Welcome to Angmar Medical Holdings, Inc.

Health Care Tips

The following information does not replace advice from your physician.  It is intended to give you additional information about various, specific conditions.

Please click on the appropriate link to see more information about:

Alzheimers

Anemia

Arthritis

-Staying Active with Arthritis

CHF

COPD

Dehydration

Depression

Diabetes

Edema

Falls Prevention

Fibromyalgia

Foot Care Facts

Hip Replacement

Hypertension

Knee Replacement

Osteoporosis

Parkinson’s

Restless Leg Syndrome

Staying Agile

Vision

 

Alzheimers

What is it? 

Alzheimers is a disease that damages the brain’s intellectual functions, which includes memory, orientation and calculation.

Several factors increase your risk of developing the disease:

  • Age:  The older we get, the greater our chance of developing the disease
  • Family History:  Your risk increases if members of your family, especially parents or siblings have Alzheimers or have died of it.
  • Genetic Factors:  Some genetic (inherited) factors may increase your lifetime risk

What are the symptoms?

Some of the early symptoms may include:

  • New or recent memories are difficult to recall
  • Difficulty in learning and retaining new information
  • Lose of sense of direction
  • Inability to plan
  • Inability to manage money
  • Forgetting to take medications

Additional as the disease progresses symptoms may include:

  • Old or distant memories are gradually lost
  • Difficulty expressing thoughts as spoken words
  • Difficulty carrying out simple instructions
  • Difficulty in recognizing familiar faces or objects

In the middle or final stages symptoms may include:

  • Delusions
  • Hallucinations
  • Aggressive behavior
  • Wandering away from home if left alone

When to Call Your Health Care Professional:

Call your doctor whenever you or a family member has any of the following problems:

  • Serious lapses in memory or judgment (forgets medications, forgets stove is on, allows strangers into home, etc.)
  • Disorientation (gets lost while driving or walking, especially in familiar areas)
  • A substantial change in personality

What can home health care help with?

Many individuals with Alzheimers can benefit or need skilled nursing or physical therapy.  For a free consultation, please contact our office nearest to you!

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Anemia

What is it?

Pernicious anemia is caused by a lack of intrinsic factor (a substance needed to absorb vitamin B-12 from the gastrointestinal tract).  Anemia is a condition where red blood cells are not providing adequate oxygen to body tissues. 

Risk increases with:

  • Poor Diet
  • Thyroid Disease
  • Family History of Pernicious Anemia
  • Metabolic disorders
  • Medications (Colchicine, neomycin and some tuberculosis treatments)
  • Gastrointestinal diseases

What are the symptoms?

Symptoms can include:

  • Fatigue
  • Shortness of breath
  • Rapid heart rate
  • Loss of appetite
  • Unsteady gait
  • Impaired smell
  • Bleeding gums
  • Sore tongue
  • Numbness in hands and feet

Signs you have pernicious anemia can include:

  • Complete blood count that shows low hemacrit and hemoglobin
  • Complete blood count that shows low white blood cells and platlets
  • Low serum vitamin B-12 levels

Prevention & Treatment:

Monthly B-12 injections are the definitive treatment to correct the vitamin B-12 deficiency.

If you are elderly, your doctor may also recommend that you take oral vitamin B12 supplements in addition to the monthly injections.

A well balanced diet is essential to provide other elements such as folic acid, iron and vitamin C for healthy blood cell development.

What can home health care help with?

Many individuals with anemia who cannot go to the doctor’s office on a daily basis can benefit from skilled nursing visits.  For a free consultation or more information on how health care could benefit you or someone you know, please contact our office nearest to you!

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Arthritis

What is arthritis?

Arthritis is a chronic disease and the term arthritis includes a group of disorders that affect a person’s joints and muscles.

What are the symptoms?

Symptoms may include:

  • Joint pain or stiffness
  • Inflammation
  • Limited movement of joints
  • Joints that are tender, warm to touch or red

Prevention/Treatment

  • Exercise to build strong muscles around your joints can help to support them and reduce your chances of injury
    • Stretching or range-of-motion exercises to help you stay flexible while preventing stiffness and joint deformations
    • Strengthening exercises to make muscles, ligaments and tendons that support the joints stronger, thereby making movement less painful
      • Joint Protection:  Listening to your body and stopping any activity that causes ongoing pain.
    • Using helpful devices to assist you in your daily activities
    • Using carts so you can push or pull instead of lifting/carrying heavy items
    • Using a cane or walker if your doctor recommends them
  • Weight control reduces stress on your joints, helps prevent osteoarthritis of the knees and other weight bearing joints.
  • Heat & Cold applications to sore joints can temporarily relieve the pain and stiffness.  Heat helps to relax aching muscles.  Do not use heat or cold for more than 15 – 20 minutes each time.  Let your skin return to normal temperature before using is again and always put a towel between your skin and heat or cold packs.
  • Medications:  Speak to your doctor about non-prescribed and prescribed medications

When to Call Your Health Care Professional:

Call your physician if you have experienced pain, stiffness or swelling around a joint for more than two weeks.  Only a physician can determine if you are suffering from symptoms of arthritis.  You need to find out which type it is so that you can start the best course of arthritis treatment.

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Staying Active with Arthritis

Diet

Eat a balanced diet

    • Eat a variety of foods
    • Maintain an appropriate weight
    • Consume fat and cholesterol in moderation
    • Consume sugar in moderation
    • Eat plenty of fresh fruits and vegetables
    • Use sale and sodium in moderation
    • Drink alcohol in moderation

  • A diet low in calcium and Vitamin D increases the risk of developing osteoporosis (a condition where bones become thin & brittle). 

Cooking with Arthritis in Your Hands:

Several things can be done to make meal prep easier when joints are sore or swollen.  Some include:

  • Take rests while preparing meals to give joints a break
  • Use convenience foods once in a while to lower the strain of cooking
  • Keep common cooking utensils in an easy-to-reach place
  • Buy presliced and prechopped vegetables to eliminate work
  • Use kitchen appliances such as an electric can opener and a microwave oven to ease the burden of cooking

Losing Weight

Being overweight puts stress on joints, particularly the weight bearing joints such as the knees and hips.  It has a negative impact on mobility.  Losing weight can be made fun by engaging in physical activity that is enjoyable.   Changes in diet will probably also be necessary, but the payoff is that being at an optimal weight makes people feel happier and stronger.

Sodium Intake

Limit sodium which cause water retention.  Your doctor may recommend a low-sodium diet for arthritis patients because water retention may cause joints to swell, sometimes restricting movement.

