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Introduction: I felt strongly compelled to write this blog on heart failure as it is such a pertinent issue in the aging population today. Before I go into details on this, Id like to address the definition of this disease process. Heart failure occurs when the heart doesnt pump well and fails to deliver adequate oxygen to the body. As a result, fluid builds up in the body and vital organs dont get the blood that they need. This can make it harder for individuals to perform everyday tasks and can lead to eventual overall decline. Problem:Heart failure is the number one reason for hospital admissions in older adults, and often leads to multiple readmissions (Agarwal et. al., 2021). As a cardiac nurse for many years, I can attest to the fact that heart failure is the biggest reason for multiple hospitalizations in seniors. Patients come in and out for problematic symptoms, sometimes coming into the hospital as often as every month. The three biggest symptoms I see that result in hospital admissions are shortness of breath (particularly when lying flat), weight gain, and swelling in the legs.One reason for such frequent admissions is the complexity of heart failure itself. It is a complicated clinical syndrome and is notoriously difficult to manage. A lot is put on patients to manage their heart failure at home, and this can be a challenge. In addition, individuals may have some level of cognitive impairment or multiple other comorbidities, making it even more challenging to perform the extensive monitoring needed to prevent heart failure from worsening. The importance of education:Education is also important in the treatment of heart failure. Unfortunately, this often does not get done. When I first started working in acute care back in 2004, every patient received extensive education in managing their heart failure prior to discharge. Nurses would provide lengthy verbal education on the importance of medication adherence, daily weights, low salt diet, and other factors, in addition to providing the patient with a heart failure educational pamphlet prior to discharge. Over the years, however, hospitals have increasingly faced staffing shortages and high nurse turnover. As a result, a lot of important patient education is not getting addressed. A lack of awareness and understanding in patients on how to manage their heart failure is definitely a key reason for worsening heart failure and repeated hospitalizations. Management:From a clinician standpoint, the goal in addressing heart failure is twofold: we want to reduce symptoms and prevent mortality. The best way to do this is through patient/family education and implementation of a treatment plan. A proper treatment plan will include such lifestyle modifications as a low salt diet, quitting smoking, and getting regular physical activity. A low salt diet can be incredibly helpful in preventing further fluid build up in the body. The American Heart Association recommends that all individuals consume no more than 2,300 mg of sodium per day (AHA, 2024). In todays era of processed and packaged food, a majority of the American population consumes much more than that, and it comes in the food itself rather than the saltshaker. Maintaining a low sodium diet has one other priceless benefit that I often do not see emphasized enough in heart failure: it can help reduce blood pressure. Almost half of all heart failure patients have uncontrolled hypertension (Heart Failure, 2022). It is a major risk factor in the development of heart failure and managing it can greatly reduce heart failure symptoms and decrease stress on the heart. Current guidelines recommend maintaining a systolic blood pressure of less than 130. Medication management is another important factor in the management of heart failure. This often includes the use of diuretics, beta blockers, and other medication classes that I will not go into detail on. I wanted to discuss diuretics and beta blockers because these are the two medications in heart failure that I see non-compliance with the most. I witness individuals often not taking one or the other for two main reasons:  they either dont understand the importance of them or they dont like the side effects. Seniors can often have difficulty getting up to go to the restroom. Diuretics cause frequent trips to the restroom because their purpose is to get excess fluid off the body. Many individuals do not comply with their prescribed diuretic because of the hassle of frequent bathroom trips. Unfortunately, ineffective diuresis causes heart failure to worsen and puts further stress on the heart. I often see non-adherence to beta blockers due to their side effects. The two biggest symptoms that get reported to me are fatigue and dizziness. As in the diuretic, a beta blocker can also help reduce the stress on the heart, and heart failure symptoms can worsen if the prescribed dose is not adhered to. Its important to maintain prescribed medication regime and if any negative symptoms are experienced to discuss them with the doctor. One final thing:I wanted to touch on one final monitoring recommendation for heart failure because it so often gets missed: daily weights. Weighing oneself daily is of tantamount importance in heart failure and can identify early on if heart failure is worsening. This can lead to early intervention, thus decreasing potential hospitalization. Adherence to this all too often does not occur. I see patients come into the hospital for large amounts of weight gain often 20 or more lbs. Many patients report that they never stepped on the scale to assess for weight gain and