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News Article | November 3, 2016
Site: www.prweb.com

According to Geriatrician Elizabeth Landsverk, MD, “we focus a lot on care for older individuals; Are they eating? Are they moving their bowels? Do they walk? Are they agitated? But what about intimacy? What about romance? When is there risk for an elderly person and when does a family member or caregiver need to butt in or butt out of an elder’s intimate life?” These are questions that are real and for which families, caregivers and medical professionals needs to be sensitive. Dr. Landsverk, founder and medical director with ElderConsult Geriatric Medicine, notes that, “having been in Medicine for over 20 years, I have found that it takes little effort to say hi to everyone in a community or facility; staff and residents. For housekeeping, I thank them for making the place look so good, or for the dining room workers, for providing such tasty food. To say hello or hold a hand to say this person matters.” She adds that contact and physical affection is important too. And this is where it can get delicate. Romance and sex is on the spectrum of affection and in our culture as it relates to elders, it has a "Harold and Maude" feel to it. "They are too old for that!" But Dr. Landsverk notes that this is not true and that sometimes, often, it is lovely and life sustaining, for competent elders to be in a relationship. The key is making sure that everyone is safe and in agreement with what is going on. Tips for When to be concerned and when to butt out Dr. Landsverk acknowledges that it is tricky knowing when to be concerned about intimacy between elders and offers the following tips. She offers that it is reasonable and responsible to address the following questions: Dr. Landsverk’s advises that if you if you are discussing an intimate relationship between competent elders, it's none of your business unless there is evidence that the arrangement is detrimental for the elder, from isolation, undue influence, abuse or neglect. According to Dr. Landsverk, "if your father wants to be with a young gal (e.g. 'Anna Nichole Smith') and he fully understands the risks and benefits, that is perfectly OK and nobody’s business but his own. However, if there is doubt about the elder’s ability to understand the risks, or if the person courting the elder is using undue influence, then an evaluation with a neuropsychologist and an elder law attorney is imperative. Dr. Landsverk notes that an elder law attorney can help safeguard and individual’s assets for their use. If this ruins the relationship and the love interest flees, then the risks were real and the elder was appropriately protected. Elizabeth Landsverk, MD, is founder of ElderConsult Geriatric Medicine, a house-calls practice in the San Francisco Bay Area that addresses the challenging medical and behavioral issues often facing older patients and their families. Dr. Landsverk is board-certified in internal medicine, geriatric medicine and palliative care and is an adjunct clinical professor at Stanford University Medical School. http://www.elderconsult.com