Vacationing with Arthritis

If you suffer from arthritis traveling may be a challenge.  Carrying luggage, added walking and extended sitting may make you uncomfortable and cause discomfort.  The following suggestions may make your vacation experience more enjoyable:

Plan

  • Be realistic about what you can do. 
  • Check the internet to search by location or activity, or contact your local travel agency to explore your options
  • Traveling by train, car or bus may be a more comfortable way to travel
  • If traveling by plane, request an aisle seat and walk up and down the aisle when permitted
  • Cruises can be relaxing.  If you tire easily, select a cruise with fewer stops, or stay on board and take advantage of ship board activities.  Eat a well balanced diet and do not overindulge!
  • Pace yourself and plan a realistic itinerary

Talk with your doctor

  • Before you depart, talk with your doctor who can offer advice about what to do if your arthritis flares.  Your doctor can also review your medications.  If you have joint replacement, your doctor can provide you with a patient identification card, which may be needed to go through security at the airport, as your implant may set off the alarm.
  • Your doctor may have vacation destinations to suggest

Hotel Accomodations

  • Select a hotel that is close to the area where you will be spending much of your time.
  • If you are shopping, see who close you are to the shops and restaurants you will visit most often.
  • Find out if the hotel has a shuttle and find out where it goes and how often it operates
  • Reserve a room that has a bathroom with handrails to make getting in/out of shower/bath easier

Rental Cars

  • Request a vehicle that has power steering, power brakes, power locks and windows, curise control and power side-view mirrors.

Packing

  • Pack comfortable shoes
  • Use luggage that has wheels
  • Pack plastic bags to make ice packs and heating pad for flare-ups
  • Use fanny packs and bags with straps
  • Carry small bills to tip those who help you with your bags
  • Pack more medications than what you will need.  Travel with copies of your prescriptions and your doctor’s name and telephone numbers

Traveling Through the Airport

  • Give yourself plenty of time and get to the airport early
  • Use courtesy shuttles and a wheelchair  to reduce the amount of time you spend walking through the airport
  • Check your luggage through to your final destination

During Vacation

  • Relax and enjoy!
  • If you have flare ups follow your doctor’s instructions
  • Call your doctor if you experience unusual symptoms
  • Don’t over do it!  Take breaks, enjoy the scenery and remember you are on vacation!

Exercise

You can significantly improve your health and quality of life by practicing some form of physical activity on a regular basis.  Regular, moderate exercise is beneficial in decreasing fatigue, strengthening muscles and bones, increasing flexibility and stamina and improving an overall sense of well-being.

Specific Benefits of  Exercising for Arthritis Sufferers

  • Keeps joints moving
  • Strengthen muscles around the joints
  • Strengthen and maintain bone and cartilige tissue
  • Improve overall ability to do everyday activities
  • Improve health and fitness by increasing energy level, improving sleep, assisting weight control, improving overall cardio condition, decreasing depression and improving self-esteem and emotional health

Lack of Exercise Contributes to:

  • Smaller and weaker muscles
  • Brittle bones
  • Pain
  • Disfigured joints that stay in one position for so long that the ability to straighten them may be lost
  • Loss of mobility in joints that may become locked in a position if they are not routinely worked

Type of Exercises You Should Use:

  • Range of motion exercise:  Basic stretching exercises to keep joints supple and  mobile by moving them through their full “range of motion”.  Make sure you get the advice of a medical professional about which kinds of this exercise you should do and which joints you should focus on
  • Strengthening exercises:  These exercises help maintain or increase muscle strength.  Some will strengthen muscles without putting stress on joints. They may involve pulling or pushing against an object that does not move (such as floor or wall). 
  • Endurance exercises:  They strengthen the heart while makings the lungs more efficient and improve stamina.  They can help improve your sleep and weight loss as well as lifting your mood.  Examples include walking, cycling, and swimming.

Note:  Before you begin an exercise program you should consult a physician or a physical therapist.

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CHF

What is CHF?

Heart failure is also known as Congestive or Chronic Heart Failure or just CHF.  Heart failure means that your heart doesn’t pump as well as it should.  The heart keeps pumping blood but each heartbeat doesn’t send as much blood and oxygen as your body needs.

What causes it?

Causes can include damage from heart attacks, high blood pressure, problems with heart valves and/or damage from an infection or virus in the heart.

Prevention/Treatment

  • Smoking:  Just don’t do it!
  • Alcohol:  If you have heart failure it is important to stay away from alcohol
  • Follow up visits:  It is very important that you keep all of your MD appointments and take a list of your medications and your weight records with you.
  • Prevent infection:  Get flu shots every year and pneumonia shots as directed by your doctor
  • Take control of your health care choices:  Talk to your family and doctor about certain treatments that you might or might not want if you become seriously ill.  Advance Directives and Living Wills are a way of making those choices known
  • Care for yourself: Eat healthy foods, reduce salt intake, get adequate sleep, try to get a little activity everyday and take time to relax and breathe deeply
  • Reduce stress. Anything that causes your heart to work harder should be avoided.
  • Save your energy for things that are important to you
  • Weigh yourself every morning and tell your doctor when your weight goes up

When to Call Your Health Care Professional:

Call your doctor immediately if you have any of these signs which indicate worsening Heart Failure:

  • Weight increases of more than 2 lbs. In 24 hours or 5 lbs. over 3-4 days
  • Increased swelling in your feet, ankles, hands or belly
  • You are more short of breath than usual, or cough more than usual
  • Trouble breathing when lying flat or wake up at night short of breath
  • Feeling much more tired than usual

If you have severe breathing trouble or chest pain, call 911 immediately.

What can home health care help with?

Many individuals with heart failure can benefit from home health care, either through skilled nursing visits, therapy visits, or education regarding this disease and the disease process as well as teaching on ways to improve your health.   For a free consultation or more information, contact our office closest to you!

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COPD

What is COPD?

Chronic obstructive pulmonary disease or COPD generally involves two distinct diseases:  emphysema and chronic bronchitis.  Both cause excessive inflammatory processes that eventually lead to abnormalities in lung structure that permanently obstruct airflow.

What causes COPD?

Tobacco use is the number one risk factor for COPD. Another risk factor is familial emphysema (or alpha 1-antitrypson [AAT} deficiency related emphysema) is caused by the hereditary deficiency of a protein.

What are the Signs & Symptoms?

