Category: Health Tips

What Causes Diabetes and How to Prevent and Treat It

Posted on by Martin

What is diabetes?

Diabetes – I’m sure we’ve all heard about it, but how many of us actually know what it means? The term diabetes actually refers to a group of diseases that can arise due to a rage of causes. In general, people who have diabetes have high blood glucose. This state can also be referred to as high blood sugar or hyperglycemia.

Diabetes can be classified into two common main types – type 1 and type 2. They are brought about by different causes.

Diabetes can be classified into two common main types – type 1 and type 2. They are brought about by different causes.

What are the causes of diabetes?

Type 1 diabetes

Type 1 diabetes is an autoimmune disease, meaning that the body’s immune system attacks and destroys its own beta cells even though its normal function is to protect the body from infection by destroying viruses, bacteria and other harmful foreign substances. Diabetes then occurs when there is insufficient insulin due to the destruction of insulin-producing beta cells in the pancreas.

Type 1 diabetes usually occurs in children and young adults, although it is possible for it to occur in persons of any age.

Genetic Susceptibility

One important factor in determining a person’s likelihood of developing type 1 diabetes is heredity. Many genes that are passed down from biological parent to child have been found to be influential in determining susceptibility to and protection from type 1 diabetes.

Autoimmune Destruction of Beta Cells

Research has suggested that insulin itself might be an important trigger for the immune system attacking the beta cells. Put simply, people who are susceptible to developing type 1 diabetes have immune systems that respond to insulin as if it were an antigen (or foreign substance).

Environmental Factors

Environmental factors can play a significant role in the development of type 1 diabetes. Possible factors include food ingested and toxins present in the environment. It has been suggested that environmental factors can trigger the immune system’s attack on beta cells.

Viruses and Infections

Viruses alone are unable to bring about type 1 diabetes, but there has been a correlation between viral infections and diagnosis of type 1 diabetes. This suggests that there is a link between the two. Also, type 1 diabetes often develops during the winter, which is also the period of time in which viral infections are common.

Type 2 diabetes

Type 2 diabetes is the most common form of diabetes – more so than type 1 diabetes. It can be brought about by a number of factors. A person with type 2 diabetes is unable to utilise insulin effectively, and at the same time is unable to produce enough insulin to compensate for the impaired ability to use insulin.

Type 2 diabetes is most common in middle-aged and older people who are overweight. However, it can also be found in obese children and adolescents.

Genetic Susceptibility

Genes are one of the most critical factors regarding susceptibility to type 2 diabetes. This is proven by the high rate of type 2 diabetes in families, especially in the cases of identical twins. Also, there are distinct variations in type 2 diabetes prevalence by ethnicity – namely, African Americans, American Indians and Pacific Islander Americans are amongst the ethnic groups that seem to be most susceptible to type 2 diabetes.

Genes can also affect a person’s risk of type 2 diabetes by increasing his or her tendency to become overweight.

Obesity and Physical Inactivity

If your caloric intake is much higher than your level of physical activity, this can lead to obesity, which causes insulin resistance. This then contributes to susceptibility to type 2 diabetes. It is alright to have a high caloric intake, but do ensure that you have a relatively high level of physical activity to go with it.

Insulin Resistance

Insulin resistance is common amongst people who are overweight, have excess abdominal fat, and are not physically active. Because of these factors, their liver cells respond ineffectively to insulin. The pancreas is then stimulated to produce extra insulin. The combination of ineffective insulin utilization and beta cell dysfunction causes blood glucose levels to rise, resulting in diabetes.

How can I prevent diabetes?

Type 1 diabetes cannot be prevented, but you can prevent type 2 diabetes by making the following healthy lifestyle choices.

Be more physically active:

Try to get about 30 minutes of moderate physical activity every day. Choose to take a walk instead of the bus, or the stairs instead of the elevator. Or you could take a nice relaxing swim after a long day at work. It will go a long way in preventing obesity and hence diabetes.

Lose excess weight:

If you are currently overweight, do try to get your weight down to a healthy range. A good guide is to aim to lose 7 percent of your body weight. So if you are currently weighing in at 90.9 kilograms (200 pounds), simply aim to lose 6.4 kilograms (14 pounds) and you would have reduced your risk of diabetes.

Have a healthy diet:

Reduce your consumption of foods that are high in calories and fat content. Choose instead to have more fruits, vegetables and whole grains. Lean meats are a good idea as well.

Medication:

Oral medication for diabetes can help to prevent the onset of type 2 diabetes. Such drugs include but are not limited to Glucophage and Glumetza.

How is diabetes treated?

Diabetes used to be a fatal disease a long time ago, before insulin was discovered. But with advances in medical technology and knowledge, people diagnosed with diabetes are able to lead a normal life.

The most important aim of diabetes management are the following – keeping blood glucose levels, blood pressure and cholesterol levels under control. To do this, you need to lead a healthy lifestyle – have a healthy diet, get adequate physical activity – and take insulin. Regarding the taking of insulin, it is important to balance your insulin intake with the amount of food you eat. Your level of physical activity also affects the timing and quantity of insulin you need to take.

Other things to take note of:

Monitoring your blood glucose levels:

You should go for regular blood tests to monitor your blood glucose levels in order to ensure that it isn’t fluctuating too widely.

Monitoring your blood pressure and cholesterol levels:

Although these aren’t directly related to diabetes, diabetics tend to be at higher risk of developing cardiovascular disease. As such, it is essential that you monitor your blood pressure and cholesterol levels in order to prevent developing cardiovascular disease. Eating healthily, doing frequent exercise and avoiding smoking will help as well..

 

http://www.diabetes.co.uk/treatment.html

http://www.medicinenet.com/diabetes_treatment/article.htm

http://www.cdc.gov/diabetes/basics/prevention.html

http://www.hsph.harvard.edu/nutritionsource/preventing-diabetes-full-story/

http://www.medicalnewstoday.com/info/diabetes/

http://www.niddk.nih.gov/health-information/health-topics/Diabetes/causes-diabetes/Pages/index.aspx

http://www.nhs.uk/Conditions/Diabetes-type2/Pages/Treatment.aspx

 

September is Healthy Aging Month: 7 Steps to Aging Healthy

Posted on by Martin

Healthy Aging month is an initiative dedicated to making known and embracing the positive aspects of aging. A national observance for the past fifteen years, it’s a time for Americans over the age of 45 to step back, look at their overall well-being, and adopt better health practices to preserve good health.

To age “well” is more than just a state of being. Healthy aging includes being well-rounded psychologically, socially, and physically, and includes taking active measures to ensure such. While some may associate being diagnosed with certain physical ailments as inevitable due to genetic predispositions, many physical maladies are actually not determined by genetics alone and can be combated with appropriate preventative measures.