News Article | October 28, 2016
Site: www.prweb.com

According to the World Health Organization, 47.5 million people worldwide are living with dementia, a number that is expected to more than triple by 2050. A diagnosis of dementia is frightening and overwhelming for those who have it and for their families. Early detection is critical to ensure quality care and to enable patients and families to plan for the future. Early treatment can slow and in some cases even reverse cognitive decline. According to Elizabeth Landsverk, MD, founder of ElderConsult Geriatric Medicine, “in its earliest stages, dementia is not easy to detect and studies have suggested that as many as half of those with dementia are undiagnosed. When a diagnosis of dementia is missed or delayed, people in the early stages of dementia continue to engage in behaviors that may be disastrous; primarily risking financial abuse and fraud, but also driving, managing medications, and sometimes caring for another person.” Family members, especially if they don't live with their elder relative, may be unaware that cognitive decline is causing functional impairment. “This oversight can have devastating consequences.” Dr. Landsverk adds. She has been an assistant professor of Medicine at University of California, San Francisco and a consultant to the San Francisco Elder Abuse Forensics Center. Dementia is not a disease. It is an umbrella term for a group of illnesses that have different causes but similar symptoms. Those symptoms might include varying degrees of memory loss, language difficulty, poor judgment, inability to concentrate, personality changes, and impaired visual perception. But the initial signs can be difficult to spot. They may be transient or they may be mistaken for the “senior moment” instance of memory loss that is taken as a natural consequence of aging. A person may seem like “themselves” – perfectly lucid and functioning well – on one day but agitated, confused and angry or withdrawn the next. “Initial signs and symptoms can be subtle and can vary considerably from one individual to the next,” says Dr. Landsverk. “In the past, uncertainty might have led to years of gradual decline and its attendant risks before a diagnosis was made. Fortunately, most people are more aware now of the signs of dementia and the lead time before diagnosis has been reduced.” Primary care physicians are also more actively involved and routinely ask elders and their families about memory and ability to function. And yet, the subtle changes in judgement, and risk assessment are often missed in evaluation. The traditional teaching is that the Mini Mental Status Exam, (MMSE) a 30 point test that does not judge risk assessment or abstract thinking, can diagnose dementia. Less than 24 indicated dementia, over 24 there is no dementia. That has been proven wrong. An older individual may have a perfect score and have dementia to the point that all their finances can be swindled from them. The Montreal Cognitive Assessment tool (MoCA) is better, requiring abstract thinking to draw a line between a field of letters and numbers, A1B2C3, but still does not address the early changes of judgement and risk assessment. Much better is the geriatric neuropsychological assessment, which takes 4-5 hours, and costs significantly more. However, if an elder is at risk for having their life savings stolen from them or their rights incorrectly taken from them, it is a crucial investment. Tips on Recognizing Signs and Symptoms As a general rule, memory lapses associated with normal aging do not interfere with the performance of daily activities or the ability to live independently. And warning signs of dementia typically include loss of memory, but NOT always, and the ability to use judgement and risk assessment. Dr. Landsverk provides some examples of troubling signs: “Older individuals suffering early signs of cognitive decline may or may not be aware that they are having trouble with financial decisions and risk assessment ,” says Dr. Landsverk. “Friends and families must also be alert and ensure that a diagnosis is confirmed or ruled out as soon as possible in order to take advantage of treatment and support options that can improve quality of life. An initial screening by a primary care physician is a start, ask for the MoCA, but if there are worrisome changes and you are told “Everything is alright” get a Geriatrician, or a Geriatric Neuropsychologist for a more complete evaluation.” Elizabeth Landsverk, MD, is founder of ElderConsult Geriatric Medicine, a house-calls practice in the San Francisco Bay Area that addresses the challenging medical and behavioral issues often facing older individuals and their families. Dr. Landsverk is board-certified in internal medicine, geriatric medicine and palliative care and is an adjunct clinical professor at Stanford University Medical School and lead educator for the California Coalition for Culture Change. http://www.elderconsult.com


News Article | November 3, 2016
Site: www.eurekalert.org

INDIANAPOLIS -- The Aging Brain Care Medical Home, a novel brain-focused population health management program implemented in the homes of older adults, lowered depression severity by more than 50 percent over six months according to a new study from the Regenstrief Institute, Indiana University Center for Aging Research, IU Center for Health Innovation and Implementation Science, and Eskenazi Health. The ABC Medical Home program utilizes a trained and scalable workforce of care coordinator assistants with at least high school educations as the core of interdisciplinary care team of nurses, social workers, and physicians responsible for meeting the complex biopsychosocial brain-care needs of older adults. "Response to Depression Treatment in the Aging Brain Care Medical Home Model" is published online in Clinical Interventions in Aging, a peer-reviewed open access journal. The implementation study provides strong evidence of the sustained effectiveness of the ABC Medical Home program at inducing depression remission employing a workforce that develops long-term relationships with the patients through home visits and telephone contacts. The more than 50 percent decrease in depression symptoms occurred in individuals with high levels of these symptoms. While women experienced improvement sooner than men, there was no gender difference in symptom diminution at the end of six months. In older adults with low levels of depression, depression scores remained low over time indicating that the care model prevented depression symptoms from recurring. Michael LaMantia, M.D., MPH, first author of the new study, offers the following analogy to explain the different responses of older adults with high levels of depressive symptoms and those with low levels. "If you have people who are driving a car at 60 miles per hour, these drivers have a lot of room to decelerate over time because they are going at a high speed; similarly there is significant room for symptom decease in those with high symptom levels; but for those with low depressive symptom levels, like those drivers traveling 5 or 10 miles per hour, there isn't a whole lot of decline possible. Keeping them from accelerating is the goal." "The heart of the ABC Medical Home model is collaborative care. We are working in conjunction with the primary care physicians to provide these patients the level of care that they need," said Dr. LaMantia, a former Regenstrief Institute and IU Center for Aging Research investigator who recently became Section Head of Geriatric Medicine and associate professor of medicine at the University of Vermont College of Medicine. Depressive symptoms included feeling hopeless, feeling bad about oneself, or having difficulty concentrating. Severity was measured in the 773 study participants utilizing the Patient Health Questionnaire 9. The PHQ-9 was co-developed in 1999 by Regenstrief Institute research scientist and IU School of Medicine professor of medicine Kurt Kroenke, M.D., to screen primary care patients for depression. It is an easy to administer, validated means of quantifying the patient's symptoms that Dr. Kroenke has called "a blood pressure cuff for depression." The ABC Medical Home program is centered at Eskenazi Health, an academic, urban, public hospital, at 10 community health centers located in Indianapolis, and in the homes of patients who receive medical care at these facilities. "Previously, we were able to reduce depression severity using an expensive and unscalable work force of registered nurses, advanced nurse practitioners, or master degree social workers. This study accomplished similar outcomes with a much more scalable and cost effective work force," said Regenstrief Institute and IU Center for Aging Research investigator Malaz Boustani, MD, MPH, chief innovation and implementation officer of the IU Center for Health Innovation and Implementation Science, and founding director of the Sandra Eskenazi Center for Brain Care Innovation. "Such a cost-effective work force can facilitate the dissemination and implementation of the ABC Medical Home care by healthcare systems and physician practices nationwide to meet the needs of the nation's growing population of older adults." Co-authors of the new study in addition to Dr. LaMantia and Dr. Boustani are Debra Litzelman, MA, M.D., of the Regenstrief Institute and IU School of Medicine; Sujuan Gao, Ph.D., Mary Guerriero Austrom, Ph.D., and Ann Cottingham, M.A., M.A.R., of the IU School of Medicine; Anthony J. Perkins, M.S., of the IU Center for Health Innovation and Implementation Science and the Indiana Clinical and Translation Sciences Institute; Cathy Alder, J.D., MSW, of Eskenazi Health; and Dustin D. French, Ph.D., of Feinberg School of Medicine, Northwestern University and Veterans Affairs Health Services Research and Development Service. This work was supported by grant 1C1CMS331000-01-00 from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. The contents of the published study are solely the responsibility of the authors and do not necessarily represent the official views of the U.S. Department of Health and Human Services or any of its agencies.