  • Barrel Chest (shape of the chest)
  • Pursed-Lip Breathing (lips narrowed together which slows exhalation at the mouth)
  • Productive cough:  Coughing becomes less effective because of obstructed airflow
  • Cyanosis:  Bluish tinge to skin, lips and nail beds
  • Shortness of breath (dyspnea):  Becomes more prominent over time
  • Chronic cough
  • Wheezing
  • Hemoptysis:  Coughing up blood
  • Weight loss
  • Lower Extremity Edema:  Swelling in feet, ankles and lower legs

Prevention/Treatment: 

COPD is not a reversible condition, but treatment can slow its progression.  Treatments include:

  • Smoking Cessation
  • Theophylline:  A bronchodilator and an anti-inflammatory agent
  • Corticosteriods:  Used to slow lung decline in COPD
  • Mucolytics:  Medication to allow mucus to be cleared more effectively from airways
  • Antibiotics:   Generally used for acute exacerbations
  • Oxygen

When to Call Your Health Care Professional: 

When you have any of the symptoms listed above consult your physician.  In addition to the treatments listed above, there are other options that include surgical treatment and behavioral therapies that may be considered.

What can home health care help with?

Contact your nearest office to discuss our nine week COPD program that includes patient teaching and helpful aides to help you control and manage this disease.

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Dehydration

What is Dehydration?

Dehydration means your body does not have as much water and fluids as it should. 

What Causes It?

Dehydration can be caused by:

  • Losing too much fluid  (ex. Profuse sweating, drainage from a wound)
  • Not drinking enough water or fluids
  • Vomiting or diarrhea
  • Laxative use
  • Difficulty swallowing
  • Diseases such as renal failure, diabetes, etc.
  • Medication

Signs & Symptoms:

  • Thirst
  • Weight loss
  • Poor skin turgor (skin loses elasticity)
  • Dry skin and dry mouth
  • Low blood pressure
  • Increased body temperature
  • Decreased urine output, concentrated urine
  • Change in mental status (confusion)
  • Weakness, lightheadedness, dizziness
  • Pale mucous membranes
  • Dry eyes

Prevention/Treatment:

Prevention:

  • Drink eight glasses of water a day
  • Avoid overexposure to heat and sun
  • Gradually increase activity in hot weather
  • Eat a well-balanced diet
  • Obtain early treatment for diarrhea, vomiting, fever, sore throat, etc.

Treatment:

  • Measure intake and output to evaluate fluid balance
  • Weight daily at the same time each day
  • Take medications as prescribed
  • Drink Gatorade to help with re-hydration
  • Inform physician of continued loss of fluids or continue symptoms

When to Call Your Health Care Professional: 

When you have any of the symptoms listed above consult your physician. 

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Depression

What is Depression?

Major depression is an illness that involves the way a person thinks and feels and usually involves extreme sadness or a sense of despair, but it can be felt as irritability or a loss of energy.  It usually affects a person’s ability to work, sleep, eat and enjoy leisure activities.

What Causes It?

The cause is not clear, but it probably involved chemicals called neurotransmitters that carry messages between brain cells.  Changes in hormones may play a role in depression.  An episode of depression can be triggered by a stressful life event but in many cases, depression does not appear to be related to a specific event.

Signs & Symptoms

  • Distinctly depressed or irritable mood
  • Loss of interest or pleasure
  • Decreased or increased weight or appetite
  • Appearing slowed or agitated
  • Fatigue and loss of energy
  • Feeling worthless or guilty
  • Poor concentration
  • Indecisiveness
  • Thoughts of death, suicide attempts or plans

Treatment:

  • A combination of psychotherapy and medication is most helpful
  • Cognitive behavioral therapy
  • Psychodynamic, insight oriented or interpersonal psychotherapy

When to Call Your Health Care Professional: 

Depression is a painful and potentially dangerous illness, so a health care professional should be called if you have any suspicion that you or a loved one is depressed.

What can home health care help with?

Many of our offices are staffed with certified psychiatric nurses who provide behavioral nursing to patients in their homes.  Contact your nearest office more information or to set up an initial consultation.

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Diabetes

What is Diabetes?

Diabetes is a disease caused by an absence or abnormal use of the hormone insulin. 

What Causes Diabetes?

The pancreas produces the hormone insulin and the food you eat turns into glucose (a kind of sugar) in your stomach and then is transported into the bloodstream to enter the cells.  Insulin binds with glucose and helps the glucose enter the cells.  Without insulin the glucose remains floating in the bloodstream.  High levels of sugar remaining in the blood over a period of time can cause serious complications to the eyes, nerves, kidneys and heart.

Type I Diabetes is when the pancreas does not produce any insulin.  Type II Diabetes is when the pancreas produces some insulin, yet in insufficient amounts for the body’s demand.

Signs & Symptoms:

  • Excessive sweating
  • Feeling faint
  • Headache
  • Pounding of heart
  • Trembling
  • Impaired vision
  • Hunger
  • Irritability or personality change
  • Unable to arouse or waken
  • Increased thirst
  • Increased urination
  • Weakness, abdominal pain
  • Heavy, labored breathing
  • Loss of appetite, nausea and vomiting
  • Large amounts of sugar in blood or urine

Treatment:

Exercise is especially helpful to people with diabetes.  Walking, aerobics, swimming, leg exercises are a few examples of health exercise options for the diabetic.

Diet is the second key ingredient to treating/controlling diabetes.

When to Call Your Healthcare Professional:

When you have any of the symptoms listed above contact your physician.  If Diabetes runs in your family, inform your physician.

What Can Home Health Care Help With?

Home Health Care can help with teaching including proper nutrition and exercise.  Home Health Care is also appropriate for those individuals who are unable to administer their own insulin and have no family members/caregivers who can do this for them.  Call your local office listed on this web site for more information or to schedule a free evaluation.

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Edema

What is Edema?

Edema is a swelling of both legs from a build up of extra fluid.

What Causes Edema?

Edema has several possible causes that include:

  • Prolonged sitting or standing, especially in hot weather
  • Weakening of tiny valves inside the veins of the legs
  • Several chronic (long term) lung diseases including emphysema and chronic bronchitis
  • Congestive heart failure
  • Pregnancy
  • Low protein levels in the blood caused by malnutrition, kidney and/or liver disease

Signs & Symptoms:

Symptoms vary according to the type of edema and its location.  In general, the skin above the swollen area will be stretched and shiny.

Treatment:

  • A low salt diet usually helps
  • Avoid drinking too much fluid
  • If person is not short of breath, elevate legs above the level of the heart to keep swelling down
  • For mild leg edema, elevate legs periodically and wear support stockings.
  • Protect any swollen area of the body from pressure, injury and extreme temperatures

When to Call Your Healthcare Professional:

Call you doctor immediately if you have pain, redness or heat in a swollen area, an open sore, shortness of breath or swelling of only one limb.