Here are some general tips for aging successfully and living a healthier lifestyle:

  1. Take the time to get your eyes checked

Slight changes in vision can be normal as time goes on, but a marked or sudden decrease may not be. Because vision is such a vital part of daily life, it is important to maintain regular check-ups with your physician and discuss any concerns with them as well. The aging population is at a higher risk of developing eye issues, including: floaters, dry eyes, cataracts, age-related macular degeneration, dry eyes, and other retinal disorders.

  1. Hearing

Age-related hearing loss is most commonly caused by changes to the inner ear, although certain medications and prolonged exposure to noises that are too loud can also play a role. Hearing loss can cause someone to have difficulty hearing the doorbell or phone ring, or have trouble maintaining a conversation with a friend. However, treatments for those with hearing loss can be promising. Even for those with severe hearing loss, hearing aids (or cochlear implants), speech-reading treatments, and auditory training can produce a significant increase in the quality of one’s life.

According to the National Institute of Health (NIH), about 17% of American adults are affected by some form of hearing loss (1).

  1. Blood Pressure Screening

Check with your physician every year for abnormal blood pressure. A normal reading of blood pressure is 120/80 mmHg, although the Centers for Disease Control (CDC) estimates that 29% of Americans suffer from hypertension, or high blood pressure, and that this condition costs the nation $46 billion per year (2)! Hypertension is a blood pressure reading above 140/90 mmHg (3) and increases the risk of heart attack and stroke. Based on one’s situation, a physician may suggest medication, changes in diet, and physical exercise (3) to alleviate the situation. While age, race, and genetics all play a role in developing this condition, there also steps that the average person can take to reduce the risk of developing it, including: reducing sodium intake, maintaining a healthy weight, consuming less alcohol, and not smoking (3).

Hypotension, or low blood pressure, can be dangerous as well. One of the symptoms of hypotension is dizziness, which is caused by insufficient blood supply to the brain.

  1. Meeting with family

There are plenty of new things to appreciate as you get older and spending time with a growing family is one of them. Allocate a bit of time each week for social activities with family, as this makes for priceless memories and carefree laughter.

  1. Volunteer

Volunteering is worthwhile way to spend time because it gives the person a feeling of accomplishment and is also a perfect way to give back to the community. To find out if an organization is in need of volunteers, give them a call or look on their website online.

  1. Practice something challenging

Learning a new language or playing a challenging puzzle game, like Sudoku, is a great way to keep the brain sharp. In addition, a study called the Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) discovered that a series of specific “brain exercises” were found to improve cognitive function in its 2,832 elderly participants. A CBS News article reports that participants in this study “reported that they had an easier time with daily activities such as managing their medications, cooking meals or handling their finances than did participants who did not get the training” (4).

The article acknowledges that the study’s “training course was designed to bolster specific cognitive abilities that begin to slip as people age. It does not aim to prevent dementia caused by underlying disease such as Alzheimer’s” (4).

  1. Keep your body moving

Whether this is taking a long walk at the end of the day or spurts of short activity spread throughout the day, physical activity is important in preventing certain health conditions and strengthening the body.

The Centers for Disease Control outlines a time goal for physical activity per week, by the 2008 Physical Activity Guidelines for Americans, for adults here and older adults (ages 65+) here. If you have any concerns about physical activity due to a condition you may have, be sure to consult a physician first.

September may be Healthy Aging month, but taking active measures for healthy aging should be a priority no matter what time of year. As a famous person once said, “The greatest wealth is Health”.

 

Causes of Back Pain and What You Can Do to Prevent It

Posted on by Martin

Anyone who has ever suffered chronic back pain understands that the experience can be excruciating. Unfortunately, chronic back pain is a very common condition in this country and at least 100 million American adults suffer from back pain on a daily basis.

Fortunately, by understanding back pain’s most common causes, individuals who suffer from this uncomfortable and persistent problem can learn how to prevent it in the future.

What Causes Back Pain?

Back pain results from a variety of things, the most common of which are skeletal problems and muscular or ligament strain. In many cases, back pain comes on slowly, as the result of an underlying problem. Occasionally, however, back pain comes on suddenly as the result of a traumatic injury or acute spinal disc problem. Generally, back pain originates from one of the following causes:

Skeletal Deformations:

Common skeletal deformations such as scoliosis or birth defects can easily cause back pain. Fortunately, these conditions are rare and, when detected early, can often be rectified with chiropractic care or physical therapy.

Muscle Strain:

Muscle strain is one of the leading causes of back pain and often results when people move in unnatural ways or lift heavy items. People who are in poor physical condition are more likely to experience muscle strain and, when lifting heavy items, may also experience accompanying muscle spasms.

Osteoporosis:

Osteoporosis is a condition that causes bones throughout the body to become weak and brittle. When osteoporosis affects the spine, it can result in the formation of compression fractures and hairline cracks. Because of this, people suffering from osteoporosis often experience back pain that ranges from moderate to debilitating.

Ruptured Discs:

Spinal discs serve the important purpose of cushioning the vertebra in the spine. Spinal discs are constructed like small pillows and filled with a soft material known as mucoprotein gel. Under extreme pressure, however, the disc can rupture or bulge to one side or another, resulting in undue strain on spinal nerves and considerable back pain. In rare occasions, however, patients may have bulging or ruptured disks and no back pain at all.

Arthritis:

In older individuals, back pain is most often caused by arthritis. Osteoarthritis is very common in the lower back and, in severe cases, can cause the entire spinal column to narrow down around the cord in a condition called spinal stenosis. Patients suffering from spinal stenosis will be in great pain but, fortunately, can often find relief through surgery.

Who is at Risk for Back Pain?

Back pain affects people of all ages across all demographics. There are, however, some specific risk factors that place certain populations at increased likelihood for chronic back pain.

Older Individuals:

Age is a direct risk factor for back pain and individuals beyond the age of 40 are at increased risk for back pain due to deteriorating spinal structure and increasing stiffness in joints.

Out of Shape Individuals:

Poor physical condition directly contributes to an increased risk for back pain. When individuals are obese or lacking muscle strength, the spine is forced to absorb more strain, which often leads to back pain. Additionally, abdominal muscles play an important role in preventing back pain and, when a person is in very poor physical condition, the abdominal muscles cannot preform well enough to hold the spine in ideal position.

Pregnant Individuals:

In the later months of pregnancy, the weight of the baby and all accompanying tissues and fluids is centered on the low spine. In order to support the weight, the spine is pulled forward, which often causes considerable back pain. The pain is worsened when a woman is forced to stand, sit or lie down for a very long time. Fortunately, pregnancy-induced back pain is temporary and can often be mitigated with chiropractic care and massage.