often do not get admitted to the hospital until symptoms are severe such as severe weakness and shortness of breath. In heart failure its recommended to contact the doctor if weight goes up by more than 2 pounds in a day or greater than 4 pounds in a week. The doctor can make modifications in the treatment regime and hence reduce potential hospitalizations and mortality. Conclusion:Heart failure is complex but manageable. Early action can prevent hospital admissions, reduce mortality, and optimize quality of life. Having ongoing guidance from an experienced clinician can be of great benefit if you or your loved one is having difficulty managing heart failure and other disease processes. Please do not hesitate to reach out to me if you have any further questions. I want to help and make the process of aging as stress free as possible while promoting positive health outcomes.  My name is Laura Carson and I have been a Registered Nurse (RN) for over 20 years and have witnessed firsthand the challenges and complications that aging presents. It affects not only the aging themselves but also their families and loved ones. Health care is complex, and in this increasingly fragmented and overburdened system, it can be extremely helpful to have a professional oversee all aspects of care. As your eldercare manager, I will comprehensively assess the needs of your loved one and we will work together in establishing a care plan. I will assist you and your family with difficult decisions and help promote healthy communication on issues that are often difficult to address and navigate. Contact me for a 20 minute free consultation at 714-403-7040.  References:Blood Pressure and Glycemic Control Among Ambulatory US Adults With Heart Failure: National Health and Nutrition Examination Survey 2001 to 2018 (April 28, 2022). Heart Failure. Almost half of heart failure patients have uncontrolled hypertension and diabetesAgarwal, M., Fonarow, G., & Ziaeian, B. (February 10, 2021). National Trends in Heart Failure Hospitalizations and Readmissions From 2010 to 2017. https://pmc.ncbi.nlm.nih.gov/articles/PMC7876620/Weber, C. (May, 2023). Heart Failure Pharmacology.  How much sodium should I eat per day? (2024). American Heart Association. https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sodium/how-much-sodium-should-i-eat-per-day  

The individual retirement account (IRA) is celebrating its golden anniversary. Created in 1974, this savings vehicle has helped millions of people build resources for retirement. And in 1997, the Roth IRA was introduced. But which IRA is right for you?Lets look at the basic differences between the two IRAs. With a traditional IRA, you generally invest pretax dollars, so the more you put in, the lower your taxable income. Your earnings grow tax deferred, meaning you pay no taxes on them until you start taking withdrawals. (If you take withdrawals before you reach 59, youll be subject to ordinary income tax and a 10% IRA penalty.)When you invest in a Roth IRA, your contributions arent deductible, but they can be withdrawn at any time, tax- and penalty-free. And you can typically withdraw your earnings on these contributions tax free once youre 59 and youve had your account at least five years. (If you dont meet these conditions, withdrawals of earnings are subject to income taxes and the 10% penalty.) So, are you better off by taking the immediate tax break offered by a traditional IRA or the long-term benefits of tax-free withdrawals available with a Roth IRA?If you think youll be in a higher tax bracket when you retire, you might want to consider a Roth IRA, especially if you have a long time until retirement. This will give you more opportunities to put away funds that can be withdrawn tax free. Conversely, if you think you might be in a lower tax bracket upon retirement, you might lean toward a traditional IRA, as youd get the tax benefits now, when youre in a higher bracket, and can eventually make your taxable withdrawals when youre in a lower one. Here's something else to keep in mind: Once you turn 73 (or 75 if you were born in 1960 or later), you must start taking taxable withdrawals technically called required minimum distributions, or RMDs from your traditional IRA. But if you have a Roth IRA, you wont face RMDs and can essentially keep the money in your account indefinitely. If you dont need all the funds in your Roth IRA for your retirement, you can pass them on to your heirs.  Ultimately, though, your income may determine which IRA is right for you. You can earn any amount and contribute to a traditional IRA, though if you exceed certain income limits, your contributions may no longer be tax deductible. If you and your spouse dont have a 401(k) or other retirement plan through your employers, you can make a full, deductible contribution to a traditional IRA regardless of your income. But you may not be able to contribute to a Roth IRA, or at least not make the full maximum annual contributions, if your income is above certain levels. Your tax advisor can explain these levels, which often increase from year to year. (In 2024, the most you can contribute to either IRA, depending on your income, is $7,000 per year, or $8,000 if youre 50 or older.)Under some circumstances, you can convert a traditional IRA to a Roth IRA, though youll need to pay taxes on the conversion. In any case, think carefully about your options and make the choices that are appropriate for your needs.  Chad Choate III, AAMS 828 3rd Avenue West Bradenton, FL 34205 941-462-2445 chad.chaote@edwardjones.com This article was written by Edward Jones for use by your local Edward Jones Financial Advisor.    

