ArchWell Health

Does it take a little more time to find the word you're looking for, or to remember someone's name? Has multitasking become a challenge? If so, you're not alone these are common brain changes for older adults, and they may be nothing to worry about.But how do you know what's normal and what's not? And how can you boost brain health as you get older? Keep reading to find out.The Aging Brain: What's Normal, What's NotWhile the following issues can be irksome, they're associated with normal aging:Recalling names and numbers: Strategic memory starts to decline at age 20, making this type of recall more challenging.Remembering appointments: Your brain may keep this information locked away until it's triggered by a cue like a reminder phone call or calendar notification.Multitasking: As you age, it can be difficult to do more than one thing at a time.Learning something new: Senior brain aging means it may take longer to commit new information to memory.These issues, on the other hand, are not part of the normal aging process:Asking the same questions repeatedlyGetting lost in places you know wellHaving trouble following recipes or directionsBecoming more confused about time, people and placesEating poorly, not bathing or behaving unsafelyIf you're experiencing any of the latter issues, talk to your ArchWell Health team to get to the bottom of it.A Closer Look at Brain HealthTo better understand the normal aging process, it helps to know that your brain changes throughout your life, which impacts cognitive function. The brain starts to shrink in middle age, and the rate of shrinkage increases by age 60. Consider this: A typical 90-year-old brain weighs 1,100 to 1,200 grams at least 100 grams less than a typical 40-year-old brain.Other common changes in the aging brain include:Declining levels of neurotransmitters, which play a key role in thinking, learning and memoryDecreased blood flow, which can affect speech, movement and memoryIncreased inflammation, which can contribute to cognitive declineBut while these changes can affect brain function in healthy older people, they don't have the final say. Many older adults have larger vocabularies, deeper understanding of the meaning of words and greater knowledge than younger adults do. In fact, verbal abilities and abstract reasoning actually improve as we age. Older adults can also form new memories and learn new skills even if it takes a little extra time. The aging brain can adapt and change, giving you the opportunity to rise to new challenges in your golden years.Understanding Cognitive DeclineKeep in mind that while some degree of cognitive decline is a normal part of aging, dementia is not. Dementia involves a loss of cognitive function that interferes with your everyday activities and quality of life. Alzheimer's disease is the most common form of dementia in people over age 65.There are three stages of Alzheimer's disease: mild, moderate and severe:Mild: The first stage of Alzheimer's involves memory loss and potential issues such as wandering, trouble paying bills and taking longer than normal to complete daily tasks.Moderate: In this stage, the person may have trouble with language, reasoning, conscious thought and sensory processing.Severe: In the third stage of Alzheimer's, brain tissue has shrunk to a degree that the person cannot communicate and is completely dependent on others for care.The causes of Alzheimer's disease likely include a combination of age-related changes in the brain, along with genetic, lifestyle and environmental factors. But several strategies may help reduce the speed of cognitive decline, including engaging in mentally stimulating activities, maintaining social connections and prioritizing physical activity.Cognitive Exercises for Older AdultsYou've probably heard of the use it or lose it" principle. When applied to senior brain aging, it's a reminder that if you don't use an area of your brain for a while, you can lose that cognitive function altogether.Don't let that happen to you! There are many cognitive exercises to help boost your brain health and improve memory. Here are some to consider.Brain-training gamesOne large study found that doing just 15 minutes of brain-training activities at least five days a week improved brain function, including working memory, short-term memory and problem-solving skills. Researchers used activities from the free site Lumosity that focus on the ability to recall details and quickly memorize patterns.Many sites and apps offer these types of brain games. If you're an AARP member, you can take advantage of free access to Staying Sharp, an award-winning digital program that includes a variety of engaging games that test your focus, recall and word skills.If physical games like bridge, chess or Scrabble are more your speed, you can still reap mental rewards. Just call a few friends, break out the game box and get ready for a good time (while simultaneously benefiting your brain).Your local ArchWell Health center also hosts bingo, card game events and more. And you don't have to be a member to join these fun classes and activities.Physical activityYour whole body is interconnected, which is why physical exercise directly impacts your brain health. Regular exercise reduces the risk of age-related decline and protects the brain against degeneration. It can also improve your memory, cognition and motor coordination.Try one of these simple and fun aerobic activities to strengthen your body and your mind:chair yoga at ArchWell Healthwalkingrunningzumba classes at ArchWell Healthhikingswimmingdancingcross-country skiingBonus: You can easily do these activities with a friend, which enhances the brain benefits a recent study showed that people who had more frequent social contact had a lower risk of cognitive decline and dementia.A Word from ArchWell HealthRemember, dementia doesn't go hand in hand with aging. Consider the case of cognitive super agers. These 80-and-over marvels boast memory performance comparable to people 20 to 30 years younger. Enriching experiences as well as plenty of social engagement may contribute to their successful senior brain aging.So don't let cognitive changes have the last word. You have the power to boost your brain health! Reach out to your ArchWell Health care team to help you create your healthy aging plan today.