Individuals Who Lift Heavy Objects:

People who lift heavy loads, such as movers and construction workers, are at incredible risk for back pain if they don’t maintain proper lifting form. Because lifting weighty objects puts considerable strain on the back, these individuals have a very high risk of slipping or rupturing disks or injuring muscles or ligaments.

Individuals who Smoke:

Smoking makes it difficult for the body to deliver adequate nutrition to bones and, as such, can often result in severe and chronic back pain. In most cases, ceasing to smoke and adopting a healthy diet and lifestyle is enough to remedy smoking-induced back pain.

Diseases:

Although rare, some types of cancer or tumors can cause back pain by pressing directly on the spinal column or its associated nerves and muscles.

How to Prevent Back Pain

Even though back pain is so common, there are many ways to prevent it from occurring. Most people who suffer from back pain will benefit from simply adopting a healthier lifestyle, which means including more dietary fiber, vegetables, fruits and water into the diet. Individuals who smoke should stop as soon as possible and people in poor physical shape will find relief from back pain by beginning an exercise regiment designed to strengthen muscles and improve overall condition.

Additionally, everyone who suffers even occasional back pain will benefit from practicing good posture. Unbeknownst to most people, poor posture is one of the leading causes in the muscle strain and weakness that often causes back pain.  Because of this, people who lift heavy objects often should invest in a back brace designed to support proper posture of the spine and associated muscles during heavy lifting. In addition to wearing the brace, these individuals should avoid bending at the waist and should, instead, lift at the knees.

Finally, people who suffer from chronic back pain may find powerful prevention in the form of a stretching practice like Yoga or Tai Chi. These practices are designed to gently condition muscles and can be very beneficial for keeping the spine aligned and preventing future back pain from occurring.

Older individuals who are suffering from back pain caused by arthritis or osteoporosis can benefit from seeing a doctor regularly. Depending upon the type of back pain, these individuals may benefit from physical therapy, chiropractic work or a light yoga practice. Additionally, better nutrition, ample water intake, healthy lifestyles and plenty of light-impact physical activity are ideal for keeping the spine in great shape at any age.

Although back pain is a common and uncomfortable condition, it can be treated and prevented in a variety of ways, which means that patients can live happier, healthier lives with less back pain.

 

 

All About Organic Food and What’s the Big Deal?!

Posted on by Martin

Demand for organic produce has jumped substantially in the past few decades. Increasingly, more supermarkets dedicate a section to solely organic produce and business at farmer’s markets, where local and fresh produce flourish, is blooming. Sales data quantify the popular demand of such produce – in fact, “organic sales increased from $3.6 billion in 1997 to over $39 billion in 2014” (1), and a 2015 publication states that “51% of families are buying more organic products than a year ago” (2). This “organic movement” has gained momentum on an international scale as well. As a whole, the U.S. exported more than $550 million worth of organic products in 2014 and imported over $1.2 billion (3).

What fueled this “organic movement”?  

The move to organic produce by consumers has partly been fueled by beliefs that organic produce may be better for health than conventional produce, concerns over health hazards potentially associated with pesticide usage, or that organic farming methods have a lesser environmental impact.

Agricultural pesticide usage and public perception

Before the 1920s, farming methods were largely pesticide-free (5). It was not until WWII that scientists discovered “chemicals designed as nerve gas…were also capable of killing insects” (5) and chemical pesticide usage in farming methods were not used until after WWII (4), when synthetic pesticides like DDT were made available to the public. Touted as a “fix all”, agricultural workers were ecstatic about its success in improving crop yields, reduction of pests, and its inexpensive price.

Not much about the adverse effects were known at the time, but the dangers of some chemicals, notably the pesticide DDT, were later espoused by conservationist Rachel Carson in her book called “Silent Spring” in 1962. Carson had been researching the effects of pesticide exposure on “non-target creatures (organisms other than those that the pesticide is intended to kill)” in areas where the pesticide had been applied (4). Her publication included sound evidence of the death of animals in those regions and the persistence of the chemicals in the environment, which would continue to harm wildlife over time. She also noted that these chemicals could accumulate and reside in the tissue of the exposed being, including humans, and contribute to cancer or genetic damage in certain cases (6). Carson’s book was monumental in its broadening of public knowledge and shaping of perception towards pesticide usage and the potential damage it carries.

Within the following decades, “the growing consumer interest in health and nutrition, the growth of the green movement, the focus on conservation and environmental issues stimulated the development of the organic market and encouraged farmers to adopt organic methods” (5).

However, concern from organic producers and others also grew regarding the hazy conditions surrounding the term “organic”. This spurred the passage of the Organic Foods Production Act (OFPA) of 1990, which allowed the Agricultural Marketing Service under the U.S. Department of Agriculture to create national standards for foods certified as “organic”. It also created a National Organic Standards Board (NOSB) and a regulatory agency called the National Organic Program (NOP), which oversees the production and handling of organic items.

Health benefits of organic produce

There has been much debate over whether organic foods or conventional foods are “better” for overall health. And despite the research that has been undertaken, the evidence is not yet conclusive. Although more research needs to be conducted, the current literature contains findings similar to these following quotes: an article from Science Direct states that “in public health terms, there is insufficient evidence to recommend organic over conventional vegetables” (7) and another study states that the “results at present do not make it possible to formulate a general conclusion on a higher health-promoting value of organic vegetables in comparison to those grown by conventional farming methods” (6).

So why the craze for organic?

Although the evidence regarding overall health is not yet conclusive, organically grown produce does still have certain favorable benefits over its conventionally grown counterpart.

  1. More of certain vitamins and minerals may be present in organic products.

A study found that, from analyzing 33 studies of the micro-nutrient content of organically versus conventionally grown plant foods, “the absolute levels of micro-nutrients were higher in organic foods more often than in conventional foods (462 vs 364 comparisons, P = 0.002), and the total micro-nutrient content, expressed as a percent difference, was higher in organic (+ 5.7%, P < 0.001) as compared to conventionally grown produce” (8).

Other studies simply find that micro-nutrient levels can vary. One found that “potatoes marketed as organic had more copper and magnesium (p < 0.0001)”; however, they also had “less iron (p < 0.0001) and sodium (p < 0.02)” (9).

  1. Organic farming has less of an environmental impact.

Organic agriculture focuses on “renewable resources, soil and water conservation, and management practices that restore, maintain and enhance ecological balance” (10). It utilizes “cover crops, green manures, animal manures and crop rotations to fertilize the soil, maximize biological activity and maintain long-term soil health” (10).

  1. Reduced exposure to pesticides and other chemical additives

One research states that “two studies reported significantly lower urinary pesticide levels among children consuming organic versus conventional diets” but also acknowledges that “studies of biomarker and nutrient levels in serum, urine, breast milk, and semen in adults did not identify clinically meaningful differences” (11). This study states also that “consumption of organic foods may reduce exposure to…antibiotic-resistant bacteria” (11).

