Struggling with Sleep Apnea?

Posted on

Feb 26, 2018

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Are you or a loved one struggling with a CPAP to treat obstructive sleep apnea?
The sad truth is that many people who have had CPAP therapy prescribed to treat their obstructive sleep apnea are unable or unwilling to wear their CPAP every night for their entire length of sleep. While some patients are very compliant and use their CPAP faithfully every night as prescribed, there is research that suggests that non-tolerance/non-compliance with CPAP is over 80%. Once prescribed, there is usually little follow-up for these patients and like Supreme Court Justice Scalia, many will die in their sleep with their unused CPAP on the night stand or in the bedroom closet.
Oral appliance therapy (OAT) is becoming the primary treatment for mild and moderate obstructive sleep apnea when patient preference is taken into consideration. When effectiveness is coupled with actual compliance, the true effectiveness of oral appliances meets or exceeds the effectiveness of CPAP therapy.

There are over 100 FDA-approved custom made oral appliances for obstructive sleep apnea and both Medicare and standard medical insurance plans cover oral appliance therapy performed by a qualified sleep dentist.

Oral appliances need to be both custom-made and adjustable by the treating dentist over a series of visits with a home sleep test administered after 3-4 months treatment to validate effectiveness.

It is important to make sure the dentist is qualified to treat obstructive sleep apnea in that they have one of the following designations:

Sleep-Qualified Dentist of the American Academy of Dental Sleep Medicine
Fellow or Diplomate of the Academy of Clinical Sleep Disorders Disciplines

OSA (Obstructive Sleep Apnea) is found in over 92% of stroke patients and may be a primary cause of A-fib. Treating your obstructive sleep apnea can play an important role in the prevention of cardiac deaths and strokes.

If you or a loved one has been diagnosed with A-fib, stroke, recent onset high blood pressure or congestive heart failure and have not yet had a sleep study, it is important to request your physician order one right away.

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Editors Note: This article was contributed by Terry M. Gordon, DDS Dental Director of PA Center for Dental Sleep Medicine and Sleep-Qualified Dentist of the American Academy of Dental Sleep Medicine, Pennsylvania Center for Dental Sleep Medicine.