Myth #1: Avoid carbs if you want to lose weight.Fact: Not all carbs are created equal. Carbs give us energy and can actually help us lose weight when choosing high-fiber complex carbohydrates.Our bodies thrive on carbs for energy. Without enough carbs in your diet, you could experience low energy, weakness, fatigue, nausea, dizziness, and even depression. It is recommended by the Dietary Guidelines for Americans that we get about 45-65% of our daily calories from foods with carbohydrates. When we eat too little carbohydrates, we feel tired and do not feel our best mentally or physically. Of course, limiting certain carbohydrates such as sweet treats, potato chips, and soda pop has health benefits and can lead to weight loss. This is because you are cutting out extra calories from added sugars and fats that those foods and drinks contain.Your goal should be to eat more complex carbohydrates. These carbs have vitamins, minerals, and fiber, and they take longer to digest. Examples of these include grains, beans, fruits, and vegetables (even potatoes!) Eating these foods will leave you feeling more full thanks to their high fiber content. Plus adding these types of carbs to your diet can cut down on cravings for sweets. Eating these complex carbs with proteins and non-starchy vegetables will give you a well-balanced meal, and you will feel energized to take on your day. This could look like: Chicken breast, broccoli, and a grain like brown rice or a sweet potato for dinner, or oatmeal with a veggie egg scramble for breakfast. And dont worry you do not need to cut out bread or pasta. You can increase fiber and protein in these foods by choosing whole-grain versions or gluten-free pasta made from chickpeas.Myth #2: Carbs cause weight gain.Fact: One of the factors that causes weight gain is eating more calories than you burn in a day. Weight gain is not due to carbs themselves but from the over-consumption of any type of food. Simple carbs like cakes, cookies, ice cream, soda, chips, etc., have added sugars that are naturally higher in calories. Focus on consuming less of these simple carbs and more of the complex carbs such as whole foods like fruits, vegetables, nuts, seeds, and whole grains. These foods contain fiber, vitamins, and minerals to keep us fuller longer and maintain a healthy weight.Myth #3: Avoid all white foods, especially as a diabetic.Fact: While some white foods such as white rice and white flour are missing healthful nutrients and fiber thats found in foods like whole grain bread or whole grain flour, many white foods are high in nutrients. Cauliflower, onions, mushrooms, and garlic are great examples of this. Potatoes and bananas, specifically, get a bad reputation; however, they both contain potassium which is vital for maintaining a healthy heart and blood pressure, and they provide other beneficial vitamins, minerals, and fiber which is important for brain health, metabolism, and immune function. It is true that these foods will raise blood sugars at a quicker rate due to their high carbohydrate content, but that does not mean you cannot enjoy them. Just remember to monitor your portion sizes and eat your carbs with healthy proteins and fats for a balanced meal that will help balance your blood sugar.Myth #4: Fruit is bad because it is high in carbs.Fact: Fruit contains sugar, which is a type of carb. But fruit is also full of healthful nutrients (vitamins, minerals, fiber). Fruit contains a natural sugar called fructose, which is recommended over processed sugars like you would find in candy. Cutting fruit out of your diet will cause you to miss out on a lot of healthy nutrients. When buying canned or frozen fruit, be sure the labels say no added sugars. When drinking fruit juice, it is best to stick to 100% fruit juice at a serving size of about 4 oz, as it lacks fiber and may contain added sugars, which we want to limit in our diet. 4 oz equals about the size of your cupped palm or about the size of a small portable hand sanitizer bottle.ArchWell Health members have the opportunity to discuss nutrition concerns or questions at every appointment. Your primary care provider can help you better understand how carbs fit into your overall nutrition plan.The article provides information designed to complement your personal health management. It does not provide medical advice and not meant to replace professional medical advice. Linking to other websites does not imply any endorsement of the material on such websites.

Myth: Seed oils are bad for youThe myth that has been gaining popularity on social media is that seed oil is bad for you. What's commonly said is that oils like canola, rapeseed, soybean, and grapeseed oils increase inflammation. The reason? These oils have a high amount of omega-6 fatty acids. In some animal studies, rodents that were fed diets high in omega-6 fatty acids showed an increase in inflammation1. However, there are no human studies that show this to be true. In fact, when looking at multiple studies, people consuming these plant-based oils had LESS inflammation and lower bad cholesterol, than those that ate more butter or lard. Let us dive a little deeper into this topic.Understanding Seed Oil BenefitsAre you familiar with omega-3 fatty acids? This is the beneficial polyunsaturated fat found in fish but also found in flax seeds and walnuts. These fatty acids have been shown to be heart healthy, help prevent inflammation, and lower triglycerides, which is a type of fat found in our blood. Omega-6 fatty acids is another type of polyunsaturated fat which is found in safflower oil, sunflower oil, sunflower seeds, walnuts, corn oil, soybean oil, and pumpkin seeds. The fear of these omega-6 fatty acids is that the most prominent one, linoleic acid, changes into another fatty acid, arachidonic acid (ADA), which could increase inflammation. However, science does not support this. Linoleic acid does a poor job in converting to this ADA. There are multiple studies that look at increasing and decreasing amounts of linoleic acid in diets having little to no impact on the total amount of ADA in our blood. On top of that, ADA has both inflammatory AND anti-inflammatory properties, making this argument a very weak one.Studies show that both omega-3 and omega-6 fatty acids are beneficial to our heart and health. Many studies show that as consumption of omega-6s goes up, the risk of heart disease goes down. When replacing saturated fat with omega-6 fatty acids, the risk of heart disease dropped by 24%1. We know that omega-3 fatty acids are good for us, but most Americans do not eat enough omega-3s to achieve all the cardio-protective benefit. Most of us consume well over the recommendation for omega-6s. Seed oils are used often in highly processed foods like baked goods, chips, salad dressings, mayonnaise and candy. Instead of focusing on removing seed oils from your diet, try to increase your intake of omega-3s and limit the chips, baked goods and candy. Focus on increasing the intake of baked or grilled fish to 1-2 times per week and adding walnuts and flaxseeds into your diet.The truth of the mythWhen oils are heated to high temperatures for a long period of time, as is the case of deep-frying food, the oils break down and convert to trans fats. These fats DO become inflammatory. They also increase our risk for heart disease by increasing the bad cholesterol. When we use seed oils for cooking like roasting, sauteing or even pan frying, the oil is not reaching the same hot temperature that convert the oils to trans fats. If you are deep-frying at home, it is important to discard the oil after use, and not reuse that oil.TakeawaysThere is no need to fear seed oils. They are an inexpensive, easily available, heart-protecting unsaturated fat. There are no good studies supporting the claims that they are bad for us. More important than reducing our intake of omega 6s is the need to increase omega 3s and decrease our intake of saturated fats and fried foods.