(PRLEAP.COM) March 1, 2017 - Louisville, KY - Louisville orthopedic surgeon and sports medicine physician Dr. Stacie Grossfeld of Orthopaedic Specialists PLLC collaborated with U of L medical school residents Drs. Steve Brown and Brent Bohlig to help facilitate their poster submissions to the 2017 American Medical Society for Sports Medicine Annual Meeting. The poster submissions were based on real-life case studies with two of Dr. Grossfeld's patients.This year's Annual Meeting held by the American Medical Society for Sports Medicine is being held in San Diego, CA. The two day session, which runs through the weekend of May 12th, is the 26th annual meeting held by the AMSSM. This year's theme focuses on Medicine in Motion which applies directly to sports medicine – a focal point for both resident doctors and practicing physicians. Dr. Grossfeld , a double board certified orthopedic surgeon and sports medicine physician with a private medical practice in Louisville, Kentucky, enjoyed the opportunity to serve as mentor and advisor to Dr. Bohlig and Dr. Brown during their research and work on the poster submissions accepted at the 2017 AMSSM meetings.Abstracts are carefully selected through a very strict peer review process. The fact that this research was chosen among many qualified submissions underscores the fact that perhaps contrary to popular belief, even in private practice settings there are patients with interesting and unusual pathology that is noteworthy enough to be presented at a national meeting. Describing her involvement, Dr. Grossfeld explains: "I especially enjoyed this unique opportunity to work with medical residents in multiple medical fields."Dr. Brent Bohlig is currently completing his residency through the Department of Physical Medicine and Rehabilitation . He is focusing on working in a family-centered family practice serving families and the elderly. Dr. Bohlig's 2017 abstract submission focuses on proximal leg pain with activity in the avid distance runner.In his submission, Dr. Bohlig found that his 63-year-old patient who is an avid long distance runner started to experience pain during training. After cutting back on her training regimen and seeing no resolve in the sharp pain in her left anterior superior iliac spine, the patient sought medical attention. Dr. Bohlig, after many tests and examinations, determined that the patient had a stress fracture in her iliac crest which is incredibly rare in the field of Sports Medicine. Dr. Stacie Grossfeld and colleague, Dr. Jennifer Thomas, assisted Dr. Bohlig on his case, examinations, and diagnoses.Dr. Steve Brown is currently studying in the Department of Family and Geriatric Medicine at University of Louisville School of Medicine. After completing his residency in Family Medicine, Dr. Brown plans to pursue a fellowship in Sports Medicine. Dr. Brown's abstract submission is titled: "Pushing Through The Pain: Hip Pain in an Older Adult." This submission aligns nicely with his current medical school focus on geriatric study. By incorporating the thought of using exercise and activity to combat pain, his submission also compliments the 2017 AMSSM Annual Meeting's focus on Medicine in Motion.The American Medical Society for Sports Medicine (AMSSM) fosters professional relationships among sports medicine physicians in an effort to further the discipline of sports medicine through education, research, advocacy, and patient care, as per their mission statement.According to the AMSSM Annual Meeting webpage, "The focus of this two-session course is to prepare sports medicine fellowship faculty to successfully implement the AMSSM recommended sports ultrasound curriculum. Each of the body region stations will cover both diagnostic scan checklist and injection setup/target acquisition for the respective body region. Needle tracking skills will be practiced at the phantom stations."Dr. Stacie L. Grossfeld is a graduate of the University Of Louisville School of Medicine. She served her internship and residency at the University of Minnesota, and completed a fellowship in Sports Medicine at the Fowler- Kennedy Sports Medicine Center. Dr. Grossfeld works as an orthopedic surgeon at Orthopaedic Specialists in Louisville, Kentucky. She is also an Assistant Clinical Professor at the University of Louisville.Along with her medical practice, her involvement with the University of Louisville, and her work as a mentor to many aspiring physicians, Dr. Grossfeld also enjoys serving on the Board of Directors for the Louisville Sports Commission and the YMCA at Norton Commons. She frequently serves as an event doctor for area sporting events including the Derby City Cyclocross racing every November, and she's an avid athlete, enjoying regular spin classes, cycling with her family, skiing (both downhill and Nordic) and competing in tennis (at the 4.5 USTA level).Dr. Grossfeld specializes in a variety of common injuries including: shoulder injuries , knee injuries, hip pain, foot and ankle injuries, elbow and wrist injuries, and more. If you or someone you love has an orthopedic or sports-related medical injury, contact Orthopaedic Specialists to schedule an appointment by calling 502-212-2663 . You can also learn more about Dr. Grossfeld online by visiting her practice website: www.louisvillebones.com