Six Simple Strategies to Help Seniors Sleep BetterHow did you sleep last night? With National Sleep Awareness Week taking place from March 10th to 16th, its the perfect time to think about your bedtime habits and explore ways to improve your sleep quality.A restful nights sleep is like a reset button for your body and mind, and its especially important for seniors. Good sleep can boost your mood, sharpen your mind, and strengthen your immune system. However, as we age, getting those precious Zs can become more challenging. Changes in sleep patterns, along with environmental and emotional factors, often lead to restless nights.If counting sheep has become your nightly ritual, dont worryyoure not alone, and help is here. The Seniors Helping Seniors team has six simple, practical tips to help you sleep better and wake up refreshed. Lets dive in!1. Stick to a Relaxing Bedtime RoutineYour body loves routines, especially when it comes to winding down for the night. Create a calming bedtime ritual that works for youlike reading a book, doing some light stretches, or meditating. These activities signal to your body that its time to relax. Not sure where to start? Your Seniors Helping Seniors caregiver can help you incorporate these soothing habits into your evening routine.2. Power Down Your ScreensScrolling through your phone or catching up on emails before bed might seem harmless, but the blue light from screens can disrupt your natural sleep hormones. Try putting your devices away at least an hour before bedtime. Instead, swap that screen time for a calming activity like listening to music or journaling.3. Create a Cozy Sleep SanctuaryA good mattress and supportive pillows can make all the difference in how you feel the next morning. Look for bedding that keeps you at a comfortable temperature throughout the night. Your bedroom should also be dark, quiet, and coolthink of it as your personal sleep haven.4. Limit Afternoon NapsA quick nap can recharge your energy, but long or late-day naps might mess with your nighttime sleep. Keep naps short20 to 30 minutesand try to rest earlier in the day. This way, you can still enjoy a power nap without affecting your bedtime.5. Get Moving During the DayPhysical activity isnt just great for your overall healthit also helps you sleep better. Even 30 minutes of light exercise like walking or yoga can work wonders. Just remember to keep workouts earlier in the day, as late-night exercise might leave you too energized to fall asleep.6. Mind Your Evening MenuWhat you eat and drink before bed can influence your sleep. Heavy meals, caffeine, and alcohol close to bedtime can leave you tossing and turning. Instead, try something soothing, like a cup of herbal tea or warm milk, to help you unwind. Need help with meal planning? Seniors Helping Seniors caregivers are happy to lend a hand.Bonus Tip: Keep Your Wake-Up Time ConsistentYour body thrives on routine, so try waking up at the same time every dayeven on weekends. A consistent wake-up time helps regulate your internal clock, making it easier to fall asleep and wake up feeling refreshed.If youve tried these tips and are still struggling with sleep, it might be time to seek professional advice. A healthcare provider or sleep specialist can help identify underlying issues, like sleep apnea or restless legs syndrome, and recommend tailored solutions.Sleep is vital for your health and well-being, and you deserve to wake up every day feeling your best. Your Seniors Helping Seniors team is here to support you in creating healthy sleep habits that fit seamlessly into your lifestyle. Sweet dreams!