Maybe you were once a talented quilter, or you couldnt wait for your weekly bridge night. Or perhaps youve always wanted to learn how to kayak or paint. But between busy work schedules, family obligations or health issues, life got in the way of your once beloved hobbies and dreams of new ones.The good news is that empty nests and retirement mean more time to enjoy creative, physical or social interests. And the better news is that hobbies arent just a fun way to pass the time; they matter for lifelong wellness and mental health.Here are four reasons why hobbies are good for you.1. Hobbies support brain health.Cognitive decline, which includes sudden or worsening memory loss or confusion, is a fact of life. Two out of three Americans will experience some level of impairment in their thinking abilities around the age of 70. Hobbies can slow that progression and boost brain health.By engaging in a wide range of daily activities, youll get even more of a brain boost, research says. For example, start the morning by going on a walk with friends, then move on to an afternoon painting class andfinish with an evening spent putting together a jigsaw puzzle. This provides a daily workout for the hippocampus, the part of the brain that plays an important role in creating and remembering memories.2. Hobbies keep us physically healthy.Many hobbies, of course, keep us strong and agile. And making time for golf, pickle ball or swimming leads to all kinds of benefits beyond lowering the risk of weight gain, heart disease and type 2 diabetes.Even moderate physical activities like walking, strength training or yoga can:improve balance and prevent fallsminimize the pain of arthritisenhance the immune system to prevent infections from getting in your lungs3. Hobbies reduce loneliness.In 2023, the U.S. Surgeon General called loneliness and isolation an epidemic, and those ages 55 and up have the highest rates of social isolation. Participating in hobbies whether walking with a neighborhood group or taking part in book clubs, fitness classes or card games ensures youre not just getting out and about, but also engaging with other people.And hobbies help reduce loneliness in another way too, even when you dont always have a strong social network available. You just need to reach a state of flow, when you're so focused on an activity that you dont realize how much time has passed. Researchers have found that when people achieve that state, they can feel less alone.4. Hobbies boost mental health.Finally, add up all the benefits of hobbies for older adults slower cognitive decline, healthier bodies and reduced loneliness and its no surprise that a fourth benefit is the mental health perks of getting involved in favorite pastimes. When people are actively engaged in hobbies they enjoy, they have fewer depressive symptoms, higher levels of self-reported health and improved life satisfaction, research shows.How to launch a hobbyIf you took a break from a longtime hobby or are ready to start a new one, it might take a little time to get fully up to speed. Take it slow.Be consistent and give yourself some grace. Dont expect to paint a prize-winning still life after 25 years away from the canvas or swim 10 laps after a lifetime out of the pool. Just set a goal to make steady progress as you introduce or reintroduce yourself to activities.And dont go at it alone, meet up with others who love the same thing. Local in-person groups and online forums can provide the encouragement you need to keep going as youre just starting out.Of course, before you get back into an old hobby or try something new, especially physical activities, check in with your doctor. Sometimes, previous hobbies  like running or biking might need to be replaced with new ones like walking or yoga for health reasons. A friendly, caring ArchWell Health doctor can guide you.

As you get older, your health needs change a lot. What worked when you were in your 30s might not be enough when you hit your 60s. The best way to catch new issues is through preventive screenings so you can deal with them before they get too far along. That gives you more options and better outcomes. And at ArchWell Health, we believe those are the best results of all.14 Tests to Maintain Senior HealthArchWell Health offers many on-site preventive health screenings to give your physician the full picture of your health. Here are the 14 screenings we recommend for your best health in your 60s and beyond:1. Blood Pressure ChecksWhy to get itHigh blood pressure (hypertension) is a very common problem as people age. Even if you have no risk factors for cardiac events, your arteries, which carry blood throughout your body, do become less flexible as you get older. Uncontrolled, it can lead to cardiovascular disease and stroke, among other health issues.How it's doneA healthcare professional takes a simple check via an arm cuff. If it reads dangerously high, your provider may recommend an at-home kit for more regular checks.What happens nextYour doctor will recommend a hearty healthy regimen that may include:MedicationExerciseHealthy eating such as the Mediterranean and DASH dietsQuitting smoking and drinking less alcoholManaging stress through meditation, psychotherapy, yoga and mindfulness2. Cholesterol ChecksWhy to get itAccording to the Centers for Disease Control, almost 12% of people over the age of 60 have high cholesterol, which can dramatically increase your risk of heart disease and stroke. However, there are no symptoms, so you will never know you have it without checking until it may be too late.How its doneYour healthcare professional takes a blood sample also called a lipid panel or lipid profile  after you have fasted for 9 to 12 hours. The National Heart, Lung and Blood Institute recommends annual screenings for people over 65.What happensIf your cholesterol falls outside of normal ranges, ask your physician about:Statin medicationsUpping your exerciseHealthy diets rich in unsaturated fats (again, the Mediterranean Diet is a great one)Quitting smoking3. Colorectal Cancer ScreeningWhy to get itThe third most common cancer and the second most common cause of cancer-related deaths around the world, colorectal cancer presents mainly in people over the age of 50.How its doneThe American Cancer Society recommends that people at average risk should get their first screening by age 45, and then continue up to age 75. At home stool tests that detect the presence of blood should be done every one to three years or colonoscopy every ten years. People at increased risk family history of colorectal cancer or certain kind of polyp, or a personal history of IBD or colorectal cancer should be screened more frequently, as advised by your physician.What happens nextYour ArchWell Health provider can order you an at home stool test to quickly get your colorectal cancer screening results.During a colonoscopy, polyps will be removed during the procedure. If there are any potential cancer sites, your physician will discuss further diagnostic and treatment procedures. If a stool test of CT colonography detects potential hotspots, you will have to go for a full colonoscopy.4. Dementia ScreeningWhy to get itEarly detection of dementia gives you a chance at the most optimal treatment, time to plan for the future and also participate in decisions about long term care, financial and legal issues.How its doneYou can receive a cognitive assessment anytime you visit your ArchWell Health doctor. The Alzheimers Association also provides simple screening tests that you can take yourself or can be administered by a