epidemic proportions in all parts of the world over the next few decades.\" If countries, governments and communities don’t develop a coherent strategy to combat senior falls “in the immediate future,” the WHO projects the number of fall-related injuries will be 100 percent higher by 2030.\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/bQlpDiXPZHQ'\n title='//www.youtube.com/embed/bQlpDiXPZHQ'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>\u003cstrong>Old-School Tech No More\u003c/strong>\u003c/p>\n\u003cp>The one thing none of the government reports and websites mention is technology. Which is odd, considering senior falls have always been associated with a certain personal medical technology still in widespread use today. It goes by different names, but the iconic brand is \u003ca href=\"http://lifecall.com/\" target=\"_blank\" rel=\"noopener noreferrer\">LifeCall\u003c/a>, whose infamous 1980s TV advertisement -- \u003ca href=\"https://www.youtube.com/watch?v=bQlpDiXPZHQ\">\"I’ve fallen and I can’t get up!”-\u003c/a>- has launched a thousand punchlines. Not to mention inspired countless satires, from \u003ca href=\"https://www.youtube.com/watch?v=Bwd5nmWFzA0\">Urkel\u003c/a> to \u003ca href=\"https://www.youtube.com/watch?v=lXrSDRnBm0E\">Pokémon\u003c/a>.\u003c/p>\n\u003cp>Here’s how it works: You wear a pendant or a wristband that you push to call an emergency responder when you fall. When they pick up, you can talk to them through a speaker installed in your home (provided you’re close enough for them to hear you, and conscious enough to push the button).\u003c/p>\n\u003cp>It seemed like a pretty impressive innovation when it was introduced in 1974. But now, we have the technology to do better, says the AARP’s Khurana. Way better.\u003c/p>\n\u003cp>Khurana has been keeping an eye on wearable and home-based sensors. Some can \u003ca href=\"http://www.emeraldforhome.com/\">\"see\" through walls\u003c/a> and discern whether an elderly person may be in distress, or allow you to \u003ca href=\"http://wellnest.care/\">check in on\u003c/a> your parent or grandparent remotely by reporting on where they are and whether they've been having trouble walking lately.\u003c/p>\n\u003cp>Others can help you improve your balance with personalized exercises via \u003ca href=\"http://nymblscience.com/faq/#link_home\">smartphone sensing\u003c/a> (or an at-home \u003ca href=\"http://www.ishoebalance.com/index.php/ishoe-the-balance-company/en-pointe-scale/\">scale\u003c/a>), or \u003ca href=\"https://lunalights.org/\">light the way\u003c/a> to the bathroom at night – without requiring a verbal command.\u003c/p>\n\u003cfigure id=\"attachment_435481\" class=\"wp-caption alignright\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/09/Wellnest.jpg\">\u003cimg class=\"size-medium wp-image-435481\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/09/Wellnest-800x477.jpg\" alt=\"Wellnest's screen allows an elderly person or caregiver to track key health issues.\" width=\"800\" height=\"477\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-800x477.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-160x95.jpg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-768x458.jpg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-1020x608.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-1180x703.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-960x572.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-240x143.jpg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-375x224.jpg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest-520x310.jpg 520w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/Wellnest.jpg 1280w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Wellnest's screen allows an elderly person or caregiver to track key health activities. \u003ccite>(Wellnest)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Khurana has made it his mission to persuade industry there's a financial upside to investing in fall prevention. He's confident that when entrepreneurs and investors realize how big the market is –- AARP says $2.9 billion for safety monitoring and fall-prevention tech alone –- the rate of innovation will kick into high gear.\u003c/p>\n\u003cp>The AARP did its part to goose the market this year with the \u003ca href=\"http://www.prnewswire.com/news-releases/fall-prevention-innovation-challenge-winners-announced-by-aarp-services-inc-unitedhealthcare-300473607.html\">Fall Prevention Innovation Challenge\u003c/a>, a worldwide product search with some serious prize money attached. The first-time partnership with OpenIDEO and UnitedHealthcare attracted 205 design ideas from 90 countries. The competition launched in February and concluded in June.