What can Home Health Care Help With?

Home health care can provide teaching regarding appropriate diet and exercise. 

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Falls Prevention

Falls Facts:

Falls are a serious public health problem among older adults. More than ½ of adults over the age of 65 fall each year and are hospitalized for fall-related injuries 5 times more often than they are for injuries from other causes.

Of those who fall, 20-30% suffer moderate to severe injuries that reduce mobility and independence and increase the risk of death.

Hip fractures are the most common consequence of falls with approximately 250,000 hip fractures occurring each year among people over age 65.

Falls Prevention Tips:

  • Begin a regular exercise program to reduce your chances of falling and to improve balance and coordination.
  • Make your home safer:
    • Remove things you can trip over (shoes, books, etc.)
    • Remove small throw rugs or use double-sided tape to keep them from slipping
    • Keep items you use often in cabinets you can easily reach without using a step stool
    • Have grab bars put in next to your toilet and in the tub or shower
    • Use non-slip mats in the bathtub and on shower floors
    • Use a bath stool or chair in the shower
    • Use a raised toilet seat with arm rails
    • Use brighter lights in your home
    • Install lights and handrails on staircases
    • Wear shoes that give good support and have thin non-slip soles
    • Ask your physician to allow us to perform a safety assessment in your home
    • Consider a cordless phone that can be carried from room to room
  • Check your medication as some medications or combinations can make you drowsy or light-headed which can lead to a fall.  Have your doctor or pharmacist look at all your medications, including non-prescription meds.
  • Have your vision checked by an eye doctor

When to Call Your Healthcare Professional:

Talk to your doctor is you are having gait or balance problems as well as steps you can take to reduce your risk of a fall.

What Can Home Health Care Help With:

Home Health Care can provide a safety assessment for your home as well as Physical Therapy to improve gait and balance and reduce the risk of falls.  Call your local office listed on this web-site for additional information or to schedule an in-home assessment.

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Fibromyalgia

What is Fibromyalgia?

Fibromyalgia syndrome is a common and chronic disorder characterized by widespread muscle pain, fatigue and multiple tender points.  Although Fibromyalgia is considered an arthritis related condition, it is not truly a form of arthritis because it does not cause inflammation or damage to the joints, muscles or other tissues.  Like arthritis, Fibromyalgia can cause significant pain and fatigue and it can interfere with a person’s ability to carry on daily activities.

What Causes Fibromyalgia?

The cause of Fibromyalgia is unknown, but there are probably a number of factors involved.  Factors can include a physically or emotionally stressful or traumatic event (such as an automobile accident), repetitive injuries, or other illnesses such as rheumatoid arthritis.

Signs & Symptoms:

In addition to pain and fatigue, people with Fibromyalgia may experience:

  • Sleep disturbances
  • Headaches
  • Morning stiffness
  • Irritable bowel syndrome
  • Painful menstrual periods
  • Numbness/tingling in extremities
  • Restless Leg Syndrome
  • Temperature sensitivity
  • Cognitive/Memory problems
  • A variety of other symptoms

Treatment:

Treatment usually consists of drugs that may have terrible side effects.  Drugs used in treatment may include analgesics, non-steroidal anti-inflammatory drugs, antidepressants, benzodiazepines or other medications.

When to Call Your Healthcare Professional:

Contact your physician when you have any of the signs or symptoms listed above.

What can Home Health Care Help With?

Home Health Care can help with patient teaching including instructions on new medications, diet and exercise.  Contact the nearest office listed on this web-site for more information or to set up a free assessment in your home.

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Foot Care Facts

  • Three out of four Americans experience serious foot problems in their lifetime
  • It is neglect and a lack of awareness of proper care – including ill fitting shoes – that bring on problems
  • Women have about four times as many foot problems as men
  • Walking is the best exercise for your feet and contributes to your general health by improving circulation, contributing to weight control and promoting all-around well being
  • Your feet mirror your general health.  Conditions such as arthritis, diabetes, nerve and circulatory disorders can show their initial symptoms in the feet
  • Your two feet may be different sizes.  Buy shoes for the larger one!
  • About 5% of Americans have toenail problems in any given year
  • The average person takes 8,000 to 10,000 steps in a day

Foot Care and the Diabetic:

Diabetes can cause nerve damage (peripheral neuropathy) that reduces sensation in your feet.  When you have a neuropathy you can have an injury or condition on your foot that requires medical care without even knowing it.  Small injuries may become infected.

Foot infection is the most common reason for hospitalization of people with diabetes.  Foot ulcers and non-healing wounds are the primary causes of amputation in people with diabetes.  With proper foot care, it is estimated that as many as half of these amputations could be prevented.

Warning Signs of Foot Complications:

  • Changes in skin color
  • Elevation in skin temperature
  • Swelling of foot or ankle
  • Pain in the legs
  • Open sores on feet that are slow to heal
  • Ingrown or fungal toenails
  • Bleeding corns or calluses
  • Dry cracks in the skin, especially around the heel

When to Call Your Healthcare Professional:

If you experience any of 5these conditions, contact your doctor or your podiatrist right away.  These conditions need to be properly managed in order to avoid complications.

How Can Home Health Care Help?

Through our program Light Steps (a combination of Physical and Anodyne Therapy) we can increase circulation, decrease pain in the feet, promote healing of open wounds, and improve gait and balance.  Contact our office closest to you to set up a free in-home assessment or for more information today.

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Hip Replacement

Where Can People Find More Information About Hip Replacement Surgery?

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Institutes of Health
1 AMS Circle
Bethesda, MD 20892-3675
Phone: 301-495-4484 or 877-22-NIAMS (226-4267) (free of charge)
TTY: 301-565-2966
Fax: 301-718-6366
E-mail: NIAMSInfo@mail.nih.gov
http://www.niams.nih.gov/

NIAMS provides information about various forms of arthritis and rheumatic disease and other bone, muscle, joint, and skin diseases. It distributes patient and professional education materials and refers people to other sources of information. Additional information and updates can also be found on the NIAMS Web site.

 

NIH Osteoporosis and Related Bone Diseases National Resource Center
2 AMS Circle
Bethesda, MD 20892–3676
Phone: 202–223–0344 or 800–624–BONE (624–2663) (free of charge)
TTY: 202–466–4315
Fax: 202–293–2356
http://www.osteo.org

The NIH Osteoporosis and Related Bone Diseases~ National Resource Center provides patients, health professionals, and the public with an important link to resources and information on metabolic bone diseases. The mission of NIH ORBD~NRC is to expand awareness and enhance knowledge and understanding of the prevention, early detection, and treatment of these diseases as well as strategies for coping with them. The Center provides information on osteoporosis, Paget’s disease of bone, osteogenesis imperfecta, primary hyperparathyroidism, and other metabolic bone diseases and disorders.