trusted family member or friend. Make sure to talk with your primary care provider about your results.What happens nextIf you or a loved one is showing concerning signs of dementia, see a primary care provider at ArchWell Health who can take a more in-depth assessment and answer questions. The Alzheimers Association also offers support groups, a free 24/7 helpline and other useful tools for people with dementia and their caregivers.5. Depression ScreeningWhy to get itOlder adults are at increased risk of developing depression because of life changes, loneliness and dealing with multiple health issues. (Eighty percent of older adults have at least one chronic health condition, and 50 percent have two or more).How its doneYour provider will ask 2 simple screening questions at your ArchWell Health visit. If you are struggling with depressive episodes, you can talk to an ArchWell Health doctor or social worker to discuss your options for getting back on track. Your primary care doctor may refer you to a therapist or psychologist for more help. If you are in a mental health crisis, call 9-1-1 or call the National Suicide Prevention Hotline (1-800-273-TALK).What happens nextMany people who struggle with depression find relief with therapy, antidepressants or both at the same time. Also, do not isolate yourself. Reach out to others, find new social outlets or join support groups.6. Diabetes ScreeningWhy to get itDiabetes affects around 33% of people aged 65 and over. If not controlled, it can lead to heart disease, kidney, nerve, foot and eye damage, and more.How its doneThe American Diabetes Association recommends that people age 45 and over should get screened every three years.The A1C Test measures average blood sugar levels over a 2-3 month period.The fasting Blood Sugar Test measures blood sugar after fasting overnight.What happens nextYour ArchWell Health doctor will create a plan with you to manage your diabetes through diet, exercise, blood sugar testing, taking medication as prescribed and managing stress. Your provider can also help you prevent type 2 diabetes through behavioral changes.7. Eye ExamWhy to get itYour vision changes as you age, and some eye diseases are symptomless until its too late to reverse the damage.How its doneThe American Academy of Ophthalmology recommends that people over the age of 65 go for a full eye exam every year or two. In addition to checking your regular visual acuity and depth perception, your ophthalmologist or optometrist will check for glaucoma, cataracts, age-related macular degeneration and diabetic retinopathy.What happens nextDepending on the results, your physician will advise you on steps to take to preserve your vision for years to come. If you have low vision, they can even help you with safety precautions around your house.8. Fall Risk AssessmentWhy to get itFalls are the second leading cause of unintentional injury deaths worldwide, and people over the age of 60 experience the greatest number of fatal falls.How its doneArchWell Health recommends that all seniors get an annual fall risk assessment. Your health provider will go over your fall history, test your balance and cognition, perform a physical exam and review your medications.What happens nextEven if your results put you in the low-risk category, your physician can talk to you about changes you can make in your home to prevent falls, exercises to improve balance and strengthen important muscles, and provide referral to a physical or occupational therapist if needed.9. Hearing TestWhy to get itHearing loss progresses with age, sometimes starting as young as your 30s or 40s. Experts have found that even mild hearing loss can cause seniors to isolate, which can lead to depression. Don't let your loss of hearing impact your ability to meet up with friends and maintain an independent life.How its doneSee a hearing specialist such as a licensed audiologist or otolaryngologist (ENT), who will administer hearing tests that measure the level and type of hearing loss.TIP: Traditional Medicare does not cover hearing tests or hearing aids, which is one reason you might want to look into choosing a Medicare Advantage Plan. In 2021, around 97% of Medicare Advantage Plans offered some hearing benefits. Look at each plan to see what best fits your needs, especially which brands and types of hearing aids are allowed.What happens nextIf you have hearing loss, your healthcare provider will lead you through getting fitted for appropriate hearing aids. If the loss is profound, you may qualify for cochlear implants, which are generally covered under traditional Medicare.10. Heart Tests (EKG and Echo)Why to get itStatistically, if you are over the age of 65, you are at a higher risk for developing cardiovascular disease than younger folks.How its doneEchocardiogram: Ultrasound that assesses heart functionElectrocardiogram (EKG or ECG): Measures the hearts electric signalsWhat happens nextYour provider can perform an Echo and EKG right in the ArchWell Health center. If abnormalities are found, your healthcare provider will advise you on lifestyle and diet changes, and medication. You may need more in-depth testing such as a cardiac stress test, a cardiac catheterization, or major intervention such as angioplasty.11. Lung Cancer ScreeningWhy to get itAccording to the American Cancer Society, most people are 65 or older when diagnosed with lung cancer. The average age is 70. While it is the leading cause of cancer death in the United States, early detection can reduce mortality.How its doneThe U.S Preventive Services Task Force notes that anyone who currently smokes, quit in the past 15 years, or once smoked 20 packs per year should start getting yearly lung cancer screenings between the ages of 50 and 80. Screening should stop once the patient has not smoked in over 15 years, or has a life-limiting health issue.What happens nextIf your test reveals an abnormality or suspicious node, your doctor may have you come back for further testing, such as a biopsy or PET scan to see if it is cancerous. If there is cancer, potential treatments include excision, radiation and chemotherapy. Immunotherapy or targeted therapies, which reduce damage to healthy cells, may also be an option.12. MammogramWhy to get itThe American Cancer Society recommends that women ages 40 -54 should get yearly mammograms; after the age of 55, if you have never had breast cancer and do not have risk factors, you can switch to every two years, if you wish.IMPORTANT: Men can get breast cancer and should be screened if they have any risk factors: BRCA1 or BRCA2 gene mutations, family history, aging, radiation exposure, history of heavy drinking and more.How its doneA mammogram is a low-dose x-ray. Medicare covers the costs of yearly screening mammograms for all women over 40.TIP: Many women try to schedule a mammogram during Breast Cancer Awareness Month in October, but unfortunately screening centers can be busy at that time. Try scheduling your appointment in the summer to make sure you get in before the end of the year.What happens nextYour ArchWell Health provider will receive the results of your mammogram and be ready to discuss with you. If the mammogram reveals something concerning, you may be given a breast MRI to get a closer look. If that isnt conclusive, you may have to get a tissue biopsy.13. Prostate Cancer ScreeningWhy to get itIn America, thirteen out of 100 men will get prostate cancer; your risk increases as you age.The American Cancer Society recommends this screening schedule:Age 50 for men at average risk of prostate cancer and are