 

Sources:

(1) http://ota.com/sites/default/files/indexed_files/StateOfOrganicIndustry_0.pdf

(2) http://ota.com/sites/default/files/indexed_files/PolicyConference2015_Infographic_8.5x11_1a_0.pdf

(3) http://ota.com/sites/default/files/indexed_files/OTAJaenickeMay2015_TradeDataReport.pdf

(4) http://people.oregonstate.edu/~muirp/pesthist.htm

(5) http://theorganicsinstitute.com/organic/history-of-the-organic-movement/

(6) http://www.nrdc.org/health/pesticides/hcarson.asp

(7) http://www.sciencedirect.com/science/article/pii/S0278691510005028

(8) http://www.tandfonline.com/doi/abs/10.1080/10408391003721701?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed#.VdkAlJEQbGs

(9) http://www.ncbi.nlm.nih.gov/pubmed/22022779

(10) http://www.nal.usda.gov/afsic/pubs/ofp/ofp.shtml

(11) http://annals.org/article.aspx?articleid=1355685

 

The Role of Patient Education in Reducing Hospital Readmissions

Posted on by Martin

According to Medicare, at least 20 percent of all patients who are admitted to a hospital will be readmitted within 30 days of being discharged. However, 75 percent of these readmissions could possibly be prevented with better care and education. Because driving down the high number of re-hospitalizations is not a simple task, hospitals, health systems, and health care professionals should all work together with the patients.

Why is there a need to reduce hospital readmissions?

These are some of the reasons why there is a need to lower the number of re-hospitalization:

  • To reduce the pressure brought on hospitals due to high readmissions
  • To lessen the dissatisfaction patients feel when they repeatedly find themselves back in the hospital
  • To reduce the cost of readmission on Medicare, state Medicaid programs, and private health plans

How does education help in preventing hospital readmission?

Patients who clearly understand their after-hospital care instructions, which includes how and when to take their medicines and when to return for their follow-up appointments are 30 percent less likely to be readmitted than patients who don’t have this information. Unfortunately, a huge number of hospitalized patients do not receive education on how to take care of themselves.

Project RED

According to Jack BW et al. in Annals of Internal Medicine, Project RED (Re-Engineered Hospital Discharge Program) intervention provides the strongest evidence that supports the efficacy of enhancing hospital-based discharge processes.

In this program, a specially trained nurse conducts patient education while the patient is still in the hospital, arranges follow-up appointments, confirms medication routines, and prepares a patient-specific instruction booklet. Project RED also involves a pharmacist’s follow-up call to the patient 2-4 days after discharge to confirm the medication plan and to clarify any questions.

As a result of Project RED, 370 participants had 30 percent fewer readmissions and emergency visits than the 368 patients who did not participate in the intervention. The data shows that there is a significant connection between patient education and reduced hospital readmissions.

Qualities that make patient education programs achieve the best results:

Education efforts are routinely directed toward the key learner

The term “key learner” does not only refer to the patient but could involve any individual who accompanies the patient during doctor’s appointments, assists the patient take his or her medications, takes care of the patient at home, and listens in to instructions at the time of the patient’s hospital discharge. In many cases, this role falls on the patient’s home health aide, which will be noted by the education providers to make sure that they will involve this individual in their teaching efforts.

Education providers consistently assess the patients’ comprehension of the information they give.

The “teach back” strategy has been proven to very effective in determining the patient’s understanding of the concepts taught to them. In this approach, key learners are asked to communicate what they learned in their own words. Education providers could also guide them by asking questions related to the patient’s condition. For instance, the staff can ask the question “What is the name of the diuretic or water pill you take?” from a heart failure patient.

The “teach back” strategy could also be used by asking the patient different questions every day during his or her stay in the hospital. These questions can be knowledge-related (What steps are involved in following a low-sodium diet?), attitude-related (Why is it important to take your water pill daily?), and behavior-related (How will you remember to check for symptoms of heart failure every day?).

Organizational practice puts patient education as a priority.

Educating patients entails additional man hours, which is why it’s important for the organization or the hospital to make patient education a priority. Besides, through multitasking and by maintaining clear documentation, discussions related to patient education would take less than 10 minutes per day.

Technologies and strategies are used to make activities related to patient education fit easily into the hospital employees’ flow of work.

Because patient education entails extra work for the hospital employees, it is necessary for strategies to be applied to make the adoption of the education system smooth. It is also important to make the scheme easy for the hospital employees to use in addition to their regular workload.

One example of such system is a software that prompts the hospital worker at a predetermined time to conduct the “teach back” strategy, including the questions that he or she can ask the patient.

Materials related to patient education are created with the patient in mind

The best education materials are designed to clarify concepts that patients may have trouble understanding. This means that, whenever possible, simple words and instructions should be used. Highlighting important information, such as a new medication should also be done to let patients know of the data’s significance.

How can home health aides help in reducing hospital readmissions?

Home health aides not only perform a vital role in the maintenance of the health and well-being of their patients, they are also important factors in protecting their patients from re-hospitalization. To do so, a home health aide should:

Communicate with the discharge planner. Before the patient leaves the hospital, the home health aide must speak with the hospital discharge planner and go over both parties’ expectations regarding the patient’s recovery, scheduling, and the provision of post-discharge care.

Organize the patient’s follow-up appointments. Inadequate follow-up and monitoring are some of the typical reasons for re-hospitalization. Unfortunately, fewer than half of patients see their doctor for a follow-up appointment between discharge and readmission. According to research, it is crucial for a patient to see a doctor within seven days of discharge to reduce the likelihood of his or her readmission to the hospital. In this instance, the patient or the home health aide and the hospital need to stay in close contact through phone calls for reminders to schedule and keep appointments.

Be familiar with the patient’s medication requirements. Based on research, adverse medication events account for over half of hospital readmissions among elderly patients. This means that patients need to receive a medication review upon admission, during the patient’s stay in the hospital, and upon discharge. There should also be medication education and counseling, as well as a regularly scheduled follow-up online or by phone.

Moreover, even before the home health aide returns home with the patient, it is important for him or her to understand everything about the patient’s medication routine. This is also the time for him or her to clarify questions about the prescriptions, especially if there are new ones.

Be mindful of the risk factors for re-hospitalization. There are factors that increase the risk of readmission in some patients. A diagnosis of heart failure or COPD (chronic obstructive pulmonary disease) are examples of such risk factors. Home health aides must learn all the possible risk factors so he or she will be appropriately prepared for any eventualities and deal with them in the appropriate manner.