 

American Academy of Orthopaedic Surgeons
P.O. Box 1998
Des Plains, IL 60017
Phone: 800–824–BONE (2663) (free of charge)
www.aaos.org

The academy provides education and practice management services for orthopaedic surgeons and allied health professionals. It also serves as an advocate for improved patient care and informs the public about the science of orthopaedics. The orthopaedist’s scope of practice includes disorders of the body’s bones, joints, ligaments, muscles, and tendons. For a single copy of an AAOS brochure, send a self-addressed stamped envelope to the address above or visit the AAOS Web site.

 

American Physical Therapy Association
1111 North Fairfax Street
Alexandria, VA 22314–1488
Phone: 703–684–2782 or 800–999–2782, ext. 3395 (free of charge)
Fax: 703–684–7343
www.apta.org

This national professional organization represents and promotes the profession of physical therapy, and furthers the profession’s role in the prevention, diagnosis, and treatment of movement dysfunctions, and the enhancement of the physical health and functional abilities of members of the public.

Arthritis Foundation
P.O. Box 7669
Atlanta, GA 30357–0669
Phone: 404–965–7888 or 800–568–4045 (free of charge)
or call your local chapter (listed in the telephone directory)
www.arthritis.org

This is the major voluntary organization devoted to arthritis. The foundation publishes pamphlets on arthritis that may be obtained by calling the toll-free telephone number. The foundation also can provide physician and clinic referrals. Local chapters also provide information and organize exercise programs for people who have arthritis.

 

The Hip Society
c/o Karen Andersen
951 Old County Road #182
Belmont, CA 94002
Phone: 650–596–6190
Fax: 650–508–2040
www.hipsoc.org

The society maintains a list of physicians who are specialists in problems of the hip and provides physician referrals by geographic area.

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Hypertension (High Blood Pressure)

What is Hypertension?

Hypertension is more commonly known as high blood pressure.  Hypertension is divided into two stages:  Stage 1 hypertension (systolic blood pressure between 140 and 159 and/or diastolic blood pressure between 90 and 99) and Stage 2 hypertension (systolic blood pressure greater than 160 and/or diastolic blood pressure greater than 100).

What Causes Hypertension?

Usually systolic pressure (the higher number) increases as we age.  However, after age 60, diastolic pressure usually begins to decline because the body’s blood vessels stiffen.

Signs & Symptoms:

Generally there are no signs or symptoms.  The only way to tell if you have high blood pressure is have your blood pressure checked.

Prevention & Treatment:

Prevention:

  • Get regular aerobic exercise
  • Limit your intake of salt and alcoholic beverages
  • Eat a diet rich in fruits and vegetables and low in saturated fats
  • Avoid smoking
  • Maintain a desirable body weight

Treatment:

  • Lifestyle changes
  • Medication

When to Contact Your Healthcare Professional?

If your blood pressure is higher than 120/80 schedule regular appointments with your doctor to have your blood pressure monitored and to get advice about modifying your lifestyle to prevent problems in the future.

What can Home Health Care Help With?

Home Health Care can provide additional patient teaching regarding diet, exercise and medications.  Contact the office closest to you to get more information or to set up a free assessment.

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Knee Replacement

Where Can People Find More Information About Knee Replacement Surgery?

National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS)
National Institutes of Health
1 AMS Circle
Bethesda, MD 20892-3675
Phone: 301-495-4484 or 877-22-NIAMS (226-4267) (free of charge)
TTY: 301-565-2966
Fax: 301-718-6366
E-mail: NIAMSInfo@mail.nih.gov
http://www.niams.nih.gov/

NIAMS provides information about various forms of arthritis and rheumatic disease and other bone, muscle, joint, and skin diseases. It distributes patient and professional education materials and refers people to other sources of information. Additional information and updates can also be found on the NIAMS Web site.

NIH Osteoporosis and Related Bone Diseases                                        National Resource Center
2 AMS Circle
Bethesda, MD 20892–3676
Phone: 202–223–0344 or 800–624–BONE (624–2663) (free of charge)
TTY: 202–466–4315
Fax: 202–293–2356
http://www.osteo.org

The NIH Osteoporosis and Related Bone Diseases~ National Resource Center provides patients, health professionals, and the public with an important link to resources and information on metabolic bone diseases. The mission of NIH ORBD~NRC is to expand awareness and enhance knowledge and understanding of the prevention, early detection, and treatment of these diseases as well as strategies for coping with them. The Center provides information on osteoporosis, Paget’s disease of bone, osteogenesis imperfecta, primary hyperparathyroidism, and other metabolic bone diseases and disorders.

American Academy of Orthopaedic Surgeons
P.O. Box 1998
Des Plains, IL 60017
Phone: 800–824–BONE (2663) (free of charge)
www.aaos.org

The academy provides education and practice management services for orthopaedic surgeons and allied health professionals. It also serves as an advocate for improved patient care and informs the public about the science of orthopaedics. The orthopaedist’s scope of practice includes disorders of the body’s bones, joints, ligaments, muscles, and tendons. For a single copy of an AAOS brochure, send a self-addressed stamped envelope to the address above or visit the AAOS Web site.

American Physical Therapy Association
1111 North Fairfax Street
Alexandria, VA 22314–1488
Phone: 703–684–2782 or 800–999–2782, ext. 3395 (free of charge)
Fax: 703–684–7343
www.apta.org

This national professional organization represents and promotes the profession of physical therapy, and furthers the profession’s role in the prevention, diagnosis, and treatment of movement dysfunctions, and the enhancement of the physical health and functional abilities of members of the public.

Arthritis Foundation
P.O. Box 7669
Atlanta, GA 30357–0669
Phone: 404–965–7888 or 800–568–4045 (free of charge)
or call your local chapter (listed in the telephone directory)
www.arthritis.org

This is the major voluntary organization devoted to arthritis. The foundation publishes pamphlets on arthritis that may be obtained by calling the toll-free telephone number. The foundation also can provide physician and clinic referrals. Local chapters also provide information and organize exercise programs for people who have arthritis.