News Article | November 28, 2016
Site: www.eurekalert.org

Symposium at the European Union Geriatric Medicine Society Congress 2016 discusses the role of nutrition in cognitive function as we age A new report from the Institute for Scientific Information on Coffee (ISIC), a not-for-profit organisation devoted to the study and disclosure of science related to coffee and health, highlights the potential role of coffee consumption in reducing the risk of cognitive decline. The report concludes that a moderate intake of coffee (3-5 cups per day) may provide protection against age-related cognitive decline and other neurodegenerative diseases such as Alzheimer's and Parkinson's. The report provides a summary of the research presented at ISIC's symposium, titled 'Nutrition, Coffee and Age-Related Cognitive Decline', held during the European Union Geriatric Medicine Society's 2016 Congress in Lisbon, Portugal. The findings are particularly relevant given Europe's ageing population: the number of people aged 60 years or over is projected to rise to 217.2 million by 20301, therefore understanding and communicating diet and lifestyle factors that may limit age-related cognitive decline will help to improve the quality of life for this growing demographic. Professor Rodrigo A. Cunha, Professor at the Faculty of Medicine of the University of Coimbra and Principal Investigator at the Centre for Neuroscience and Cell Biology of the University of Coimbra (CNC), Portugal, commented: "Healthcare professionals have an important part to play in providing patients with accurate research-based information, to help them to follow a healthy diet and lifestyle, and in turn, reduce their risk of age-related cognitive decline. Moderate coffee consumption could play a significant role in reducing cognitive decline which would impact health outcomes and healthcare spending across Europe." In its Scientific Opinion on the safety of caffeine, the European Food Safety Authority (EFSA) concluded that intakes of up to 400mg of caffeine (the equivalent of up to 5 cups of coffee per day), from all sources, do not raise any concerns for healthy adults6. One cup of coffee provides approximately 75-100mg caffeine. To read the report, please click here. 1. The Department of Economic and Social Affairs of the United Nations Secretariat, 'World Population Ageing Report 2015'. Available at: http://www. 2. Liu Q.P. et al. (2016) Habitual coffee consumption and risk of cognitive decline/dementia: A systematic review and meta-analysis of prospective cohort studies. Nutr, 32(6):628-36. 3. Cao C. et al. (2012) High blood caffeine levels in MCI linked to lack of progression to dementia. J Alzheimers Dis, 30(3):559-72. 4. Van Gelder B.M. et al. (2007) Coffee consumption is inversely associated with cognitive decline in elderly European men: the FINE Study. Eur J Clin Nutr, 61(2):226-32. 5. Khan K.A. et al. (2013) Impact of caffeic acid on aluminium chloride-induced dementia in rats. Journal of Pharmacy and Pharmacology, 65(12):1745-1752. 6. EFSA (2015) Scientific Opinion on the Safety of Caffeine. EFSA Journal, 13(5):4102. The Institute for Scientific Information on Coffee (ISIC) is a not-for-profit organization, established in 1990 and devoted to the study and disclosure of science related to "coffee and health." Since 2003 ISIC also supports a pan-European education programme, working in partnership with national coffee associations in nine countries to convey current scientific knowledge on "coffee and health" to health care professionals. ISIC respects scientific research ethics in all its activities. ISIC's communications are based on sound science and rely on evidence and scientific studies derived from peer-reviewed scientific journals and other publications. ISIC members are six of the major European coffee companies: illycaffè, Jacobs Douwe Egberts, Lavazza, Nestlé, Paulig, and Tchibo. The website http://www. is a science-based resource developed for health care and other professional audiences and provides the latest information and research into coffee, caffeine and health.