expected to live at least 10 more yearsAge 45 for men at high risk: which includes being African-American, or having a father or brother diagnosed under the age of 65Age 40 for men at even higher risk: More than one first-degree relative diagnosed under the age of 65How its doneYou will be given a prostate-specific antigen (PSA) blood test and possibly a digital rectal exam.What happens nextIf results are normal, your health provider will discuss when the test should be repeated, depending on your risk factors. If they are abnormal, this doesnt always mean the presence of cancer. Your doctor will advise on whether you should wait to repeat the test, take a different kind of test or get a biopsy.14. Skin checkWhy to get itSkin cancer is the most common cancer in the United States. The earlier you catch it, the better your outcome. However, the sun damage you do to your skin through burns and tans when you are younger often dont show up until much later in life. Thats why most skin cancers arent diagnosed until after the age of 65. And one in five Americans will develop it by the age of 70.How its doneYou should be doing a self-exam once a month for suspicious spots that are new or changing. Have a partner, ArchWell Health provider or caregiver help you with the hard-to-see places. Go over your risk factors (personal and family history, history of sunburns, fair skin, light colored eyes, advanced age) with your provider to assess how often you should be checked. During the exam, the provider checks your skin all over for spots that are asymmetrical, scaly, bleeding have a jagged border, uneven color, larger than a pencil eraser, or changing.What happens nextYour physician will biopsy a suspicious spot. If the results are abnormal, you may get an x-ray or CAT scan to see if the cancer is contained or has spread. Treatment options include radiation, Mohs surgery, cryotherapy, chemotherapy, immunotherapy, drug therapy and more.Find an ArchWell Health center near you to start working on checking these screenings off your list! 

If your medicine cabinet is overflowing, youre not alone. Nearly a quarter of older adults are on five or more prescription medications, while half take at least two nonprescription drugs or supplements.1To keep up with everything youre on medication management is the fancy term you have to take each medication at the right time, refill each prescription when it runs low and look out for side effects and drug interactions. Some of these can be life-threatening; adverse drug events lead to 1.3 million emergency room visits each year.2Thats a lot to keep up with! Fortunately, you dont have to go it alone. Here are eight tips to help older adults manage their medications.1. Sign up for mail-order deliveryThese days, we order everything from gifts to groceries online. Prescription drugs are different. Less than 10% of prescriptions in the US are filled by online or mail-order pharmacies, although interest is growing.3Mail-order pharmacy services offer several benefits:Cost savings  Many insurance plans charge lower co-pays for mail-order prescriptions. And you wont pay a delivery fee.Call centers  Pharmacists are available to answer your questions any time of the day or night. Theres no waiting in line at the store (or waiting for the store to open).Convenience  Prescription delivery ensures you never miss a refill, which helps you stay on track with your medication. And you dont have to travel anywhere, a big plus if you have mobility or transportation issues.If you want to sign up for mail-order pharmacy services, talk with your ArchWell Health provider or call ArchWell Healths 24/7 care line. Once youve registered for mail-order delivery, your provider will send your prescriptions to the new pharmacy, and youll be all set.If a local pharmacy is more your style, no problem. Many pharmacies offer free auto-refill services, meaning you never have to remember to request a refill.2. Read the instructionsWe get it; drug labels arent much fun to read. However, they do contain some important information, like whether you should take a drug with food or whether you should avoid certain foods. For example, grapefruit juice can cause problems with some common cholesterol medications, including Zocor (simvastatin) and Lipitor (atorvastatin).4So take the time to read whats on the bottle, plus the printed materials that come with each prescription. If you have questions, talk with your pharmacist or ArchWell Health doctor. Our doctors and pharmacists are experts at interpreting all the fine print on drug labels and packages, and they can explain about side effects, drug interactions and drug schedules for older adults.3. Make a list and check it twiceYour ArchWell Health care team and pharmacist can serve you better if they know everything you take (even if its just on an as-needed basis). That includes prescription drugs, over-the-counter medications and supplements. Remember to bring your pill bottles or a list to your primary care visits. Be sure to share it with your caregiver, too.Heres what the U.S. Food and Drug Administration recommends you include in your medication management list:What youre taking (generic or brand name)What it looks like (shape, color, size)What the dosage is (mg, mL, drops)How you take it (with food, crushed, split)When you take it (morning, afternoon, evening)Start/stop datesWhy youre taking itWho told you to take itTo help you get started, the FDA has created a handy My Medicine Record form that you or your caregiver can print and fill out.4. Stick with one pharmacyResist the temptation to shop around to save a few dollars. The computer systems pharmacies use are programmed to spot drug interactions that could affect your health. They should raise a red flag if, for example, youre taking a blood thinner like Coumadin (warfarin) and an antibiotic like Amoxil (amoxicillin) that increases your risk of bleeding.55. Buy a beefed-up pill organizerThose free pill organizers at the pharmacy counter work fine if you only take a few medications once a day. They arent so helpful when you take two pills at breakfast, three at dinner and one more at bedtime.For $10 or less, you can pick up an organizer with two, three or four compartments per day. By filling it each week, youll stay on track with your medication management and know when youre running low. Or, if you have several free pill organizers lying around your home, label them Breakfast, Bedtime, etc.6. Schedule a comprehensive medication reviewAll Medicare Advantage plans must offer a Medication Therapy Management benefit to members who have multiple chronic conditions and take multiple medications.6 This benefit is a comprehensive review of all seniors' medications, both prescription and otherwise, to spot potential problems.Another way to make sure your medications are up to date and working well together is to bring your prescription list and all your pill bottles to your next doctor visit to review in person.A medication review is a part of every new member appointment at ArchWell Health. We want you to start out on the right foot and keep moving forward medication management is an important part of that.7. Get your caregiver involvedYour caregiver is an important part of your healthcare team. Ask yours to help you fill out your medication management list or bring them along to your next doctor appointment. That second set of eyes and ears can make a big difference.8. Rely on ArchWell HealthPrescription drugs are a big part of healthcare. In fact, nearly 72% of doctor visits involve drug therapy.7At ArchWell Health, we want you to get the most benefit possible from the medications you take. Were happy to give you all the time you need, in person or on the phone, to answer your questions. We dont want you to feel rushed; we want you to feel better!Sources1: https://www.healthyagingpoll.org/reports-more/report/older-adults-experiences-comprehensive-medication-reviews2: https://www.cdc.gov/medicationsafety/adult_adversedrugevents.html3: https://www.mckinsey.com/industries/healthcare/our-insights/meeting-changing-consumer-needs-the-us-retail-pharmacy-of-the-future4: https://www.fda.gov/consumers/consumer-updates/grapefruit-juice-and-some-drugs-dont-mix5: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10455514/6: https://www.medicare.gov/drug-coverage-part-d/what-medicare-part-d-drug-plans-cover/medication-therapy-management-programs-for-complex-health-needs7: https://www.cdc.gov/nchs/fastats/drug-use-therapeutic.htm