Acknowledgments

The NIAMS gratefully acknowledges the assistance of James Panagis, M.D., M.P.H., of the National Institutes of Health; Khaled J. Saleh, M.D., of the University of Virginia; and Clement B. Sledge, M.D., Professor of Orthopaedic Surgery Emeritus, Harvard Medical School and The Brigham and Women’s Hospital, in the review of this booklet.

The mission of the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMS), a part of the Department of Health and Human Services’ National Institutes of Health (NIH), is to support research into the causes, treatment, and prevention of arthritis and musculoskeletal and skin diseases; the training of basic and clinical scientists to carry out this research; and the dissemination of information on research progress in these diseases. The National Institute of Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse is a public service sponsored by the NIAMS that provides health information and information sources. Additional information can be found on the NIAMS Web site at http://www.niams.nih.gov/

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Osteoporosis

What is Osteoporosis?

Osteoporosis is a bone disorder where bones become thinner, lose their strength and are more likely to break.

What Causes Osteoporosis?

You are more likely to develop osteoporosis if you are:

  • Female
  • Are 40 or older
  • Are postmenopausal
  • Have a diet low in calcium
  • Have an intestinal problem that prevents calcium and vitamins from being absorbed
  • Have an overactive thyroid
  • Little or no regular exercise
  • Are thin
  • Take certain medications such as prednisone
  • Smoke
  • Drink too much alcohol
  • Have a family history of osteoporosis
  • Have a history of at least one “fragility” fracture

Signs & Symptoms:

  • Loss of height caused by curvature or compression of the spine

Treatment:

  • Prescription calcium and vitamin D
  • Weight bearing exercises
  • Modifying other risk factors
  • Physician prescribed medications

When to Contact Your Healthcare Professional:

Ask your physician for a bone density scan to obtain a base line.  Annual scans will help identify bone loss.

What Can Home Health Care do to Help?

Home Health Care can provide patient teaching regarding diet, exercise and medication.  Contact your nearest office listed on our web-site for more information or to schedule a free in-home assessment.

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Parkinson’s

What is Parkinson’s?

Parkinson’s  is a disease of the central nervous system that causes problems with body motions including tremor, rigidity, slowed body movements, unstable posture and difficulty walking.  Parkinson’s affects about 1 million people in the US with approximately 50,000 new cases each year.  It usually occurs in middle age, however about 5% of patients have early=onset and are younger than 40 when symptoms begin.

What causes Parkinson’s?

Parkinson’s happens when nerve cells in a part of the brain gradually die.  These cells normally produce dopamine, a chemical that helps to relay messages between areas of the brain that control body movement.

Symptoms:

  • Begins with slight tremor or stiffness involving the arm or leg on one side of the body
  • The tremor worsens under stress, improves when the arm of leg is moved voluntarily
  • As disease progresses tremors become more widespread
  • Stiffness or rigidity in the muscles of the arms and legs

Other symptoms may include:

  • Depression
  • Anxiety
  • Disturbed sleep
  • Memory loss
  • Slurred or very soft speech
  • Difficulty with chewing or swallowing
  • Constipation
  • Impaired bladder control
  • Abnormal regulation of body temps
  • Sexual dysfunction
  • Cramps, numbness, tingling or pain in muscles

Treatment:

  • Medications
  • Surgery (when patients stop responding adequately to medications)

When to Contact Your Healthcare Professional:

If you have any of the symptoms listed, contact your doctor for a complete physical and diagnosis.

How Can Home Health Care Help?

Home Health Care can assist the patient with education of medications, disease process and management, coping mechanisms and our Light Step Program (combination of Physical Therapy and Anodyne Therapy).  From the listing of our offices on this web-site, contact the office closest to you  for more information or to schedule a free assessment today.

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Restless Leg Syndrome

What is Restless Leg Syndrome?

Restless Leg Syndrome (RLS) is a fairly common medical condition.  People with RLS may have difficulty lying down and sleeping or sitting down and relaxing because their legs just won’t let them.  RLS may interfere with sleep and as a result will affect the individuals ability to participate in their daily activities.

What Causes RLS?

The actual cause of RLS is not known.

Symptoms:

  • A compelling urge to move the legs, usually accompanied or caused by uncomfortable and unpleasant sensations in the legs.
  • Uncomfortable feelings (creeping, itching, pulling or creepy-crawly are used to describe the feelings)
  • Symptoms are partially or completely relieved by movement as long as movement continues
  • Symptoms begin or worsen during periods of rest or inactivity such as lying or sitting
  • Symptoms are worse or only occur in the evening and night

Treatment:

  • Walking, jogging, stretching may reduce or relieve symptoms
  • Taking a hot or cold bath may reduce or relieve symptoms
  • Massaging legs may reduce or relieve symptoms
  • Changing habits:
    • Cutting down on caffeine
    • Reducing alcohol consumption
    • Eliminating tobacco
    • Reducing stress
    • Eating healthy foods

When to Contact Your Health Care Professional:

When you have any of the symptoms listed above, contact your physician.

How Can Home Health Care Help?

Home health care can provide education for the patient including information regarding changing habits, diet and exercise.  Some patients have found relief from RLS after being treated under our Light Step Program (combination of Physical Therapy and Anodyne Therapy).  To get more information or to set up a free consultation, contact the office location on our web site that is closest to you.

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Staying Agile

You are never too old to reap the rewards of regular physical activity!  Exercise can assist in lowering weight and muscle strengthening exercises or structure physical therapy can reduce the risk of falling and fracturing bones.

In one study, moderate exercise reduced pain and disability in senior adults with knee osteoarthritis. It has also been shown that aerobic exercise increased the amount of sleep senior adults got each night and reduced the time it took to fall asleep. Other research has confirmed that exercise benefits people with coronary artery disease, diabetes and hypertension.

If you are not doing any exercise at all right now, you might try to accumulate at least 30 minutes or more of moderate-intensity aerobic activity on most, if not all, days of the week. Such activities include walking, climbing the stairs (instead of taking the elevator), gardening, housecleaning and dancing. Thirty minutes of physical activity may also come from planned exercises such as jogging, playing tennis, swimming, bicycling or taking an aerobics or water aerobics class.

Strength training should also be an integral part of every exercise program. Exercises, such as lifting weights, even once or twice a week, can keep you from losing muscle, can strengthen your bones and can protect your knees and other joints. It can also lessen arthritis pain and stiffness and help you lose weight.

As you become older, it is important to maintain flexibility, or the ability to move a joint through the full range of motion. Proper flexibility will help you to continue functioning at home, work and socially. Research suggests that most of the flexibility that is lost through aging is caused by inactivity or lack of movement. A daily stretching routine may help improve how you feel and function.