\u003c/p>\n\u003caside class=\"pullquote alignright\">'As we age, we start changing our walking. For instance, we start taking shorter steps.'\u003ccite>Lise Pape, Walk With Path\u003c/cite>\u003c/aside>\n\u003cp>The $50,000 top prizewinner (which judges dubbed Most Viable Solution) was \u003ca href=\"https://lunalights.org/\">Luna Lights\u003c/a>, an automated lighting system that is activated when someone gets out of bed at night. It wirelessly lights the path along frequently traveled hallways toward, say, the bathroom or the kitchen. When the user gets back into bed, the lights snap off. Over time, cloud-based analytics compile habit data to signal to a caregiver that the elderly user may be spending extra time in the bathroom or wandering the house at night, which could suggest an underlying medical issue.\u003c/p>\n\u003cp>The competition’s $25,000 Most Promising Idea winner was \u003ca href=\"https://www.walkwithpath.com/path-feel\">Path Feel\u003c/a>, a smart insole that vibrates in several pressure points when the foot touches the ground. The idea is to help older adults (or people with neuropathy, Parkinson’s or multiple sclerosis) improve their balance in real time by helping them feel their feet on the floor. The company says it's aiming to launch the product in 2018. Its built-in gyroscopes and oscillometers transmit data on gait patterns to an app that physical therapists and caregivers can use to measure progress.\u003c/p>\n\u003cp>Down the road, all that data could give rise to a new way to map the gait characteristics of, say, a 65-year-old diabetic against a larger dataset of “healthy walkers,” which could eventually help create algorithms for being able to detect certain symptoms and contribute to developing new diagnostic methods.\u003c/p>\n\u003cp>“As we age, we start changing our walking,” says Lise Pape, founder of \u003ca href=\"UK-based\">Walk With Path\u003c/a>, the UK-based company that invented Path Feel. \"For instance, we start taking shorter steps. There’s indications in the literature that you can use walking to identify early onset Alzheimer’s and Parkinson’s.\"\u003c/p>\n\u003cp>El Camino Hospital in Mountain View, California, is already using predictive technology to reduce falls. A system made by \u003ca href=\"https://qventus.com/\" target=\"_blank\" rel=\"noopener noreferrer\">Qventus\u003c/a> combines data from patients' electronic health records with call-light and bed-alarm data to alert nurses that the patient is at high risk of a fall. The staff can then implement additional monitoring, including the use of video, and intervene if the patient is going to attempt to stand. In April, Chief Nursing Officer Cheryl Reinking said the hospital saw a 39 percent decrease in falls over the first six months the system was in use.\u003c/p>\n\u003cp>\u003cstrong>The Missing Ingredient: Dignity \u003c/strong>\u003c/p>\n\u003cp>One reason that more modern apps and gadgets aren’t on the market: When it comes to wearable tech, seniors are a challenging population to design for.\u003c/p>\n\u003cp>“The vast majority of products we look at have major flaws,” says Richard Caro, a San Francisco-based scientist/inventor. “They’re basically designed with some 20-year-old audience in mind, not an 80-year-old audience.”\u003c/p>\n\u003caside class=\"pullquote alignright\">'While the [emergency-call] devices are pretty useful, they are mostly rather ugly. They look like you’ve escaped from the hospital.'\u003ccite>Richard Caro, Longevity Explorers\u003c/cite>\u003c/aside>\n\u003cp>Caro organizes the \u003ca href=\"https://www.techenhancedlife.com/content/longevity-explorers\">Longevity Explorers\u003c/a>, an online and in-person community of people over 70, who meet up to talk about aging and test out new senior tech gadgets.\u003c/p>\n\u003cp>The products typically fall into one of two categories, he says. Either they solve a problem users don’t think they have, or they solve a problem people do have, but the solutions are so poorly implemented they're not that usable.\u003c/p>\n\u003cp>For instance, the products will come with instructions in tiny gray type or they’ll have buttons that don’t work well with shaky hands. On the other end of the spectrum, some products are so simple and dumbed down that they don’t offer the user interface and normal functionality people need.