News Article | December 9, 2016
Site: www.24-7pressrelease.com

POST FALLS, ID, December 09, 2016-- Dr. Neilly Buckalew has been included in Marquis Who's Who. As in all Marquis Who's Who biographical volumes, individuals profiled are selected on the basis of current reference value. Factors such as position, noteworthy accomplishments, visibility, and prominence in a field are all taken into account during the selection process.Since her graduation from Dartmouth College in 1991, where she earned an AB magna cum laude in Anthropology and Environmental Science, Dr. Buckalew's career has continually reflected her dedication to health and well being, as well as the education of others in living well. She served as the executive director of Kwanitewk NATIVE Resource Network providing environmental education programs to elementary schools and protecting culturally important natural areas for Tribal Governments across the continental U.S from 1991-1996. Recognizing her work with Tribal Governments she received a full scholarship as the First Native American Fellow and Institute for the Study of World Politics completing a Masters in environmental law graduating Magnum Cum Laude in 1996. She continued her environmental health work for Tribal Governments with the firm George Waters Consulting in Washington DC as Senior Executive of Environmental Health and Management from 1997-1998. While living in DC she also volunteered at Dr. Patch Adam's Washington Free Clinic from 1998-2001, providing prenatal education and care for immigrant, indigent, and teen mothers including becoming a certified Doula in 1999 providing these services free as well to mothers in need. Before going on to obtain her Medical Degree and Masters of Science from the University of Pittsburgh School of Medicine graduating Cum Laude in 2010, she evolved her interests and skills in integrative health by first becoming a prenatal yoga instructor, deepening her skills further as a yoga therapist starting her still existing Yoga for Life program, and then additionally trained in Naturopathic, Ayurvedic and Traditional Chinese medicine, practicing as a licensed Naturopath from 2002-2005 at which time she entered medical school. She completed her medical training, from 2011-2015 as a Physical Medicine and Rehabilitation physician at the Mayo Clinic and the University of Pittsburgh School of Medicine. Starting in medical school and throughout her residency she conducted ground breaking research in the neurobiology of chronic pain in older adults as well as the measurable effects of yoga on the brain using mobile electroencephalography as a National Institutes of Health fellow with the National Institute on Aging. Dr. Buckalew is currently the Associate Medical Director of the Rehabilitation Hospital of the Northwest (RHN) in Post Falls, Idaho as well as Program and Research Director at Living Oak Integrated Medicine and Rehabilitation, and Program Director of the Optimal Well-Being Network (OWN). OWN's mission includes providing services and a path to successful reintegration for Veterans and their families healing from trauma including traumatic brain injury through OWN's Healing Heroes program.Throughout her life she has lived out the philosophy that a leader is a community servant and that all beings deserve to live well. She led a team of seniors at her undergraduate alma mater helping to start the still existing Dartmouth Organic Farm. As a medical student she started the Integrative Health Interest group and a scholarly certification program in Integrative Medicine. As a resident she began and continues to volunteer her medical expertise yearly to provide free medical services in Honduras as a part of the Honduras Hope Medical Mission and is currently designing an innovative enterprise, Bee Well, that is aimed at the restoration of the endangered honey bee and as a means for economic enterprise for impoverished Honduran families. In her current leadership role for RHN and OWN, she is implementing the first hospital based yoga therapy intern program for stroke recovery and prevention.Dr. Buckalew has been the recipient of numerous awards throughout her career for both her academic achievements and humanitarianism, starting with the Teacher's and Arts Scholarship at Dartmouth College, and during her tenure at Kwanitewk she received a Merit Award from the Lindbergh Foundation for her work with the Zuni Tribe restoring traditional agricultural. She was awarded the Dean's Merit full scholarship in medical school, National Institute of Health fellowships for pre-doctoral and post doctoral research, received the DCM Award for Academic Excellence in Geriatric Medicine, nominated to Alpha Omega Alpha as well and awarded one of the highest honors for a physician, the Gold Humanism Honor Society, and the James Cheehan-Laird Cheke Memorial Prize for understanding the true healing power of a patient. For her overall career achievements she has been listed in the 66th and 70th editions of Who's Who in America, recognized in the 2000 Notable Women, is a 2009 International Peace Prize recipient, has been included in the 2013 Leading Physicians of the World and is a decorated member of the International Order of Merit.About Marquis Who's Who :Since 1899, when A. N. Marquis printed the First Edition of Who's Who in America , Marquis Who's Who has chronicled the lives of the most accomplished individuals and innovators from every significant field of endeavor, including politics, business, medicine, law, education, art, religion and entertainment. Today, Who's Who in America remains an essential biographical source for thousands of researchers, journalists, librarians and executive search firms around the world. Marquis now publishes many Who's Who titles, including Who's Who in America , Who's Who in the World , Who's Who in American Law , Who's Who in Medicine and Healthcare , Who's Who in Science and Engineering , and Who's Who in Asia . Marquis publications may be visited at the official Marquis Who's Who website at www.marquiswhoswho.com