You should strive for a balanced physical activity program that combines aerobic exercise, strengthening and stretching. If you are just getting started, it’s important to begin any exercise program slowly and gradually increase to more days or longer periods of time. In addition, older individuals should check with their doctor before beginning any exercise program to determine cardiac risk and protect them from injury.

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Nutrition and Aging

As you age, your body becomes less forgiving, and you’ll have to make more of an effort to eat well and stay fit. Ideally, you’ve been practicing healthy eating habits throughout your life. But most of us don’t live in an ideal world, and often we don’t pay attention to our health until we reach middle age and beyond. Your nutritional needs are pretty much the same at 40, 50, 60 and beyond as they were when you were younger – with some minor variations.

As you age, you need fewer calories, but exactly how much you should eat still depends on how active you are. Because you’re eating less food to maintain a healthy weight, you have to be more careful about choosing low-fat and nutrient-rich foods. As the years pass and you lose lean body mass (muscle), your metabolic rate slows down and you burn calories more slowly. Exercise is the best way to maintain lean body mass and speed up your metabolic rate.

As you age, physical disabilities, such as loss of sight and mobility and a failing appetite (caused by dental problems, reduced saliva production and a decline in the ability to taste), make eating less rewarding for the elderly than for the young. By age 75, for example, people have only half as many taste buds as they did at 30. In addition, loneliness, depression and financial restrictions of living on a fixed income can interfere with an older person’s ability to buy and prepare healthy food. Because food is often associated with social events, preparing food and eating alone can be difficult for older people who have reached a stage in life where many of their loved ones have either died or moved away. For many, a loss of appetite follows the loss of companionship.

The following tips may help provide better meals for an elderly person:

  • Lack of teeth and dental decay make chewing difficult, contribute to poor nutrition and also give food an abnormal taste. Many elderly people who have dentures don’t wear them because they’re uncomfortable. Bone less, which occurs in osteoporosis, makes dentures hard to fit. Older individuals should have regular dental care.
  • If chewing is a problem, try softer foods that have been chipped or pureed.
  • Four or five smaller meals might be easier for an older person to handle than three larger ones.
  • Add a little more spice to foods to enhance their flavor.
  • If certain foods are disliked, try substitutes within the same food group. For instance, if milk is unacceptable, try yogurt, cheese or even low-fat ice cream.
  • Public and private programs offer meals for people 60 years and older at senior centers throughout the country. These programs provide social interactions that may be just as beneficial to an elderly person as their meals.

 

Optimizing Home Safety

Older people generally prefer to live at home, either alone or with their families. It allows them to enjoy the comforts of familiar surroundings, while still staying close to their loved ones.  Refer to our section in Tips on Falls Prevention which include practical ideas for insuring your home is safe!

 

A Good Nights’ Sleep

We all look forward to a good night’s sleep. Getting enough sleep and sleeping well help us stay healthy. Many older people do not enjoy a good night’s sleep on a regular basis. They have trouble falling or staying asleep. Sleep patterns change as we age, but disturbed sleep and waking up tired every day is not part of normal aging. In fact, troubled sleep may be a sign of emotional or physical disorders and something you should talk with a doctor about.

At any age, insomnia is the most common sleep complaint.

Insomnia means:

  • Taking a long time to fall asleep (more than 30 to 45 minutes)
  • Waking up many times each night
  • Waking up early and being unable to get back to sleep
  • Waking up feeling tired

With rare exceptions, insomnia is a symptom of a problem, not the problem itself.  Insomnia can be linked with other sleep disorders such as sleep apnea, a common problem that causes breathing to stop for periods of up to 2 minutes, many times each night.

A good night’s sleep can make a big difference in how you feel. Here are some suggestions to help you:

  • Follow a regular schedule – go to sleep and get up at the same time. Try not to nap too much during the day – you might be less sleepy at night.
  • Try to exercise at regular times each day.
  • Try to get some natural light in the afternoon each day.
  • Be careful about what you eat. Don’t drink beverages with caffeine late in the day. Caffeine is a stimulant and can keep you awake. Also, if you like a snack before bed, a warm beverage and a few crackers may help.
  • Don’t drink alcohol or smoke cigarettes to help you sleep. Even small amounts of alcohol can make it harder to stay asleep. Smoking is dangerous for many reasons including the hazard of falling asleep with a lit cigarette. The nicotine in cigarettes is also a stimulant.
  • Create a safe and comfortable place to sleep. Make sure there are locks on all doors and smoke alarms on each floor. A lamp that’s easy to turn on and a phone by your bed may be helpful. The room should be dark, well ventilated, and as quiet as possible.
  • Develop a bedtime routine. Do the same things each night to tell your body that it’s time to wind down. Some people watch the evening news, read a book, or soak in a warm bath.
  • Use your bedroom only for sleeping. After turning off the light, give yourself about 15 minutes to fall asleep. If you are still awake and not drowsy, get out of bed. When you get sleepy, go back to bed.

If you are so tired during the day that you cannot function normally and if this lasts for more than 2 to 3 weeks, you should see your family doctor.

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Vision

We all know it’s important to have an annual physical to make sure our bodies are healthy, but we don’t always follow this advice when it comes to our eyes. Prevention really is the best treatment for protecting our eyesight throughout our lives.

Prevention:

Since poor eyesight and some eye diseases such as glaucoma and macular degeneration may be genetic, regular routine eye exams can help detect problems early. One of the first warning signs that you may have less than 20/20 vision includes having trouble seeing street signs and/or headaches after reading or working on a computer.

It is also very important to protect our eyes from the sun. Just like our skin, the ultraviolet rays of the sun can damage our eyes causing cataract formation, especially in older adults. Looking directly into the sun is especially damaging since it can harm your retina. Sunglasses should be rated to block 100 percent of UVA and UVB rays. In addition, be sure to wear sunglasses on cloudy days as well since many of the sun’s damaging rays will filter through the clouds.

Finally, good nutrition plays an important role in maintaining your eyesight. Carrots are an excellent source of vitamin A, which is essential for the functioning of our eyes. Other sources of vitamin A include apricots, mango, spinach, squash, parsley and cantaloupe, among others.