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Why Having a Healthcare Advocate Can Make a Difference in Your Medical Journey.  Navigating the healthcare system can sometimes feel overwhelming, especially when dealing with a new diagnosis, managing a chronic condition, or making important decisions about medical treatment. Between scheduling appointments, understanding medical terminology, communicating with multiple healthcare providers, and keeping track of treatment plans, patients and their families can quickly become frustrated or confused. This is where a healthcare advocate can make a meaningful difference. A healthcare advocate serves as a knowledgeable support person who helps patients navigate the healthcare system, understand their medical options, communicate with healthcare professionals, and make informed decisions about their care. Whether someone is facing a serious diagnosis, preparing for surgery, managing a long-term illness, or simply trying to understand their treatment options, having an advocate can provide valuable guidance and reassurance throughout the medical journey. What Is a Healthcare Advocate? A healthcare advocate is someone who helps patients understand and navigate the often-complicated healthcare system. Their role is to support patients by helping them access information, communicate with medical professionals, coordinate care, and better understand their healthcare choices. Healthcare advocates may assist with a variety of needs, including: Helping patients understand medical diagnoses and treatment recommendations. Preparing questions for upcoming doctor appointments. Helping patients communicate concerns and symptoms to healthcare providers. Coordinating appointments with multiple specialists. Reviewing treatment options and helping patients understand the information provided by their medical team. Helping patients obtain and organize medical records. Supporting patients who are considering a second medical opinion. Helping families understand available healthcare resources and services. A healthcare advocate does not replace a physician or make medical decisions for the patient. Instead, they help patients become more informed, confident, and involved in their own healthcare decisions. Understanding Your Diagnosis and Treatment Options Receiving a medical diagnosis can be an emotional and confusing experience. Patients may leave a doctor's appointment with more questions than answers, especially when they are unfamiliar with medical terminology or are trying to process unexpected news. A healthcare advocate can help patients better understand the information they receive from their healthcare providers. For example, after receiving a diagnosis of cancer, heart disease, diabetes, or another serious medical condition, a patient may need to understand several aspects of their care, including treatment options, potential side effects, follow-up appointments, and lifestyle changes. An advocate can help organize this information, identify questions that need clarification, and encourage patients to discuss their concerns directly with their physicians. Having someone help explain complicated healthcare information can make it easier for patients and families to understand their situation and feel more prepared for the decisions ahead. Improving Communication Between Patients and Doctors Good communication between patients and healthcare providers is essential for effective healthcare. However, patients sometimes feel intimidated, rushed, or unsure about how to express their concerns during medical appointments. 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When patients have multiple medical providers, having someone help organize their healthcare information can make the process less stressful and help reduce the likelihood of important details being overlooked. Helping Patients Make Informed Healthcare Decisions Medical decisions can have a significant impact on a person's health, independence, finances, and quality of life. Patients may be asked to consider medications, surgical procedures, treatment plans, rehabilitation services, or other medical interventions. Making these decisions can be difficult, particularly when patients are facing unfamiliar medical conditions or complicated treatment choices. A healthcare advocate helps patients understand the information available so they can have more productive conversations with their medical providers. An advocate may help patients: Understand the purpose of recommended treatments. Prepare questions about potential risks and benefits. Discuss alternative treatment approaches with their physicians. Understand what to expect during recovery. Explore whether a second medical opinion may be appropriate. Consider how different treatment options may affect daily life and personal goals. The goal is not to tell patients which treatment to choose. Instead, it is to make sure they have the information and support needed to participate in decisions about their healthcare. Ultimately, medical decisions should reflect the patient's needs, values, preferences, and conversations with qualified healthcare professionals. The Importance of a Second Medical Opinion When facing a serious or complicated diagnosis, patients may benefit from seeking a second medical opinion. Getting another professional perspective can help confirm a diagnosis, provide additional information about treatment options, or identify alternative approaches. However, knowing when and how to seek another opinion can be confusing. A healthcare advocate can help patients understand the process and prepare for a second opinion appointment. This may involve organizing medical records, collecting test results, identifying specialists, and preparing questions about the diagnosis and recommended treatment. Having additional information can help patients feel more confident about the decisions they make and better understand the options available to them. Seeking a second opinion does not mean a patient distrusts their current physician. It is simply another way to become informed and make thoughtful decisions about their health. Providing Support for Family Members and Caregivers A serious medical condition affects more than just the individual receiving care. Family members and caregivers often become involved in managing appointments, understanding treatment recommendations, communicating with physicians, and providing emotional support. 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Even patients who are generally comfortable managing their healthcare may benefit from having an advocate during particularly complicated or stressful medical situations. How to Choose the Right Healthcare Advocate Choosing a healthcare advocate is an important decision. You want someone who understands the healthcare system, communicates effectively, respects your preferences, and has your best interests in mind. When considering an advocate, look for someone who: Has experience navigating healthcare systems and working with patients. Communicates clearly and listens carefully to your concerns. Understands the importance of patient choice and confidentiality. Can help organize medical information and coordinate care. Is willing to explain complicated information in an understandable way. Respects your relationship with your physicians and other healthcare providers. Provides personalized guidance based on your individual needs. 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Most importantly, having an advocate can help patients become more confident participants in their own healthcare journey. You do not have to navigate complicated medical situations alone. With the right support, you can ask better questions, understand your choices, and work more effectively with your healthcare team. If you or someone you love is feeling overwhelmed by the healthcare system, consider reaching out to Vital Voice Healthcare Navigation. Having a knowledgeable advocate by your side can make a meaningful difference in understanding your care and moving forward with greater confidence.