News Article | February 22, 2017
Site: www.prweb.com

In a 2012 survey, over a quarter (28%) of American adults with chronic conditions reported skipping doses or not filling a prescription because they could not afford to pay for it. Among those who were uninsured or under-insured, rates of cost-related problems getting medications were 30-60%*. At the same time, hospitals, pharmacies, manufacturers and nursing homes dispose of unused medications worth billions of dollars every year, much of which is dumped or burned and ends up in the water we drink and the air we breathe. “The costs of prescription medications have reached crisis levels,” says Elizabeth Landsverk, MD, founder of ElderConsult Geriatric Medicine. “Many people cut back on basics like food and utilities to pay for their prescriptions and many suffer serious declines in their health, increased hospitalizations, and even premature death by taking less medication than directed.” Now, innovative programs are saving lives by bridging the gap between unused pharmaceutical supplies and those in need. State legislatures began taking action on pharmaceutical donation and reuse programs in 1997. These programs create repositories that provide for unused prescription drugs to be donated and re-dispensed to patients. As of mid-2016, 38 states have enacted donation and reuse laws although not all these states have functioning programs. California enacted initial legislation in 2005 and significantly expanded its donation and redistribution law in 2012. In California, as in most states, redistribution does not include controlled substances and donations cannot be made by individual consumers, only by institutions such as hospitals and licensed, skilled nursing facilities. In 2015, the Santa Clara County Public Health Department opened the Better Health Pharmacy in downtown San Jose, the first dedicated drug donation pharmacy in Northern California. “The goal of the Better Health Pharmacy is to improve health by increasing medication access for all and serve patients who cannot afford their medications,” says Dr. Landsverk. “It provides medication without charge to the patient. There is no copay for insured patients and no need to have insurance. All that is needed is a valid prescription from a licensed U.S. physician and an ID. No proof of citizenship, residency, or income is required.” The pharmacy receives unused, unopened, and unexpired medications from licensed healthcare facilities. The drugs most commonly distributed are for asthma, high blood pressure, diabetes and depression. Because of the unpredictable nature of donations and demand, inventory is constantly changing and specific medications may not always be available. Commonly stocked drugs are listed on the pharmacy's web site and patients are advised to phone in advance for an inventory check. “Patients who take less medication than directed are not only risking their health and perhaps even their lives,” says Dr. Landsverk, “they also drive up costs by having more visits to the emergency room and stays in the hospital. This service is not only vitally beneficial for patients but it helps control healthcare costs and prevents the environmental pollution caused by disposing of millions of pills.” Elizabeth Landsverk, MD, is founder of ElderConsult Geriatric Medicine, a house-calls practice in the San Francisco Bay Area that addresses the challenging medical and behavioral issues often facing older patients and their families. Dr. Landsverk is board-certified in internal medicine, geriatric medicine and palliative care and is an adjunct clinical professor at Stanford University Medical School. http://www.elderconsult.com