The following nutrients have been shown to be helpful in the preservation of vision:

  • Lutein helps keep eye tissue healthy by destroying free radicals, filters out harmful radiation in the retina and macula and helps increase the protective pigments in the macula.
  • Zeaxanthin helps to keep macular tissue healthy by destroying free radicals and filtering harmful radiation. It also helps increase the protective pigments in the macula.
  • Lycopene destroys free radicals and enhances the effectiveness of the other antioxidants.
  • Billberry Extract increases the blood flow to the eye, strengthens eye tissue and cells and protects the lens from oxidative damage from free radicals.
  • Beta-carotene protects the lens from oxidative damage, starts the chemical reaction in the eye to allow vision and improves vision at night.
  • Zinc facilitates the enzymes that promotes healthy vision and improves night vision.
  • Vitamin E protects the lens from oxidative damage from light, sugar and smoking.
  • Gingko Biloba helps to increase blood flow to the eyes and improves long distance vision.
  • Alpha lipoic acid regenerates vitamin C, E and glutathione, a natural antioxidant in our cells.
  • Rutin maintains blood circulation through the eyes and maintains healthy pressure in the eyes.
  • Selenium facilitates the enzymes that protects the eye from oxidative damage and keeps the blood vessels strong.

Five Steps to Safeguard Your Eyesight:

  • Have regular physical exams by your doctor to check for diseases like diabetes. Such diseases can cause eye problems if not treated.
  • Have a complete eye exam with an eye care professional every 1 to 2 years. The eye care professional should put drops in your eyes to enlarge (dilate) your pupils. This is the only way to find some eye diseases, such as glaucoma, that have no early signs or symptoms. The eye care professional should check your eyesight, your glasses, and your eye muscles.
  • Find out if you are at high-risk for vision loss or dimness of eyesight, eye pain, fluid coming from the eye, double vision, redness, or swelling of your eye or eyelid.
  • Wear sunglasses and a hat with a wide brim when outside. This will protect your eyes from too much sunlight, which can raise your risk of getting cataracts.

Common Eye Complaints:

Presbyopia (prez-bee-OH-pee-uh) is a slow loss of ability to see close objects or small print. It is a normal process that happens as you get older. Signs include holding your reading materials at arm’s length or getting headaches or tired eyes when you read or do other close work. Reading glasses can often fix the problem.

Floaters are tiny spots or specks that seem to float across your eyes. You might notice them in well-lit rooms or outdoors on a bright day. Floaters can be normal. But sometimes they are a sign of a more serious eye problem, such as retinal detachment. This often is the case if you see light flashes along with floaters. If you notice a sudden change in the type or number of spots or flashes, see your eye care professional right away.

Tearing (or having too many tears) can come from being sensitive to light, wind, or temperature changes. Tearing also can come from having dry eye. Protecting your eyes (by wearing sunglasses, for example) may solve the problem. Sometimes, tearing may mean a more serious eye problem, such as an infection or a blocked tear duct. Your eye care professional can treat both of these conditions.

Eyelid problems can come from different diseases or conditions. Common eyelid complaints include pain, itching, tearing, or being sensitive to light. Eyelid problems often can be treated with medicine or surgery.

Conjunctivitis (also called pink eye) happens when the tissue that lines the eyelids and covers the cornea becomes inflamed. It can cause itching, burning, tearing, or a feeling that something is in your eye.  Conjunctivitis can be due to allergies or an infection. Infectious pink eye can easily spread from one person to another. It is a common eye problem that your eye care professional can treat.

Cataracts are cloudy areas in the eye’s lens. Normal lenses are clear and let light through. Cataracts keep light form easily passing through the lens. This causes loss of eyesight. Cataracts often form slowly without any symptoms. Some stay small and don’t change eyesight very much. Others may become large or thick and harm vision. Cataract surgery can help. Your eye care professional can watch for changes in your cataract over time to see if you need surgery. Cataract surgery is very safe. It is one of the most common surgeries done in the United States.

Dry eye happens when tear glands don’t work well. Dry eye can be uncomfortable. It can cause itching, burning, or even some vision loss. Your eye care professional may suggest using a home humidifier or special eye drops (artificial tears). More serious cases of dry eye may need surgery.

Glaucoma comes from too much fluid pressure inside the eye. Over time, the disease can damage the optic nerve.  This leads to vision loss and blindness. Loss of vision doesn’t happen until there has been a large amount of nerve damage. Most people with glaucoma have no early symptoms or pain from increased pressure. You can protect yourself by having regular, dilated eye exams. Treatment may be prescription eye drops, medicines you take by mouth, or surgery.

Retinal disorders are a leading cause of blindness in the United States. The retina is a thin lining on the back of the eye. It is made up of cells that get visual images and pass them on to the brain. Retinal disorders that affect aging eyes include:

  • Age-related macular degeneration (AMD). AMD affects the part of the retina (the macula) that gives you sharp central vision. Over time, AMD can ruin the sharp vision needed to see objects clearly and to do common tasks like driving and reading. In some cases, AMD can be treated with lasers to help reduce the risk of increased vision loss. Ask your eye care professional about recent research suggesting that some dietary supplements reduce the risk of AMD.
  • Diabetic retinopathy. This common complication of diabetes happens when small blood vessels stop feeding the retina as they should. Laser surgery can help. If you have diabetes, be sure to have an eye exam through dilated pupils every year.
  • Retinal detachment. This happens when the inner and outer layers of the retina become separated. If you notice changes in floaters and/or light flashes in your eye, either all at once or over time, see your eye care professional at once. With surgery or laser treatment, doctors often can reattach the retina and bring back all or part of your eyesight.

Low Vision affects some people as they age. Low vision means you cannot fix your eyesight with glasses, contact lenses, medicine, or surgery. It can get in the way of your normal daily routine. You may have low vision if you:

  • have trouble seeing well enough to do everyday tasks like reading, cooking or sewing;
  • can’t recognize the faces of friends or family;
  • have trouble reading street signs; or
  • find that lights don’t seem as bright as usual.

If you have any of these problems, ask your eye care professional to test you for low vision. There are many things that can help. Aids can help you read, write, and manage daily living tasks. Lighting can be adjusted to your needs. You also can try prescription reading glasses, large-print reading materials, magnifying aids, closed-circuit televisions, audio tapes, electronic reading machines, and computers that use large print and speech.

Other simple changes also may help:

  • Write with bold, black felt-tip markers.
  • Use paper with bold lines to help you write in a straight line.
  • Put colored tape on the edge of your steps to help you avoid a fall.
  • Install dark-colored light switches and electrical outlets that you can see easily against light colored walls.
  • Use motion lights that turn on by themselves when you enter a room. These may help you avoid accidents caused by poor lighting.
  • Use telephones, clocks, and watches with large numbers, and put large-print labels on the microwave and stove.

Less than perfect vision does not have to hamper your lifestyle. By having regular eye exams you will be doing your part to take care of your eyes.

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