Carefully monitor the patient’s condition. Home health aides are trained to note the changes in their patient’s behavior and determine whether these changes could lead to re-hospitalization due to an adverse event.

Keep the home free from hazards. An important part of a home health aide’s job description is to make sure that the patient’s home is free from anything that might pose a threat to his or her patient’s health and well-being. This is especially important to reduce the possibility of hospital readmission.

Other ways to prevent re-hospitalization

Aside from patient education, the other ways to prevent hospital readmission are the following:

Conduct real-time monitoring at home. The monitoring of a patient’s care and health status in real-time helps home health aides and other health care providers act swiftly to provide early intervention in the patient’s home. As a result, the need for hospital readmission is reduced.

Participate in a readmission prevention-focused initiative. These types of initiatives allow hospitals and other health care providers to work together and share strategies and best practices for preventing re-hospitalization.

Join incentive programs with payers. Health systems are working together with hospitals to give incentives to providers who successfully reduce preventable re-hospitalization. The guidelines of most incentive programs allow hospitals to realize savings if they were able to drive down the number of readmissions and lose money if readmissions increased.

Pay special attention to patients who are hearing-impaired or who have limited English proficiency. Patients who do not fully understand what is expected of them after their discharge are at greater risk of readmission. This is why it is important for hospitals to work with sign language experts and foreign language interpreters to properly communicate important information to the patients and vice and versa.

Hospital readmission is not only costly, it also puts a strain on the hospitals and could contribute to the patients’ overall frustration and dissatisfaction with their failing health and capabilities. Fortunately, these adverse effects can be avoided through patient education and other ways in which patients, health care professionals, hospitals, and other concerned organizations all work together toward achieving a common goal.

 

Sources:

Effective Interventions to Reduce Rehospitalizations: A Survey of the Published Evidence

www.academyhealth.org/files/SQII/STAARSurvey.pdf

Reducing Hospital Readmissions with Enhanced Patient Education

https://www.bu.edu/fammed/…/krames_dec_final.pdf

10 Proven Ways to Reduce Hospital Readmissions

http://www.beckershospitalreview.com/quality/10-proven-ways-to-reduce-hospital-readmissions.html

5 Ways Healthcare Providers Can Reduce Costly Hospital Readmissions

http://hitconsultant.net/2013/03/31/5-ways-healthcare-providers-can-reduce-costly-hospital-readmissions/

Can Caregivers Help Reduce Hospital Readmissions

http://www.aarp.org/politics-society/advocacy/caregiving-advocacy/info-2014/caregivers-reduce-readmissions.html

The Early Signs of Alzheimer’s Disease: What You Need to Know

Posted on by Martin

Alzheimer’s is a disease that affects hundreds of thousands of families every year. According to recent estimations, 5.3 million Americans are currently living with the disease, 5.1 million of whom are aged 65 or older.

Because Alzheimer’s is so common, it benefits family members to be aware of the early signs of Alzheimer’s disease. Although there is no cure for Alzheimer’s, early detection can lead to better care and treatment as the disease progresses.

1) Memory Loss

Memory loss is one of the most common and most easily recognized symptoms of Alzheimer’s. Most people in the early stages of the disease will begin to forget information they have recently learned and may begin to forget important dates, such as birthdays, anniversaries or holidays.

Affected people may also forget important life events and may not remember, for example, that their daughter recently had a baby. Some affected people may ask the same question time and time again or tell the same story in a loop-like fashion. As the memory loss progresses, many individuals begin to use memory devices like notes, to-do lists or electronic reminders in an attempt to cope with their symptoms.

2) Confusion Regarding Time and Place

If you notice that a loved one has begun to confuse times or locations and has exhibited behavior like switching meals (dinner for breakfast, etc.), it may be time to call a doctor. Many patients in the early stages of Alzheimer’s have difficulty with the concept of time and will also struggle to understand that something will happen in the future but is not happening now. The confusion of time often goes hand-in-hand with a confusion regarding locations and people exhibiting these symptoms often forget where they are or how they have gotten there.

3) Difficulty With Familiar Tasks

If you notice that a loved one is having a hard time remembering how to do basic tasks like watering plants or driving to an old friend’s house, pay some extra attention. People suffering from the early stages of Alzheimer’s often experience difficulty with familiar tasks and may slowly lose their ability to execute simple chores without help.

4) Difficulty With Problem Solving

For many people in the early stages of Alzheimer’s disease, problem solving can quickly become an issue. Many individuals find it difficult to manage a budget, follow directions, read a recipe or keep track of mail. Additionally, these people may have a difficult time navigating daily frustrations like lost items or scheduling conflicts. Often, difficulty concentrating and frustration accompany these symptoms.

5) Difficulty Interpreting Pictures

If you notice that your loved on is having a tough time understanding photographs or judging distances, it is likely that this is an early indication of Alzheimer’s. Often, people who are beginning to exhibit symptoms of the disease will have difficulty interpreting color and contrast and may be unable to drive due to dangerous and disorienting issues with depth perception.

6) Trouble Speaking

Does your loved one have new or worsening speech problems? If you notice that somebody you know has begun stopping mid-sentence, stumbling over words, confusing phrases or repeating themselves often, it’s time for a medical evaluation.

One of the most surprising symptoms of Alzheimer’s is that people often begin to forget simple phrases. For example, these people may call an oven a “cooking box.” Problems with speech, vocabulary and forming sentences are common symptoms of this troubling disease and deserve immediate attention.

7) Misplacing Things

If your loved one begins to misplace things around the house and cannot remember where they’ve been in order to retrace their steps and find the lost items, it’s time to take notice. Confusion and lack of short-term memory are both early signs of the disease and can quickly transition into full-blown dementia. Often, these symptoms are accompanied by anger and those afflicted may accuse loved ones of stealing, playing trick on them or hiding things.

8) Notable Changes in Mood

Alzheimer’s symptoms often cause people to become moody, depressed, paranoid, fearful, anxious or angry. People in the early stages of the disease often get agitated easily and may respond to the confusion, discomfort and distress they often feel by sobbing, becoming angry or lashing out.

In addition to getting these individuals medical help, family and friends need to know that this behavior, while it can be emotionally devastating, is not personal. Alzheimer’s is a complicated disease and it often causes people to change dramatically in a short period of time. Trust that the best thing you as a friend or family member can do is get the affected person medical assistance and provide support and love throughout the treatment process.

9) Decreased Social Activity

If you notice that your loved one has recently withdrawn and has stopped seeing old friends or participating in volunteer work, family events or community engagements, it may be time for a medical check-up. Alzheimer’s symptoms, specifically confusion and the disorientation, can cause people to become depressed and withdraw from friends and family in an attempt to hide their symptoms from friends and loved ones. Often these people will try to downplay their withdrawal and it is up to friends and family members to investigate further. Although they may insist against it, individuals that are decreasing their social activity are at a heightened risk of depressive symptoms and need help and support immediately.

