Sunday, March 26, 2017

Creatinine Clearance: Biomarker of Health & Longevity

Photo of nephrons by eLife Journal.
What lab tests can signal signs of longevity?

The Dunedin longitudinal study showed that research participants with higher creatinine clearance levels had better health overall.

Research shows that kidney function does slow down a little as we age.

However, not every older adult is destined for kidney dialysis.

This post is part of a series on biomarkers of health and longevity.

Monitoring kidney function is important.

[Note: This post does not offer medical advice; its purpose is only to increase awareness. If you have any concerns about your kidney health, please see a licensed medical professional.]


Friday, March 17, 2017

Org Chart for Administration on Aging

Click on the image to enlarge.
This week, the President released his "Skinny Budget."

As a result, there's a lot of buzz about potential funding changes to a variety of federal programs.

Several programs affect older adults.

Meals on Wheels (MoW) is just one, and only a portion of their funding comes through the Administration on Aging under the U.S. Department of Health and Human Services.

Read MoW's press release about their funding sources. 

(Not all government programs benefiting older adults are affected by the President's proposed budget. For example, Social Security and Medicare are not part of the President's budget.)

It's difficult to monitor all programs available to older adults.

The enormity of the task discouraged me from looking at details. However, I feel as though it's time to start paying more attention to various programs that benefit our mature citizens.

So I'm getting my head out of the sand and looking at programs one at a time.

Where to start?


Friday, March 10, 2017

APA Using NCD not Dementia

Photo by Keoni Cabral.
If the Sapir-Whorft theory is to be believed, the language we use shapes our reality.

For this reason, the American Psychological Association (APA) scrutinized the origins of "dementia"-- which is tied to "madness" -- and introduced a new term.

Neurocognitive Disorders

"Neuro" refers to the physical brain.

"Cognititive" refers to the thought processes within the brain.

The term "disorder" recognizes that there is a medical cause for problems residing in the brain or thoughts.

Furthermore, disorders are categorized as "major" or "minor" NCD.

This term took shape in 2008 as a result of an APA workgroup.

However, neurocognitive disorder did not become formally recognized until the May 2013 publication of the APA's DSM 5 Manual--one of many changes.


Friday, February 24, 2017

On Living: Book Review

Published Oct. 25, 2016.
Kerry Egan draws on her experience as a hospice chaplain to share stories about how illness and dying highlight people's values.

Some might expect her to offer sermons about the place of religion in people's lives. She doesn't do that.  Instead, she demonstrates the healing power of narrative.

Egan observes that chaplains do the following work:

"We listen to the stories that people believe have shaped their lives. We listen to the stories people choose to tell, and the meaning they make of those stories."

Those who are sick and dying often find great insight in telling the story of their life. Egan focuses on maintaining an attitude of love and compassionate listening as people work to make meaning of their lives by sharing stories.

People talk about their childhoods, their life's work, their families, and most often their desire to love and be loved.