Aging Gracefully: Reducing the Risks of Polypharmacy

April is National Parkinsons Awareness Montha time to elevate understanding around a condition that affects nearly one million Americans and countless families. Parkinsons disease is a progressive neurological disorder that impacts movement, coordination, and mood, often creating daily challenges for both those diagnosed and their care partners. At Premier Care Management of Florida, we meet those challenges head-on with a specialized service model known as the Parkinsons Disease Coach Approach.Introducing the Parkinsons Disease Coach Approach Our Parkinsons Disease Coach Approach is a personalized, client-centered model designed to empower individuals and families living with Parkinsons. Delivered by Certified Premier Care Managers, this program provides expert coaching, care coordination, and proactive planning to reduce crisis events and improve quality of lifeespecially during times of transition, like hospitalization, rehab stays, or returning home.A Holistic and Compassionate Support System What sets our approach apart is its focus on the whole person. We begin with a comprehensive Parkinsons assessment that includes motor and non-motor symptom evaluation, medication review, cognitive screening, and functional analysis. We then conduct a full home safety assessment, identifying fall risks, recommending adaptive equipment, and improving medication routines. Everything is tailored to each clients unique needs, values, and goals.Advocacy When It Matters Most Parkinsons medications must be taken on a precise schedule to remain effective, especially during hospitalization. Our care managers advocate directly with hospital staff to ensure proper medication timing and prevent the use of contraindicated drugs. We also coordinate smooth discharge plans, ensuring continuity of care whether clients are transitioning to rehab, returning home, or considering long-term care options.Emotional Support and Family Coaching Living with Parkinsons can bring changes in mood, behavior, and family dynamics. Thats why our program also includes emotional support for both clients and caregivers, coaching calls to guide decision-making, and education around topics like freezing episodes, fall prevention, and disease progression. Families gain clarity, confidence, and peace of mind knowing theyre not facing this alone.Connected, Collaborative, and Client-Driven We work closely with neurologists, primary care providers, therapists, and other specialists to make sure everyone involved in your care is on the same page. From managing appointments and insurance details to connecting families with trusted local resources, our team ensures that nothing slips through the cracks.Who Benefits from This Program? Our Parkinsons Disease Coach Approach is ideal for individuals newly diagnosed with Parkinsons, those transitioning between care settings, families overwhelmed by coordination responsibilities, or clients facing cognitive or behavioral changes in later stages of the disease. Its also a lifeline for individuals who dont have a local advocate during hospital stays or complex medical decisions. At Premier Care Management of Florida, we are honored to walk alongside Sarasotas seniors and families impacted by Parkinsons. With expert advocacy, education, and support, our Coach Approach helps clients preserve their independence and live with confidence at every stage.To learn more or schedule a free consultation, contact us today. Were here to be your partner in this journey. Serving Sarasota, Bradenton, Venice, and surrounding communities 941-400-2387  www.PremierCMFL.com