10) Poor Judgment or a Lack of Risk Assessment

People in the early stages of Alzheimer’s disease may exhibit poor judgment with money, safety or personal belongings. For example, affected individuals may make large infomercial purchases or go outside in frigid weather without a coat. They may also leave stoves on, leave candles burning when nobody is home, leave a car running in the driveway or abandon personal hygiene. These are all alarming symptoms that require family members to take notice.

What to Do When a Loved One Has Alzheimer’s
In the early stages of the disease, individuals tend to be very independent and many affected people still drive, maintain social lives, conduct volunteer work and keep in touch with family. During this stage, the most important role loved ones can play during this time is to be a force of support and friendship while also assisting in planning for future care.

As Alzheimer’s disease progresses, people often undergo noticeable changes in their ability to speak, function independently, drive and eat. Typically, these changes occur slowly and it is not uncommon for affected individuals to maintain some level of independence for years. During this time, the best thing that friends and family members can do is act as an advocate for the affected person and helping him or her do routine things, such as making appointments, remembering important dates or events, paying monthly bills, taking medications on time, dressing, and cleaning the house. Although these tasks may seem small and inconsequential, they will be great help to the affected person.

As the disease progresses, friends and family members often feel as if there is nothing they can do and that is when love and support is most needed. In addition to loving the person affected by the disease, friends and family members should also reach out to their community for support and assistance. Although Alzheimer’s is a difficult disease, it is much easier for patients and their families to cope when they are surrounded by ample love and support.

Caring for People Suffering from Dementia

Posted on by Martin

Dementia is a mental disorder in which a person gradually suffers from loss of mental function as a result of certain brain diseases. Almost 50 million people suffer from dementia from all over the world while health organizations claim that the number will triple by 2050. The most common type of dementia in the world is Alzheimer. In United States, more than 60% of people (More than 5 and a half million) become victim of dementia because of Alzheimer. Other most common types of dementia are vascular dementia and lewy body dementia.

In all cases and types, the end result is often similar like loss of memory, judgment and loss of reasoning. It also causes anxiety, anger, behavioral changes, sadness and loss of muscle and weight. As loss of memory and resulting aggression is a common symptom, taking care of people suffering with dementia is often a very challenging task.

Even though, a small proportion of young people also suffers from dementia but most of the people get affected while growing old. In fact, the number of people suffering from dementia doubles with every 5 years of age bracket.

Understanding Dementia

To provide better care for dementia patients, it is necessary to understand the disease which helps counter gradual changes in the behavior of patients. Even when there is no present cure of dementia conditions like Alzheimer, there are reported cases in which good care and help from families significantly delayed the more severe conditions of dementia.

Once dementia is diagnosed, it follows a downward trajectory that usually consists of three steps.

  • Mild Dementia

    In the initial stage, which is also known as mild dementia, people begin to show difficulty in learning new things, remembering names and often fails to perform more complex tasks like operating a smart phone or driving. They also begin experiencing sadness, stress, anxiety and loss of interest in healthy activities and entertainment.

 

  • Moderate Dementia

    The second stage is moderate dementia in which senses are affected. The affected person suffers from loss of physical function, loss of judgment and more severe memory loss. At this stage, person also loss interest in proper diet, begins to wander and often uses inappropriate language and sentences that does not make any sense. At this time, challenges for care givers begin as they need to invest more time and energy.

 

  • Severe Dementia

    In the third and last stage, person suffers from complete memory loss, difficulty in eating with no control over bowl and bladder. The mobility also becomes limited. At this stage, round-the-clock care is required that is why many people seek professional care givers to help them cope with the growing needs of patients. At this time, most patients also stop recognizing family members making it easier to introduce professional caregivers.

 

Caring for Dementia Patients

When taking care of people suffering with mild dementia is easy, the real challenge starts with moderate to severe dementia stages. At this time, care givers may have to deal with aggressive and in some cases, violent behavior of patients which is result of growing confusion, fear, sadness and anxiety.

Learning Basics of Care Giving 

Listed are some basics of taking care of dementia patients.

No Aggression: First thing that care givers need to learn and understand is that whatever the dementia patients do, they are not doing it on purpose. Reacting with anger or aggression can only result in more violent behavior of patients in future.

No Argument: There is no point in explaining things to patients especially in the last stage. In simple words, no one can reason with dementia patients and can make them understand as they have lost their ability of learning and judgment. In fact, trying to reason with patients can result in adding confusion and triggering aggression.

Dos and Don’ts while Dealing with Aggressive Behavior

In many cases, a simple refusal of doing a routine task grows into violent speech or actions. While dealing with such situations, you need to understand that the violence committed by the patient is not on purpose.

Don’t: As aggression by patients often caused by fear, responding in harsh way can only worsen their condition. Don’t force the issue that is discomforting the patient or engage into an argument. Until you have no other option left, use of force can make the situation worse.

Dos: Instead, make sure to look for the cause of fear and try to provide them with the comfort zone that usually keeps them calm. Communicate in a reassuring but calm manner diverting their focus to something else.

Dos and Don’ts while Dealing with Confused Questions

Dementia patients often get confused about the time and place. They often want to be in a place or time when they were in more control or felt safest in their life.

Don’t: Long answers, reasons and explanations are not going to help. Instead, they will add to confusion and more questions. In some cases, lengthy reasons and arguments trigger violent behavior in patients.

Dos: Provide simple answers in reassuring and helping tone. Use photos and other reminders in the house. If the questions are insisting, it is better to redirect their attention to something else instead of trying to answer the questions again and again.

Dos and Don’ts while Dealing with Poor Judgment

Family members may have to face accusations from patients or actions that are result of cognitive problems and thinking errors. Alzheimer can cause people to have untrue beliefs, delusions and poor judgment.

Don’t: No matter how ugly it looks, never question the accusation or patient’s ability to handle particular situation. Letting him believe that he is in control can help otherwise the confusion can result in aggression or anger.

Dos: Help patients in keeping their stuff organized. Even when it looks difficult, accept the accusation and let him/her believe she is right and in control.

Tips that Can Help

Few simple tasks and small adjustments to your daily life can make life much easier of the care giver. Some helpful tips are listed below.