\u003c/p>\n\u003cp>“A lot of people buy them and don’t wear them,” says Caro. \"While the devices are pretty useful, they are mostly rather ugly. They look like you’ve escaped from the hospital.\"\u003c/p>\n\u003cp>Sanjay Khurana has heard those objections, too –- from his own mother, who lives in an independent living facility. He gave her an emergency pendant to wear, but she doesn’t like it.\u003c/p>\n\u003cp>“And I asked her, ‘Mom, why don’t you wear this?’ She goes, ‘I wouldn’t be caught dead with the device.’ Because it requires you to wear it around your neck, it signals to the rest of the world that you are in need of help.”\u003c/p>\n\u003cp>He says design could make the difference.\u003c/p>\n\u003cfigure id=\"attachment_435422\" class=\"wp-caption alignright\" style=\"max-width: 1280px\">\u003cimg class=\"wp-image-435422 size-full\" src=\"https://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2017/09/mans-wrist-white.jpeg\" alt=\"\" width=\"1280\" height=\"721\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white.jpeg 1280w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-160x90.jpeg 160w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-800x451.jpeg 800w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-768x433.jpeg 768w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-1020x575.jpeg 1020w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-1180x665.jpeg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-960x541.jpeg 960w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-240x135.jpeg 240w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-375x211.jpeg 375w, https://ww2.kqed.org/app/uploads/sites/13/2017/09/mans-wrist-white-520x293.jpeg 520w\" sizes=\"(max-width: 1280px) 100vw, 1280px\">\u003cfigcaption class=\"wp-caption-text\">A man models the Wellnest smartwatch. \u003ccite>(Jonathan Ramaci/Wellnest)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\"If the same product could be designed with a little more dignity, you would wear them, right? Maybe if it was a better-designed pendant, or a wristwatch. A smartwatch could integrate that.”\u003c/p>\n\u003cp>At least two companies are attempting just that. One is GreatCall, which makes the \u003ca href=\"https://www.youtube.com/watch?v=1S8ug0Xl1pU\">Lively Wearable,\u003c/a> a fitness tracker that looks like a sport watch with only one button –- an emergency button. It syncs to a smartphone but only works in an emergency if you’re carrying your smartphone with you.\u003c/p>\n\u003cp>The other one is \u003ca href=\"https://cl.ly/3K0r46251Y09\">Wellnest,\u003c/a> which\u003cem> is\u003c/em> a smartphone watch you dial by voice. It has built-in 4G LTE and you converse with it via an Amazon Alexa interface. It can guide you home, order an Uber for you, remind you to take your meds, and sense when you’ve fallen. It will notify your caregivers if you’ve missed your meds or have been slipping a lot as you walk. It also allows them to ping your location in an emergency. (Lively Wearable is already available; Wellnest is due out by the end of the year.)\u003c/p>\n\u003cp>Finally, what about after you’ve fallen, but before you hit the floor? One prototype idea in the Fall Prevention Challenge was a Spanx-like pair of underwear with \u003ca href=\"https://challenges.openideo.com/challenge/fall-prevention/ideas/upants-hip-protection-system\">built-in hip protectors\u003c/a> – and a motion sensor that calls an ambulance after a fall. In fact, the \"senior airbag\" concept abounds. One is a \"\u003ca href=\"http://activeprotective.com/\">smart belt\u003c/a>\" you attach around your waist that activates in milliseconds after a fall, theoretically before you hit the ground.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Of course, all this technology requires the elderly person to be willing to use it, which means acknowledging they are at risk. Marketing and design teams have a heavy lift to make fall prevention technology relevant to Baby Boomers, a generation distinguished more by rejecting aging than by accepting the limits it imposes.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/435417/dying-from-a-fall-is-top-danger-for-seniors-tech-devices-may-help","authors":["8664"],"categories":["futureofyou_1062","futureofyou_1"],"tags":["futureofyou_950","futureofyou_589","futureofyou_1008","futureofyou_1354","futureofyou_1275","futureofyou_1353","futureofyou_643"],"featImg":"futureofyou_435424","label":"source_futureofyou_435417"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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