Falling temperatures mean illnesses such as the common cold, influenza and respiratory syncytial virus, known as RSV, are starting to spread. Combined with the still-present COVID-19 virus, these illnesses can lead to hospitalization for older adults, especially in those already diagnosed with heart and lung conditions or who are otherwise immunocompromised. This means its time to think about how these people will protect their health this winter. Getting the flu shot is one of the best ways to do so.It is important for vulnerable seniors to receive their flu shot as soon as possible.Ive seen patients for more than 20 years and have heard a variety of concerns about the flu vaccine. The most common worry Ive encountered is that the shot will give you the flu. While there can be mild side effects from the flu shot such as fever, aches or fatigue, the vaccine itself will not give you the flu. In fact, adults who get the flu shot are much less likely to get the flu.Although no vaccine prevents illness 100% of the time, if you are vaccinated and still get the flu, you are much more likely to have a mild case of the illness. Last years data showed that the flu vaccination significantly reduced flu-related hospitalization among adults.Of course, you should talk with your personal primary care doctor about how the vaccine fits into your care plan. If you are over 60 years old and on Medicare, ArchWell Health providers are available to answer questions about the flu shot and other health concerns specific to older adults.If you are a senior with a respiratory or heart condition such as COPD, asthma or a heart condition, or are actively receiving cancer treatments that make you immunocompromised, your doctor may also suggest you receive the RSV vaccine. For the first time, the RSV vaccine is available to older adults to protect them against this viral illness that can lead to pneumonia and hospitalization.Many local pharmacies make it easy and affordable to get your yearly vaccines and may offer the latest COVID-19 booster.Keeping our communities healthy this winter is a communal effort. Getting the annual flu shot and other important vaccines is a great way to protect yourself and your loved ones.

New Years resolutions are hard to keep without a plan. If one of your goals is healthy aging, ArchWell Health is here to help. Take these monthly steps to a healthier, happier you in 2024.JanuaryStart the year right with your first regular wellness visit of 2024 at ArchWell Health. Your ArchWell Health doctor will review your medical history and prescriptions and help you make a wellness plan for the year. At ArchWell Health you can see your primary care provider as often as you need to! Our care team will make sure to get follow-up appointments on your calendar, too.What to do:Schedule your regular wellness visits.FebruaryThis month we mark American Heart Month (and Valentines Day, of course). A great way to protect your heart is to control your blood pressure. Nearly half of American adults have high blood pressure and many are unaware that they do.What to do:Get your blood pressure checked.MarchMarch is Colorectal Cancer Awareness Month. Colorectal cancer is the second deadliest cancer in the U.S., but its largely preventable. Medicare covers screening colonoscopies at no cost to you. You can also talk with your doctor about alternative screenings, including stool-based tests that look at your DNA and blood to determine if you may have irregular colon or rectal growth.What to do:Schedule a colorectal cancer screening.AprilApril is National Minority Health Month. Members of racial and ethnic minorities face bigger disease burdens for a variety of reasons, including access to care. If you're a member of one of these groups, have conversations this month about your unique health challenges due to family history or other risk factors. If not, learn about the unique health challenges your neighbors may face at the U.S. Department of Health and Human Services Office of Minority Healths website.What to do:Talk with your doctor about challenges that may affect your health.MayMay is Better Hearing and Speech Month, and a good time to think about how important hearing is. Hearing loss contributes to depression, isolation, falls and even car wrecks. And it affects 1 in 3 older adults.What to do:Schedule a hearing test.JuneJune is Mens Health Month, so listen up, men. Prostate cancer is the second most common cancer in men (after skin cancer). The good news: it grows slowly, so treatment may not be needed. But early detection is key.What to do:Ask your doctor if you should have a prostate cancer screening.Women, youre not off the hook. Schedule your mammogram now, as calendar openings for this preventive screening fill up quickly. (See October for more information.)JulyJust in time for outdoor fun, its UV Safety Month. More people get skin cancer than any other form of cancer. You can lower your risk by practicing sun safety.What to do:Stop by ArchWell Health to see your doctor for a skin check.AugustAugust is National Immunization Awareness Month, a great time to ensure youre up to date on your shots. That includes newer vaccines that protect against COVID-19, shingles and RSV (respiratory syncytial virus). RSV alone is responsible for the death of nearly 10,000 older adults each year.What to do:Review your list of vaccinations and talk with your doctor about those youve missed.SeptemberSchool is back, and so is the flu. The flu can make anybody sick but can be deadly for older adults. Up to 85% of flu-related deaths occur among people 65 and older. The best way to prevent it is to get vaccinated.What to do:Schedule a flu shot before the end of next month.OctoberOctober is Breast Cancer Awareness Month. Nows the time for a mammogram. This simple test can spot breast cancer up to three years before you feel a lump. Since breast cancer affects more women than any non-skin-related cancer, regular screenings are critical.What to do:Get a mammogram.NovemberNovember is National Diabetes Month, a reminder to control your blood sugar. Diabetes affects 38 million American adults, but many of them dont realize they have it. Its the eighth leading cause of death in the U.S. and the leading cause of kidney failure.What to do:Get your blood sugar tested.DecemberThe holiday season can be a time of joy, but it can also be a time of sadness, especially if youre socially isolated. Find ways this month to stay active and engaged with other people. Your ArchWell Health center even has weekly activities for older adults in the community.What to do:Ask your ArchWell Health doctor about mental health resources that could help you.