News Article | November 10, 2016
Site: www.prweb.com

Someone in the United States develops dementia every 66 seconds (1). Alzheimer's disease, which currently afflicts 5.4 million Americans (1), is devastating for those who have the disease and also imposes a crushing emotional and financial burden on their families. With the aging of the population and projections that by 2050 as many as 16 million people will have the disease, Alzheimer's has become the healthcare challenge of our time. “While researchers work to find ways to prevent or slow the progression of the disease, we are also improving our understanding of how to live with Alzheimer's,” says Elizabeth Landsverk, MD, founder of ElderConsult Geriatric Medicine. “By actively managing the disease, we can improve the quality of life for both patients and caregivers. One of the most interesting and innovative programs is one that gives patients and their care partners the opportunity to experience non-riding activities with horses. A recent study, has confirmed that the powerful horse-human connection helps reduce stress, improve confidence, and enhance overall well-being for those affected by early-stage dementia.” According to Dr. Landsverk there have been many attempts to use non-pharmacological approaches to improve well-being in elders and their caregivers. Music has been shown to have a powerful effect. Other interventions have included aroma therapy, tai chi, and socially engaging activities. It has long been known that animals have a great deal to offer and that they have the instinctive ability to help us heal. Horses in particular are herd animals and have relied for centuries on their ability to sense what others around them feel and to utilize the interdependence of the herd to thrive. “Horses' behaviors often reflect the emotions of people they interact with,” says Dr. Landsverk. “Their nonjudgmental, unconditional interactions have been found to be therapeutic for many populations. For people suffering the stress and anxiety of dementia, the connection to horses can lead to deeper contentment and the joy of connection outside the boundaries of “dementia patient” or “caregiver”.” The Connected Horse Project (http://www.connectedhorse.com),the brain child of Nancy Shier Anzelmo, gerontologist, and Paula Hertel, elder care consultant, offers equine-guided workshops that support people affected by early-stage dementia. Trained facilitators lead participants through a variety of activities including observing horses in pastures or stalls, over-the-fence introduction to horses, grooming, leading, and group exercises on how horses teach us to gain awareness, relax and self-regulate our responses. The Equine Guided Support Study was a pilot project undertaken in 2015 as a collaborative effort by the Connected Horse Project, the Stanford Red Barn Leadership Program, and the Stanford School of Medicine. The study recruited and screened patient-caregiver pairs who participated in three-day equine-guided workshops and were tested before and after the workshops for stress, burden, mood/depression, behaviors and social support. The goal was to assess the effectiveness of the human-horse interactions on stress reduction and quality of life indicators. Dr. Landsverk served as medical advisor for the research study. “Having worked with elders, many with dementia, for more than twenty years,” she says, “I was amazed at how powerful the connection with horses proved to be. All the participants showed an improved mood and affect after interacting with the horses and sharing the day outside the confines of their disease role. For both patients and caregivers, the labels, stigma, and distress of their roles were removed and they were able to enjoy a novel, pleasant, experience that touched their deepest emotions.” The results of the study were presented at the Alzheimer's Association International Conference, the world's largest forum for the dementia research community, in Toronto in July 2016. “With the dramatic growth of the elder population and the associated growth in the number of people with dementia, we must go beyond medicine to find ways to enhance the quality of life for patients and caregivers,” Dr. Landsverk concludes. “Experiencing the nonverbal responses and behaviors of horses, in social groups not confined by the role of the disease helps people achieve clarity, strength, and healing.” 1. Alzheimer's Association – 2016 Facts and Figures, http://www.alz.org/facts/overview.asp Elizabeth Landsverk, MD, is founder of ElderConsult Geriatric Medicine, a house-calls practice in the San Francisco Bay Area that addresses the challenging medical and behavioral issues often facing older patients and their families. Dr. Landsverk is board-certified in internal medicine, geriatric medicine and palliative care and is an adjunct clinical professor at Stanford University Medical School. http://www.elderconsult.com