It is a sad commentary on our current cultural worldview that sunlight is widely perceived to be harmful, a cancer-causing threat. But what does the research actually say? And does this research affect older adults differently than other people?Spectrum: For starters, we should understand that sunlight is a complex combination of photons, with different wavelengths and properties. The sun is the original full-spectrum illumination, while both incandescent and LED lights emit, as one might expect, mostly visible-spectrum light.Intensity: The other important variable is the intensity of light, measured in LUX units (a foot away from one candle): direct sun comes in at 100,000; a cloudy day at 1,000; a kitchen or office measures 500; and a living room only 50. Thats why you need to get outside.UV: At one extreme is ultraviolet light (UV), whose wavelength is slightly shorter than visible violet. With regard to our health, UV is a mixed bag.It does cause sunburns, damages DNA, and triggers the aging of skin. It is also statistically associated with malignant melanoma, although, curiously, not with increased deaths from melanoma (because these cancers are mostly treatable).On the other hand, there are numerous health benefits: UV lowers the risk of hypertension, diabetes, atherosclerosis (hardening of the arteries), blood inflammation, and COVID infections. UV also stimulates Vitamin D synthesis in the skin. A large-scale study of 500,000 Brits, with a 12-year follow-up, found that frequent UV exposure lowered all-cause mortality by 14%, with cardiovascular deaths down 21% and total cancer mortality decreased by 13%. It gives one pause to reconsider the vast sums spent on sunscreen lotions. Just wearing light summer clothing blocks 80% of UV.IR: UV radiation represents only about 3% of the sunlight that strikes the surface of the earth, while about 50% is infrared (IR), whose lightwaves are just beyond (longer) than visible reds. IR radiation is more predominant at the beginning and end of days, while UV is strongest when the sun is overhead. A thick cloud cover reduces IR significantly more than UV. In a recent superb Huberman Lab podcast, Dr. Roger Seheult touted the many benefits of IR radiation. Most severe and chronic diseases also involve mitochondrial dysfunction (mitochondria are the small organelles within a cell that produce the energy-generating chemical ATP). One aspect of aging is that we lose 70% of our mitochondrial functioning after age 40. Unlike UV, IR radiation passes through light clothing and the surface of the skin to penetrate deep into body tissues, where it significantly stimulates mitochondrial ATP synthesis.Effects: The effects of improved mitochondrial functioning are pervasive, correlated empirically with sun exposure. Dr. Seheult cited statistics demonstrating that the greatest number of all-cause mortality comes soon after the shortest day of the year, and the lowest number of deaths occurs close to the longest days.People who live far north or south of the equator where days are particularly short in winter have higher overall mortality rates, particularly in mid-winter. In a study of almost 30,000 Swedish women, avoidance of sun exposure carried the same risk of premature death, as did smoking.There is well-replicated rigorous research that moderate IR exposure lowers the risk of cancer, heart disease, diabetes, hypertension, and it reduces blood lipids and chronic inflammation. IR increases immune system response to infections, such as influenza, COVID and pre-cancerous cells.On a sunny day, just 15 minutes outside can make a big difference. If youre in a green space with lots of grasses, leaves, bushes, and trees, you can receive two to three times the IR dose because plants reflect much of the IR that strikes them (notice that most leaves dont get hot in the sun because of these reflective properties).Red Light Therapy: There are many red-light therapy devices now available if you are considering them, be sure to carefully research IR wavelengths, dosage, safety, and therapeutic benefit. One study, utilizing an IR desk unit shining only on face, neck, and hands, proved to be quite therapeutic.Forest Bathing? Dr. Seheult delighted in reminding us of the wisdom of the ancient beliefs that sunlight and fresh air promote convalescence. Forest bathing has become a thing the air around trees is infused with phytoncides that defend plants from bacteria, fungi, and insects. When inhaled by humans, they up- regulate immune functioning and lower stress levels, and reduce stress hormones. The beauty and serenity of such an environment further enhances these benefits, some of which are detectable by lab tests a month later. Furthermore, getting up with the sun (and out from behind the filtering effects of plate glass windows) helps to set your circadian rhythm, which can improve sleep patterns. Take home message: forests, parks and even golf courses soothe the soul, and the body. And early morning and late afternoon may be particularly beneficial.Sweat Benefits: Dr. Seheult is a pulmonologist who treats many respiratory infections he also reminded us about how previous generations treated patients with hot baths and hot packs, as if to sweat out infections. Its been recently discovered that body temperatures a little over 100 degrees Fahrenheit actually accelerate the production of interferon, a powerful anti-viral protein. Maybe weve been a little too quick to reduce our fevers with aspirin, Tylenol, and Advil. And maybe the saunas so favored by Scandinavians and Russians are more therapeutic than weve realized.Conclusion: As spring has sprung, we encourage everyone to get away from your screens, go outside and enjoy the benefits of the sunshine that so amply surrounds us. Residents at Kavod Senior Life have a myriad of ways to get outside, whether it be on the sunlit patio areas, in the resident gardens, on the nearby walking paths in Cherry Creek or on the many benches and sitting areas surrounding the campus. Come for a visit and see for yourself!Ben and Scott  https://theagingwiselyproject.com/

As men and women alike grow older, health screenings become important for seniors to have. Some of these tests are well known but some may not be. This is a compiled list of screenings as well as immunizations that seniors need.The month of October welcomes the seasonal changes of fall, Halloween and most importantly, Breast Cancer Awareness month. States across the nation host breast cancer walks and other fundraisers that not only serve to increase awareness but also to encourage donations towards the prevention of breast cancer. Thanks to these efforts, breast cancer awareness has increased over the years. Many lives have been saved because women of all ages are learning the importance of receiving regular mammograms to detect the disease early on.As men and women alike grow older, there are other health screenings that become important for seniors to have. Some of these tests are well known but some may not be. This is a compiled list of screenings as well as immunizations that seniors need in order to maintain good health with age based on recommendations from the National Institute of Aging and the U.S. Preventative Services Task Force.Health screenings for both men and women age 50 and older:Blood pressure and cholesterol levels should be tested regularly.Diabetes tests should be administered for those who have high blood pressure.Colorectal cancer screenings are important, especially if cancer runs in the family.Vision tests help detect diseases such as macular degeneration and cataracts.Hearing screenings can be important to determine whether seniors need aids.Depression evaluations are also important as seniors experience important life changes that come with age, such as the loss of a spouse.Vaccinations such as the flu shot can be life saving for older adults. Other vaccinations to discuss with health care providers include pneumonia, tetanus, shingles and whooping cough.Health screenings for senior women according to the Beth Israel Deaconess Medical Center:Mammograms should be ordered for women 50 and older every 1-3 years.Cervical cancer testing should be administered every 3 years in women between the ages of 50-65.Osteoporosis screenings for women 65 and over are important to detect bone strength. If osteoporosis runs in the family, these tests should begin at age 60.Health screenings for senior men:Abdominal aortic aneurism testing should be administered to men between 65-75 years old who smoke. This includes smokers who have quit by this age. This is a one-time test that can be a lifesaver for those who are positively diagnosed with this condition.Regular visits to health care providers is key in determining how often the above screenings should be administered. While most average about once a year, some screenings are required more often and maybe less often depending on individual stages of health.