  • Graded Assistance to Encourage independence. There are reported cases in which dementia patients maintained functional independence for a long period of time when independence is encouraged. The technique “Graded Assistance” is used to help patients accomplish their work without providing extensive help. Instead, verbal instructions, physical demonstrations and other means are used keeping least amount of physical assistance.
  • Make Your Daily Routine more Smooth. Make things simpler for dementia patients by maintaining simple to follow routine in your home. Simple daily routine can help dementia patients to adapt quickly providing them independence to work alone.
  • Simple and Direct Communication. Use of simple sentences, reassuring tone and loving gestures can make things simpler for you and patients.
  • Limit Distractions. Make sure the patient is not distracted while eating or doing routine work. Provide calm and quiet environment that can help patient concentrate on eating or other similar tasks. Limit the number of baths as physical activity required for shower may make some patients aggressive or uncomfortable.
  • Ensure Family Activities. Plan comfortable routine activities with patients that attract their interest. Engaging patients in healthy activities can help delay downward behavior trend. Just don’t push any activity in which the patient is not interested.
  • Follow Consistent Bedtime. Make sure to keep the bed time consistent to develop the internal clock that works on its own. Provide peaceful environment with no noise.

Taking help from Professional Caregivers

In many cases, family members taking care of dementia patients often begin suffering with anxiety, stress and growing depression. As care givers have to sacrifice their social interactions, put more time and effort along with compounding grief of seeing loved ones in poor mental condition, they develop their own mental problems like depression.

This is why taking help from professional caregivers is often very important as they not only take good care of the patients but also conduct sessions with family members which help them understand their feelings. With professional advice, family members can develop strategies to deal with the growing stress while taking better care of loved ones.

 

  

 

Recommended Vaccines for Adults

Posted on by Martin

Vaccines are an important step in protecting adults against serious, sometimes fatal, diseases.  Even if you were vaccinated at a younger age, the vaccine may have worn off, or you may have developed a resistance to the vaccine.

As you get older, you may be at risk for vaccine preventable diseases due to your age, job, hobbies, travel, or chronic health conditions.

List of Recommended Vaccines for Adults

  • Influenza Vaccine (Flu) is recommended every year.
  • TD Vaccine is recommended every 10 years to protect against Tetanus.
  • Hepatitis B Vaccine is recommended for people who have Type 1 or 2 Diabetes, because they have a higher risk of developing the Hepatitis B Virus.
  • Shingles Vaccine is usually recommended for adults 60 and older.
  • Pneumococcal Vaccine (Pneumonia) is usually recommended for people with heart disease, respiratory illness, and history of stroke, as they are at a greater risk of developing pneumonia and requiring hospitalization.

Staying healthy is a top priority for all of us.  Vaccination is a simple thing you can do to help prevent diseases.  Make sure you have the best protection.  Speak to your doctor to see which vaccines are right for you.

Please visit www.cdc.gov/vaccines/ for a full list of vaccines to further educated yourself about preventing diseases and staying healthy.

Knowing When it’s Time to Ask for Help in Home Care

Posted on by Martin

Whether a person is elderly or disabled, it can be difficult to know when to ask for help. Societally, we are taught that asking for help is a sign of weakness and a cause for embarrassment. Unfortunately, nothing could be further than the truth. If one of your friends or loved one is facing difficulty due to age or disability, certain telltale signs can help indicate when it is time to hire in-home help.

General Signs that It’s Time to Ask for Help

When an elderly or disabled friend or loved one needs help, the signs may manifest in a variety of ways. Some signs are clearly big-picture issues that will be obvious to friends and family, regardless of distance or relationship. Keep an eye out for the following:

Close Calls or New Difficulties

If your elderly or disabled loved one has been living alone, it’s likely that they have been relatively self-sufficient for some time. However, if your loved one has recently begun having new difficulties or suffering from close calls, like falls, medical scares or even car accidents, it’s likely that it is time to ask for help.

When an elderly or disabled person lives alone, these close calls are more likely to happen again and again and, when they do, it is wise to employ a trusted caretaker in order to ensure that somebody is there to respond to falls or other accidents.

Chronic Health Conditions or Worsening Health

Progressive issues like dementia, congestive heart failure and COPD can result in marked, rapid decline a loved one. Generally, the presence of these issues means that it is time to ask for help from a qualified caregiver or to move the person to an assisted living facility.

Difficulty Recovering

In elderly or disabled people, common illnesses like colds or the flu can produce serious health issues. If an elderly or disabled loved on has recently suffered from a common illness but is having a difficult time recovering, consider asking for help. This is especially true if your loved one was unable  or unwilling to get the help he or she needed during the time of the illness, which resulted in the illness becoming much more serious.

Difficulty With Activities of Daily Living

The activities of daily living (ADL’s) and instrumental activities of daily living (IADL’s) are the skills an adult needs to live independently – without the care of a relative or caregiver. These skills include dressing oneself, cooking, driving, shopping, using the bathroom, bathing, doing laundry, taking medications and cleaning.

Unfortunately, age or disability often rob people of these abilities and make it increasingly difficult for them to live alone. Fortunately, if a loved one is having difficulty with ADL’s or IADL’S, bringing in-home help into the equation can often restore some independence and help the person live a better life.

Social Signs That It’s Time to Ask for Help

Often, when an elderly or disabled person is beginning to decline, it will become obvious through their social interactions, or lack thereof.  In order to determine if your friend or loved one needs help, keep an eye out for these important social waning signs:

Lack of Friendships

Age and disability make it easy to become reclusive and a person who no longer keeps close companions or pursues friendships may very well be declining. Generally, lack of active friendships is a sign of depressive symptoms and may indicate that it is time to secure in-home help or a change of scenery for your friend or loved one.

Refusal to Leave the Home

When an elderly or disabled person is afraid to drive and unwilling to take public transportation alone, they often begin to go days on end without leaving their home. Often, these individuals benefit from hiring in-home help, which may help them regain their mobility and resume regular outings.

No Activities or Interests

If your friend or loved one has abandoned activities and interests, it is time to call for help. Isolation is generally related to depressive symptoms and acting quickly is the best way to prevent your loved one from becoming further depressed and isolated.

Physical Signs That it’s Time to ask for Help

An elderly or disabled person who is declining will exhibit noticeable physical signs that indicate in-home help is needed. Any of the following signs warrant a call for assistance:

Weight Loss

If your friend or loved one feels thinner or looks like he or she is swimming in their clothing, there’s a good chance that something is wrong. Physical conditions ranging from tumors to depression can cause weight loss, as can declining motor skills that may result in a loss of cooking or shopping ability.

Additionally, some elderly or disabled people may be forgetting how to cook or eat. In these cases, it is wise to ensure there is food in the house and spend some time watching the person prepare a meal for him or herself. In any event, drastic weight loss is a valid reason to call an in-home caregiver.

Weight Gain

Like weight loss, sudden and drastic weight gain can indicate serious health issues like diabetes. Additionally, weight gain may indicate that a person is having financial troubles and subsisting on cheap, processed foods rather than healthy fare. Watch meal prep and call for help if you notice that the person is forgetting having eaten or binge eating all day long.