Yes you read that right! Coming from a Registered Dietitian, it is OK to eat a frozen meal. Whether you are in a pinch on time, dont cook a lot anymore, or it is all that fits in with this months grocery budget  the frozen meal aisle does not need to be completely off-limits when learning to eat a healthier diet. Since the 1950s, when TV dinners were originally created, frozen meals have come a long way. Today, many options exist for those who need a quick, easy, and healthy meal.Frozen meals are great to have on hand in your freezer as they last a long time, and they are conveniently portioned out to help reduce food waste. While it is true that some frozen meals are not the best for us due to a higher amount of unhealthier ingredients than others, there are some that are healthier than others. A frozen meal is a quick and easy way to satisfy hunger and will help you meet some of your daily nutritional needs, especially when you know how to choose the right one for you.In general, there is nothing wrong with frozen foods. For example, buying frozen vegetables and fish is just as healthy as buying them fresh. When buying frozen and ready-to-eat meals, though, there is a higher risk of them being very high in nutrients like sodium (salt), which we need to keep an eye on for blood pressure control, and saturated fat, which is the type of fat we want to limit in our diet to keep our hearts healthy.So, what should you look for in a frozen meal?It is a good idea to look at Daily Value (DV) percentages and keep sodium at 20% or less. The recommended amount of sodium an adult should have per day is 2,300 mg, and 20% of 2,300 mg is 460 mg.  However, the Centers for Disease Control says 600 mg is the max amount of sodium a meal can have to be called healthy, so any frozen meal that has less than 600 mg of sodium is a good choice. If you have any heart-related medical diagnoses or kidney disease, your sodium needs may be more restricted. Be sure to monitor the rest of your sodium intake throughout the day when consuming these higher sodium foods.Meals with plenty of colorful vegetables for fiber and lean protein sources like turkey, beans and seafood are great. Fiber and protein are easy ways to help keep you fuller longer. Many frozen meals are low in calories likely making them low in protein and fiber. Aim for the meals with whole grains and vegetables, and protein. Tip: You can make the frozen meals your own. If youre having fettuccini alfredo, add chopped broccoli and chicken for protein and fiber. Or pair your macaroni and cheese with a side salad with vegetables and nuts or seeds for additional protein, fiber, and heart-healthy fats. Balance is key to overall health and helps to calm any unwanted cravings.Keep the saturated fat, or unhealthy fat, at 3 grams or less per meal. This is the same as keeping it at 20% Daily Value (DV) or less per serving. This type of fat causes high cholesterol levels and can increase the risk for strokes and heart attacks.Limit added sugars. Some meals may have sauces that raise the added sugar content. Also try to keep this at under 20% Daily Value (DV).Key Takeaways:Watch the sodium, saturated fat, and added sugars.Look for high amounts of protein (look for 15-20 g) and fiber (5 grams) per serving. If it is easiest to remember the 20% rule, aim for 20% or more of protein and fiber per serving when you can.Fill in any nutrient gaps with easy staples. Add a side of veggies, chicken, ground turkey or beef to your pasta when the frozen meal itself is lacking. This helps to keep you full which can help with weight management and can also help with blood sugar balance for those with prediabetes or diabetesThe article provides information designed to complement your personal health management. It does not provide medical advice and not meant to replace professional medical advice. Linking to other websites does not imply any endorsement of the material on such websites.

Burying our toes in the sand. Stepping barefoot on the soft grass. Putting on our favorite sandals. The summer gives us plenty of reasons to focus on our feet. But as we get older, we should also focus on their care.Our feet play a big role in our health. They keep us moving and steady. But podiatry (foot health) issues can be a problem area for older adults. About 20% of older adults deal with the symptoms of foot osteoarthritis, which include pain, aching or stiffness.Whats more, foot issues and fallsthe leading cause of injury-related deaths for those age 65 and upoften go hand-in-hand.A recent study found that the majority of older adults who received care for falls also had foot problems (such as wearing the wrong shoes, weakness or pain).The connection between our feet and our overall health as we get older is no surprise. Just like the rest of our bodies, our feet change over the yearsfrom their size and shape to issues related to the skin, muscles and joints. Conditions common among older adultslike diabetes, arthritis and goutcan affect how well our feet work.But that doesn't mean you have to stop moving! Here are four creative ways to care for your feet this summerand throughout the year.1. Try toe yogaYoga is an excellent way to strengthen and stretch our muscles, and you can do it for more than your core (abdomen area). Toe yoga is a proven way to help you get around more easily, avoid falls, boost balance and reduce pain. Focusing on the muscles of the foot improves their strength and function, and keeps other issues like shin splints and plantar fasciitis (which causes a stabbing pain near the heel) at bay.Simple toe yoga poses can usually be done sitting down. They include rolling a tennis ball under the soles of your feet, or pointing, flexing or spreading your toes. Toe yoga poses that focus on the big toewhich plays a leading role in our ability to stand and keep our balancecan also keep you moving safely. Namaste!2. Consider your toenailsTouching our toes gets trickier as we age. Once we hit 55, we lose flexibility in our upper and lower joints by about 6 degrees each decade, and that can impact any number of daily activities, including how well we tend to our toenails.Studies have long shown that caring for our toenails gets harder as we get older. This can prompt health issues. Long toenails make it difficult to properly wear shoes, exercise or complete simple tasks around the house.Thats why touching your toes daily can help keep you limber, and give you the flexibility needed to keep clipping those toenails (or painting them, if thats your thing). Work in some flexibility exercises too, like stretches for your back, inner thigh, ankle and the back of your legs.Caring for your toenails also ensures you can keep an eye on them for changes common for older adults. If you notice a difference in color, thickness or texture, this may be a sign of infection or other