How to Organize After the Holidays

Hey there! Do you already have your holiday decorations put away, or will your Christmas tree be up until February? To be honest, I can be either person, depending on the year. This year, Ive been a little slow to pack up my garlands and lights, but thats ok. Organization doesnt mean being perfect all the time.The holiday season can bring fun and joy, but it can also bring chaos to the systems in your home. Theres a proliferation of stuff -- cards, packages, gifts of all kinds, decorations, wrapping paper, social engagements, emotions. After all the partying is over, we can be left with a feeling of overwhelm. As a professional organizer, here are my tips for how to handle all of the stuff that came into your house over the holidays and bring (a little more) peace to your home and heart:  Decide what to keepThis is really the first (and most critical) thing to do as soon as youre ready to move on from the holidays. Take a look at everything that came into your house during the season and keep only what you truly want to have. I dont recommend keeping anything you dont love, need, or want, even if it was a gift (more on that below). If you shove that ugly sweater in a closet, forget about it, and discover it two years later, youll still have to make the same decisions about what to do with it. Decide what to do as soon as you can.  Find a home for everything youre keeping (and put it there right away). If you are keeping a newer/different version of something you already own (for example, you got a nicer coffee maker for Christmas), consider donating or discarding your old item. In other words, follow the one-in, one-out rule if its appropriate.Let go of unwanted gifts   Something I hear all of the time from clients is I dont really like this, but it was a gift and I feel guilty about giving it away.I know that gifts can be tricky. I think honoring the intention of the gift given to us is actually more important than holding onto the actual physical object. Usually, someone gives you a gift to show you that they care about you or because they hope youll enjoy it, not because they expect you to become the permanent caretaker of that object. (And if someone gives you a gift receipt, they dont mind if you return it dont feel guilty!)So how do I handle gifts I dont love? I go out of my way to thank the giver in a way thats sincere. I dont tell someone I loved a particular gift if I didnt, but I do thank them for thinking of me and for their generosity. If I dont want or cant use a gift, I pass it on to someone who can enjoy it more than me. That may mean donating it to a charity, giving it away through my local Buy Nothing group, or regifting to someone who I know would appreciate it.  Sort the trash and recyclingYou probably ended up with lots of boxes after Black Friday. Go through any extra packaging and recycle, throw away, or give away what you cant use immediately. My clients often have a ton of empty boxes they are saving for someday, but those boxes can take up a lot of space (and its likely that more will come into your home soon). Getting them out is one of the easiest ways you can make your home feel less cluttered immediately. If you have boxes in good condition, you can post them on your local Buy Nothing or neighborhood social media group for someone who is moving. Take another look at your holiday cardsBefore you shove them into a box, look at each card individually. Is this specific card something that will be meaningful to you in a year? 10 years? If its not, appreciate the person who sent it to you and recycle the card. If it truly is a keepsake, save it in an album or memory box.  Evaluate your holiday decorMany of my clients struggle with accumulating and storing holiday decor. I recommend thinking about any decor you didnt put out this year will you put it out next year, or are you over it? Do you have more than you can use? Set aside anything you no longer love or want to donate next fall before the holidays (generally, thrift shops do not have space to store out-of-season items for long periods of time). And make sure to carefully store the items you do love and so you can enjoy them next year 