News Article | February 15, 2017
Site: www.prweb.com

Someone in the United States develops dementia every 66 seconds 1. The diagnosis is devastating for those who have the disease and also imposes a crushing burden on their families. The decision on the best way to care for a loved one with dementia is dependent on many factors, particularly the stage of the illness and of course the family's ability to provide the necessary care. “Sometimes becoming a caregiver occurs without a conscious decision,” says Elizabeth Landsverk, MD, founder of ElderConsult Geriatric Medicine. “In the early stages of dementia, living at home and even living independently are not only possible but desirable in maintaining the patient's sense of self and family members – usually a spouse and/or children – are able to provide the necessary care with minimal disruption to their lives. But the cognitive decline associated with Alzheimer's and other forms of dementia is virtually always progressive and family members have to come to terms with how their roles and relationships will change over time.” In the first stages of care giving, the primary requirement is for basic information: What are the current needs for feeding and hygiene? Medication? Legal and financial matters? What is the best way to communicate? To deal with behavioral issues? How will the disease progress? The patient's primary care physician can provide a great deal of information and can steer the family toward community resources for help with things like transportation, home-delivered meals, and local daycare programs. “When routines have been established for everyday care, attention must be focused on how to ensure the best possible quality of life for the patient, the family, and especially for the primary caregiver,” says Dr. Landsverk. “Here are some tips that will help the patient and prevent care giving responsibilities from becoming overwhelming.” “Providing care for someone with dementia takes a tremendous toll on the physical and emotional health of the primary caregiver,” says Dr. Landsverk. “Caregivers must take care of themselves as well as caring for their loved one. And with the dramatic growth of the elder population and the associated growth in the number of people with dementia, we must go beyond medicine to find ways to enhance the quality of life for patients and caregivers.” Elizabeth Landsverk, MD, is founder of ElderConsult Geriatric Medicine, a house-calls practice in the San Francisco Bay Area that addresses the challenging medical and behavioral issues often facing older patients and their families. Dr. Landsverk is board-certified in internal medicine, geriatric medicine and palliative care and is an adjunct clinical professor at Stanford University Medical School. http://www.elderconsult.com


News Article | February 15, 2017
Site: www.prweb.com

February 2017 – Older adults are more likely to experience pain than the general population but they may be less likely to be treated for it. The most common reason that pain in elders is under treated is that it is under reported. According to Elizabeth Landsverk, MD, founder of ElderConsult Geriatric Medicine, many elders consider pain a natural consequence of aging – something they just have to live with – and don't report it to their doctors. “Untreated chronic pain puts a great deal of stress on the body and on the individual's emotional health as well,” she says. “It can lead to depression, anxiety, reduced mobility and strength, and loss of appetite and sleep.” Chronic pain in elders can be caused by a wide range of factors. It is most frequently associated with musculoskeletal disorders such as arthritis and degenerative spine disorders but may also be linked to conditions such as cancer, shingles, circulatory problems, and fibromyalgia, or may result from damage to nerves or the central nervous system. “The first step for an elder suffering persistent pain is to have a doctor determine the source of the pain,” says Dr. Landsverk. “It is important to see a doctor who is familiar with pain assessment and treatment in elders, since the approach to pain management is different in older people than in the general population.” For less intense pain, Dr. Landsverk first recommends non-pharmacological steps like ice packs, physical therapy, and exercise. When pain relievers are called for, she recommends the progressive guidelines recommended by the American Geriatric Society. “Pain can be effectively managed in elders and pain relievers are safe for these patients,” she says, “but they must be prescribed cautiously, since older people metabolize medication differently, are more prone to side effects, and may suffer complications from interaction with other medications.” For these reasons, doctors often start their older patients on the lowest possible dose of a pain reliever and increase the dosage only as necessary. The American Geriatric Society classifies pain relievers in four groups: non-opioids, including acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs); opioid analgesics; adjuvant drugs; and other medications. “There are many treatment options for older adults suffering from chronic pain,” Dr. Lansverk concludes. “And there are lifestyle factors that can also mitigate its effects. The most important is to stay active – mentally and physically – to the maximum extent possible. It may seem contradictory but studies have shown that activity shifts the patient's focus away from the pain and makes it more bearable. Another important factor is communication between patient and family, caregivers and the medical team. Keeping relationships open and talking honestly about pain helps avoid misunderstandings and prevents the patient from feeling isolated and alone in dealing with the challenge of chronic pain.” Elizabeth Landsverk, MD, is founder of ElderConsult Geriatric Medicine, a house-calls practice in the San Francisco Bay Area that addresses the challenging medical and behavioral issues often facing older patients and their families. Dr. Landsverk is board-certified in internal medicine, geriatric medicine and palliative care and is an adjunct clinical professor at Stanford University Medical School. http://www.elderconsult.com

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