Frailty

If you notice that your friend or loved one is having difficulty completing simple tasks like removing shoes, opening drawers, sweeping or getting out of a chair, it is time to call for help. As people age, they generally become frailer, which may lead to difficulty completing everyday activities.

Disheveled Appearance

It is generally possible to tell a great deal from a person’s appearance. If you notice that your typically well-kept loved one is wearing stained, sloppy or torn clothing or that hair and makeup are noticeably different or disarranged, consider asking for help. These signs typically indicate that the person has lost strength, dexterity or memory and are a valid reason to call for in-home help. Elderly or disabled people often need help dressing, shaving and fixing their hair and an in-home caregiver can help them meet those needs.

The Case for In-Home Help

Realizing that a friend or loved one needs help is never an easy experience. Watching a person decline is difficult and it is made worse by the fact that they often need help we are simply incapable of giving. In these cases, the most important thing you can do is notice signs that indicate physical or mental deficiencies and take it upon yourself to secure help for your friend or loved one.

Often, elderly or disabled people are embarrassed to ask for help and see it as a sign that they are becoming infantile or incapable. Assure the person that this is not true, that there is nothing to be embarrassed about and that extra help can help them preserve the quality of their life rather than subtracting from it. Although it can be difficult, asking for help is never anything to be embarrassed about and in-home caregiving can often preserve, extend and boost a person’s quality of life for many years.

National Smile Week: 10 Fun Facts About Smiling

Posted on by Martin

Smiling. It feels good and looks great but did you know it could actually increase your life span and  do everything from making you more attractive to helping you land that promotion? In order to help you celebrate National Smile Week, we’ve compiled a list of fun and surprising facts about turning that frown upside down. Get ready to smile because these facts about smiling are nothing but good news:

Fact #1: Smiling Helps You Live Longer

Smiling has many benefits, not the least of which is that smiling can actually help us live longer.

People who smile more often are generally happier and, since smiling decreases blood pressure and releases endorphins, it’s a great way to boost health and protect your golden years.

Fact #2: Smiling Makes Promotions More Likely

Who knew that landing that exciting new position would be as easy as smiling? As it turns out, people who smile at work are more likely to be promoted than those who do not. This is because smiling conveys a message of happiness, approachability and confidence, all of which are things managers typically look for in employees that are up for promotion.

Fact #3: Smiling Boosts The Immune System

In addition to making you look more attractive, successful and approachable, smiling and laughter may also protect you from the common cold. According to recent data, smiling can help boost the immune system by decreasing stress levels, which in turn increases white blood cell count and releases beneficial antibodies that help fight infection and disease.

Fact #4: There Are Many Different Types of Smiles

People smile for all sorts of reasons and, as it turns out, we smile all sorts of ways, too. According to Paul Ekman, an American psychologist who studies human emotions and facial expressions, humans display very different types of smiles depending upon the situation. Types of smiles include the felt smile, the fear smile, the miserable smile and the flirtatious smile.

Fact #5: Smiling is Contagious

Have you ever been around someone who seemed to be smiling all the time? Chances are, you found yourself smiling as well. This is because smiling is incredibly contagious. Research suggests that happy people influence the people closest to them and provide a boost of good energy, smiles and laughter. So, next time you’re feeling down, seek out your happiest friend and let the smiles begin.

Fact #6: Smiling Is A Global Sign of Happiness

There are a few human gestures that cross language barriers around the world and smiling is one of them. No matter where you are on the globe, smiling is recognized as a universal display of happiness and good nature.

Fact #7: Babies Can Smile Moments After Birth

Most of us have heard that babies are not capable of smiling during their first few months of life. As it turns out, this is untrue. According to research and ultrasound evidence, babies can smile in utero and immediately after birth, although it is important to distinguish between automatic smiles and social smiles. Automatic smiles are produced as a result of pleasurable physical sensations, such as falling asleep, resolving gas or eating. When babies smile during the first few days after birth, it is typically an automatic smile.

Social smiles, on the other hand, are produced as a result of facial recognition and the type of conscious happiness that arises when a baby recognizes a parent’s face or sees a favorite toy. Babies do not generally begin to exhibit social smiling until about two months of age.

Fact #8: Women Smile More Often Than Men

Studies have found that women smile more often than men but the difference disappears when men and women occupy similar business or social roles. Many scientists interpret these results to indicate that gender roles are fluid and that both men and women act differently depending upon their social or business environment.

Fact #9: Smiling Drastically Reduces Stress

Feeling stressed out and over-loaded? Try smiling. According to recent studies, smiling has the power to reduce stress and increase our ability to deal with trying situations.  This is largely owing to the fact that smiling boosts endorphin output and forces us to breathe deeper, resulting in a calmer outlook and increased coping ability.

Fact #10: Smiling Can Make You Happier

If you’re having a bad day, force yourself to smile. Research suggests that the act of smiling can actually trick the brain into feeling happier, no matter how bad the current situation may be. While smiling certainly doesn’t fix all problems, it certainly has the power to make us feel just a little better at any given moment.

Smiling eggs

 

The Case for More Smiles

National Smile Week is a wonderful way to bring some consciousness into your everyday life. We all know that it feels better, emotionally and mentally, to smile than it does to frown and it is obvious now that smiling offers some serious, scientifically backed benefits that have the power to boost our lives and improve the quality of almost everything we do.

A Boost in Morale

The simple act of smiling can go a long way toward boosting morale in difficult situations, as well, and is a powerful practice for those employed in difficult fields, such as medicine, hospice and home care. These jobs often entail dealing with great sickness, disability and transition and the simple act of smiling has actually been proven to significantly boost morale in hospital settings.

Increased Comfort for Patients and Caregivers

Because smiling is a global signal of happiness and confidence, patients who are cared for by smiling, upbeat caregivers are more likely to feel at ease, positive and comfortable, not to mention that the hormonal and endocrine changes induced by smiling may actually reduce pain and promote quicker healing.  It is easy to bring National Smile Week into a home care setting by simply paying more attention to the things you can do and say that will help your clients smile. This could be as simple as baking a favorite meal or playing a favorite song. Smiling is a practice that is accessible to everyone, at all times, and it is clear that nurturing a life with more plentiful smiles is synonymous with nurturing a healthier, happier, more confident and more resilient life.

A Happier World

We’ve all heard the saying “turn that frown upside down” but who knew that smiling could actually be so beneficial to health and happiness? With perks like increased life span, greater happiness, reduced stress and boosted immune function, it seems obvious that a smile a day can truly keep the doctor away. In honor of National Smile Week, get out there and give the world your best grin.

Many different smiles

Don’t forget to smile today!