issues. Call or visit the doctor to report these changes.3. Switch up the sandalsWalking around in flip flops is OK if you find a sturdy pair and buy new ones each yearbut if you have issues with balance or foot pain, it's probably best to skip wearing them altogether. If you're comfortable with flip flops, use them minimally: dont walk in them all day or use them for long distance treks. Ultimately, good support is what your feet need most, and flip flops just dont cut it.Wearing flip flops may cause common foot problems like bunions, hammertoes and plantar fasciitis to get worse. Wedge heels, open-toe sandals and strappy sandals can also cause foot-related issues such as instability, skin irritation and a lack of shock absorption.But that doesn't mean you cant invest in some fun summer footwear. As you shop, look for shoes with good support, such as stiff heels and a toe box area that provides a bit of flexibility, the American Podiatric Medical Association recommends.Because the size and shape of our feet change over time, dont simply order the same size youve worn for decades. Have your feet measured professionally before you purchase sandals or flip flops, the group recommends. The association offers a Seal of Acceptance and Seal of Approval for products that promote good foot health.4. Treat your feetYour feet have served you daily for a lifetime, so treat them to regular spa days.Try a warm water soak to soothe calluses or corns and swollen feet after a long day of working in the garden. Check the water's temperature before use. Adding Epsom salts may relieve muscle pain and stress. Bonus: a warm water foot bath may help with better sleep, recent research says.Applying a daily cream to smooth and moisturize dry and cracked heels goes a long way too. For the most impact, the American Academy of Dermatology Association recommends using a moisturizer that contains 10% to 25% urea, alpha hydroxy acid or salicylic acid. For best results, apply it within five minutes of bathing.Of course, home care cant always take the place of healthcare. Regular foot exams should be part of any older adults wellness routine, allowing providers to check nail and foot health and assess for potential vascular and neurological issues, like swelling or the loss of sensation in the foot (a common issue for those with diabetes). As always, a helpful ArchWell Health doctor can guide youand keep you on your feet!The article provides information designed to complement your personal health management. It does not provide medical advice and not meant to replace professional medical advice. Linking to other websites does not imply any endorsement of the material on such websites.

Want to enjoy some sunshine in your golden years? Spending time outside can help you stay active, reduce stress, get vitamin D and support healthy aging. At the same time, older adults must guard against heat-related illnesses like heatstroke and prolonged exposure to ultraviolet light. Follow these tips to help you stay safe in the sun:Time your outings. The more you can limit your exposure to ultraviolet rays, the better. UV intensity peaks between 10 a.m. and 2 p.m., so spend time outside in the early morning or late afternoon whenever possible.Dont skip the sunscreen. Before heading outside, apply a thick layer of SPF 15 or higher sunscreen to all uncovered areas of your body, including your nose, ears, neck, hands and feet. Use a water-resistant, broad-spectrum sunscreen that filters out both UVA and UVB rays; these are the most damaging to our skin, and be sure the product is less than three years old. Reapply at least every two hours or immediately after swimming or sweating.Dress for the weather. To stay cool and help protect your skin from UV rays wear lightweight, loose-fitting, long-sleeved shirts and long pants or skirts made of densely woven fabric. You can even look for clothing with an ultraviolet protection factor (UPF) number on the label. Wear a dry T-shirt or coverup after swimming, as wet clothing offers less UV protection.Watch your head. Pull on a wide-brimmed canvas hat to shade your face, neck and ears. Skip the straw hats with holes that let sunlight in. If you prefer baseball caps, be sure to liberally apply sunscreen to your ears and the back of your neck. And if you dont have much hair, apply sunscreen to the top of your head for good measure.Shield your eyes. Wear sunglasses to protect your eyes from UV rays and reduce the risk of cataracts. Choose sunglasses labeled UV 400 or 100% UV protection, and consider wraparound frames that cover the entire eye socket.Stick to the shade. Spend time in shady spots under umbrellas or trees whenever you can. Keep in mind that even in the shade, you need sunscreen and sun-safe clothing to protect your skin from sun damage.Stay hydrated. Dont wait until youre thirsty to drink! When its hot outside, make sure youre drinking more water than usual, and avoid alcohol and caffeinated beverages. If youre taking water pills or your doctor has restricted your fluid intake, ask them how much you should drink in hot weather. Also, know which medications can cause you to be more sensitive to the sun and/or dehydration.Check the weather. Sometimes, its just too hot to safely spend time outside. Enter your zip code on the CDCs HeatRisk website to find out the heat risk and air quality forecast in your area so you can plan ahead and protect your health. If the heat risk is severe, stay in air-conditioning, close the curtains, take cool showers, limit oven use and get plenty of rest. You can also check the UV index for your area that day as well so that you know if it is safe to be out in the sun that day.Are you a caregiver of an older adult? You can support their sun safety by checking in with them at least twice a day and asking yourself the following questions:Are they drinking enough water?Do they have access to air-conditioning?Do they show signs of heat stress?If you see symptoms of heat-related illness like muscle cramps, headaches, nausea or vomiting, seek immediate medical attention.At ArchWell Health your health and safety are our priority. We offer value-based care that is designed to prevent illness and health issues. We offer longer appointment times to allow you time to speak directly with your provider about your overall health and any concerns you may have. We focus on preventative screenings, including skin assessments, for prevention, early detection, and early treatment of any health conditions that may arise. I encourage you to stop into one of our 3 Omaha area centers to visit with the staff and providers. Come take a tour of the centers to see how our approach to healthcare can benefit you.While the sun is powerful, its possible to stay safe and cool as you spend time outdoors. Enjoy the summer!A version of this column was previously published in New Horizons.