Idaho - Boise and the Treasure Valley

Out of Balance? Poor balance and the fear of falling are primary reasons for declining mobility as a person ages. Mobility is an important factor in the quality of life. As balance worsens (increasing the risk of falling), it is more difficult to be mobile. Unfortunately, falling is the number one cause of hip fracture. Nearly 20% of all hip fractures in the elderly will result in death within the first year, and 50% of people will never regain their prior level of function. Physical therapy is a very viable and helpful resource in improving balance and mobility in order to maintain your independence. The key to helping someone improve balance is to understand why his/her balance is worsening in the first place. Determining the best intervention to address balance-related issues can be difficult and is typically multifactorial. Once the reason for the decline is determined, an effective treatment program can be designed by the physical therapist to address the issue. The following different body systems affect balance: Musculoskeletal System A person needs to have adequate strength and bone structure for mobility and balance. Somatosensory This system consists of all of the touch and nerve receptors in the muscles, tendons, and joints. A common problem affecting the somatosensory system is neuropathy. One very common form of neuropathy is from diabetes. Having numb feet makes it very difficult to balance! Eyesight We rely heavily on our eyesight for mobility and to know where we are located in our environment. Eyesight can be affected by eye conditions such as glaucoma, cataracts, or even if you wear poorly fitting eyewear. Your eyesight is not just about the acuity at which you see, but is also how the eyes move. Gaze stabilization is how well you can stabilize on a target in your field of vision. Vestibular System Our vestibular system is located in our inner ears. It provides us with information on head movement. It works to process information on the heads position in your environment. The vestibular system is one of the more adaptable systems, and with practice, it can be improved. Central Nervous System The brain is responsible for coordinating all of the information gathered by the body's other systems. Damage from trauma or conditions such as Parkinson's disease, or a stroke can also affect balance. Other factors such as medications and dehydration can also affect balance. Physical therapists work with individuals to help improve balance and positively affect ones mobility (and ultimately, his/her ability to function independently). Editors Note: This article was written by Ben Shatto, PT, DPT, OCS, Director of Therapy Services at Multi Care Home Health, and author of the website www.thePhysicalTherapyAdvisor.com

The Medicare Hospice Benefit is a federally mandated benefit. Because of that, all Hospices are required to follow the same core guidelines when providing Hospice care. Those performing the care and their philosophy of caring for their patients are what separate one Hospice from another. Make sure you connect with their team of clinicians. You always have a choice when deciding which Hospice to care for you and your loved one. Choosing the right hospice is very important. One that can be confusing; here are some tips to help make the process easier. When choosing the right hospice; I recommend a few things to consider when making your decision. One of the most important factors is the level of involvement from the Hospices Medical Director. Every Hospice is required to have a Medical Director, but the regulations aren't very detailed in how involved they have to be. Here are some examples of questions you can ask. Who is your Medical Director? How often will I be able to see them? Do I have to go to their office or will they make house calls? Hospices use their Medical Director differently; I recommended choosing a Hospice that has the Medical Director very closely involved with the patients and one that will visit them in their home. Secondly, I would ask the Hospice to describe their Bereavement Program. This is a program that Medicare requires each hospice to provide to families and caregivers for up to a year following the death of your loved one. Often times, I tell families, the medical management of the patient themselves is the easy part its everything else that goes along with a dying loved one that complicates matters. I recommend choosing a Hospice that has a variety of offerings in their bereavement program and one that is specialized in Grief Recovery. Peace of mind goes a long way when you are grieving. Knowing that the Bereavement Program will create an individualized plan for you is valuable. Knowing you are not alone is very important. There are many factors when deciding which Hospice to choose to care for you and your loved one. You may also ask your friends, family, neighbors and church members what experiences they have had and what they've learned was important. Hopefully these tips will help make your decision easier when the time comes. Kristi Hartway, Director of Operations Harrisons Hope Hospice

Medicare: A Recipe For SuccessMedicare can be confusing.  With the right information, youll be ready to shop for a plan and choose the right one for you and your needs. As you compare plans, benefits, and prices, its important to keep a few key things in mind. 1. Many people take one or more medications on a regular basis. Review the drug formulary to make sure the medication(s) you take are covered by the plan.Make sure to check: Drug brand names and generics Prior authorization requirements Prescription tiers and the associated costs 2. What may have been a great plan may not suit your needs anymore. Remember to review your plan and coverage every year.  Always keep your eyes out for: Provider and facility network: In-network versus out-of-network. Are your doctors and facilities covered on your current plan? Monthly premiums: This is the monthly bill you pay for your coverage. Out-of-pocket (OOP) maximums: This is the total amount you may pay for services covered each year. Copays and coinsurance: You may have copayments or coinsurances to pay for services. Copays are fixed amounts, and coinsurance is usually a percentage of the cost you pay. Bonus perks: What options, tools, and services are included on your plan? Find out about gym memberships, OTC items, vision and dental, and other extras. Some perks may cost more. 3. Wading through the hundreds of insurance companies can be downright exhausting. For starters, there are several categories to consider: Not-for-profit vs. for-profit: Who is the priorityyou or shareholders? For-profit companies must return profits to investors while not-for-profits must reinvest their profits back into the plan to benefit members. Customer service you deserve: This is a big deal! Can you talk to a local person on the phone? When you need answers, you need a real person to make things happen for you. 4. The Centers for Medicare and Medicaid Services (CMS) use a five-star quality rating system. The Star Rating can tell you about a companys customer service, member satisfaction, benefits, and overall quality. Companies receive an updated rating annually, making it easy to weed out less than the best. This article was submitted by Darin Vickery, Idaho-based Medicare Sales Executive for SelectHealth. darin.vickery@selecthealth.org or 208-338-2019

Lower Your Risk of Oral CancerAPRIL 21, 2021Guest Blog by Dr. Mark Alexander, DMD*In recognition of Oral Cancer Awareness month (April) Id like to recommend two easy ways you can help lower the risk of oral cancer impacting you or your loved ones. My family practice, Alexander Dental Group, has been serving the Twin Falls area for 75 years now and, in that time, Im sorry to say, we have seen oral cancer from minor and easily treated to untreatable with a grave prognosis.  Early diagnosis is critical to say the least! According to the Oral Cancer Foundation, the death rate associated with this cancer is particularly high not because it is hard to discover or diagnose, but due to the cancer being routinely discovered late in its development. So, my first recommendation is that everyone see their dentist regularly (once every 6 months), AND, ask your dentist to perform an Oral Cancer Screening (OCS) with each checkup, if theyre not doing so already.  While the OCS is not perfect (some cancer can be very hard to find with the OCS), this screening is very important in finding potential oral cancer. The screening is painless and only takes about 90 seconds. And while your family doctor should also be examining your mouth, your dentist probably gives you more frequent exams and therefore is more likely to catch oral pathology earlywhich is so important! Second, use sunscreen on your lips. Lip cancer is usually treated surgicallywhich includes removal of the lesion AND healthy tissue surrounding the cancer. Obviously, this can impact your ability to eat and speak and may become a cosmetic deficiency. Lip balm with SPF 15 (SPF 30 is even better) should be applied regularly, especially if you are in the sun. Its not just for chapped lips!These are two relatively easy ways to lower your risk of oral cancer; regular screenings and protective sunscreen. If you have any questions about your oral health, or have concerns about your risk for oral cancer, please talk to your dentist. Were here to help.*Dr. Mark Alexander, DMD, provides a wide range of dental care and services including restorative procedures at his practice, Alexander Dental Group, in Twin Falls. He is also a board member of Delta Dental of Idaho.