How to Choose the Right Senior Living Option for Your Changing Needs

Choosing a senior living community is an important decision. For some older adults, the move may be driven by a desire for a more active social lifestyle, while others may be looking for additional support with everyday tasks or healthcare needs.The right senior living option today may not necessarily be the right option several years from now. As we age, our health, mobility, interests, and care needs can change. Planning for those changes can make the transition easier and help seniors maintain a fulfilling lifestyle.Understanding the different types of senior living and thinking about both current and future needs can help seniors and their families make a confident decision.Start by Assessing Your Current NeedsBefore visiting senior living communities, take some time to consider what kind of support is needed right now.Ask questions such as: Is the senior comfortable managing a home independently? Are household chores becoming difficult? Is transportation becoming a concern? Can the senior safely prepare meals? Is assistance needed with bathing, dressing, or medications? Are there concerns about falls or mobility? Would more opportunities for social interaction be beneficial? Are there memory or cognitive concerns? Being honest about current challenges can help narrow down the most appropriate options.Consider Independence and LifestyleNot every senior who moves into a retirement community needs daily assistance. Some older adults choose community living because they want fewer household responsibilities, more social opportunities, or convenient access to activities and amenities.Independent or residential living may be a good choice for seniors who can manage most daily activities on their own but would enjoy: Maintenance-free living Dining options Fitness and wellness activities Social events Clubs and interest groups Educational programs Outdoor spaces Opportunities to meet new friends The goal is to find a lifestyle that supports independence while providing opportunities to remain active and engaged.Understand Personal Care and Assisted LivingAs everyday tasks become more difficult, a senior may benefit from personal care or assisted living.These settings can provide assistance with activities of daily living while still encouraging residents to remain as independent as possible.Depending on the community, support may include assistance with: Bathing and grooming Dressing Personal hygiene Medication management Mobility Meals Other everyday activities Personal care may be appropriate when a senior needs more support than independent living can provide but does not require the intensive medical care offered in a healthcare setting.Know When Memory Care May Be AppropriateFor seniors living with Alzheimer's disease or another form of dementia, specialized memory care may be an important consideration.Memory care communities are designed around the unique needs of individuals experiencing cognitive changes. They may offer structured routines, specialized activities, secure environments, and staff trained to support people living with dementia.Signs that a senior may need more specialized memory support can include: Increasing confusion Getting lost or wandering Difficulty managing medications Problems with everyday tasks Significant changes in behavior Increased safety concerns Difficulty living independently Families should discuss concerns with appropriate healthcare professionals when determining what level of support is needed.Rehabilitation May Be Part of the JourneySenior living needs can change temporarily as well as permanently.An illness, surgery, injury, or hospital stay may leave an older adult needing rehabilitation before returning home or resuming their previous routine.Rehabilitation may include physical, occupational, or speech therapy depending on the individual's needs.When evaluating a senior living community, families may want to ask whether rehabilitation services are available and how the community supports residents following an illness or injury.Think About Future Healthcare NeedsOne of the most important questions to ask is not simply, "What do I need today?" but also, "What might I need in the future?"A senior may currently live independently but eventually need personal care, memory support, rehabilitation, or skilled healthcare.A community that offers multiple levels of care can provide greater flexibility if needs change. Instead of having to search for a completely new community during a stressful time, residents may have access to additional services within the same organization or campus.This type of planning can be particularly valuable for couples whose care needs may develop at different rates.Look at the Community's Approach to IndependenceThe amount of support provided is important, but so is the way that support is provided.A good senior living community should recognize that residents are individuals with their own preferences, routines, interests, and goals.Ask how the community encourages residents to remain independent. Find out whether residents have choices about meals, activities, schedules, and social opportunities.The goal should be to provide assistance where it is needed without taking away opportunities for independence.Consider Social and Emotional Well-BeingSenior living is about much more than housing and healthcare. Social and emotional well-being are important parts of quality of life.Look for a community that offers opportunities for residents to build relationships and remain involved.Activities may include: Exercise and fitness programs Arts and crafts Music Educational classes Games Group outings Volunteer opportunities Clubs Social gatherings Community events During a visit, pay attention to whether residents appear engaged and whether the atmosphere feels welcoming.Evaluate Dining and NutritionGood nutrition becomes increasingly important as we age. However, shopping for groceries, preparing meals, and cleaning up can become challenging for some seniors.When touring a community, ask about dining options and how meals are handled.Consider: Variety of menu choices Nutritional options Special dietary needs Dining schedules Private or communal dining Snacks and beverages Flexibility for individual preferences Mealtimes can also provide valuable opportunities for social connection.Think About LocationLocation is another important consideration. A community that is close to family and friends may make it easier for loved ones to visit regularly.Consider proximity to: Family members Friends Healthcare providers Shopping Places of worship Favorite restaurants Cultural and recreational activities A convenient location can help seniors maintain connections with the people and places that are important to them.Tour More Than One CommunityPhotos and websites can provide useful information, but nothing replaces an in-person visit.When touring a senior living community, pay attention to the overall atmosphere. Are residents interacting with one another? Do staff members seem friendly and attentive? Are common areas clean and comfortable?Ask questions and take notes. If possible, visit at different times of day to get a better understanding of the community's daily routine.Ask About Costs and ContractsFinancial considerations are an essential part of choosing senior living.Costs can vary significantly depending on the type of residence, services, care level, and contract structure.Before making a decision, ask for a clear explanation of: Entrance fees, if applicable Monthly fees Additional care costs Dining costs Transportation Healthcare services Therapy or rehabilitation What happens if care needs increase What services are included in the agreement Understanding the financial commitment ahead of time can help prevent surprises later.Consider a Community With Multiple Levels of CareFor many families, a community that offers several levels of living and care can provide an added sense of security.A senior may enter as an independent resident and later receive additional assistance if needed. Having different services available in one community can make future transitions more manageable.This is one reason Continuing Care Retirement Communities, also known as Life Plan Communities, can be attractive to seniors who want to plan for changing needs while maintaining a familiar home and community environment.Make the Decision With the Senior, Not Just For ThemPerhaps the most important part of choosing senior living is making sure the older adult has a voice in the decision.Whenever possible, involve the senior in conversations, tours, financial planning, and decisions about lifestyle and care.Discuss what matters most to them. They may prioritize privacy, activities, dining, location, gardening, fitness, friendships, or being close to family.A senior living decision is much more likely to feel positive when the individual feels heard and involved.Planning Today Can Make Tomorrow EasierChoosing the right senior living option doesn't have to mean predicting exactly what will happen in the future. Instead, it means understanding current needs, considering potential changes, and choosing an environment that provides appropriate options.The right community can offer independence, social connection, wellness opportunities, and access to additional support when it is needed.Whether you're considering independent living, personal care, memory care, rehabilitation, or a community offering multiple levels of care, taking time to research your choices can help you and your family feel more prepared.Landis Homes provides a range of living and care options designed to support older adults through different stages of life. Exploring senior living options early allows you to focus not only on where you may live today, but also on how a community can support your changing needs in the years ahead.