Author: Ritabelle Fernandes, MD

  • Safe Use of Medications for the Elderly

    With a growing older adult population and increasing number of prescriptions available, the potential for medication safety problems is expanding. As people age, they may be prescribed more than one medication. This increases the risk for drug interactions and side effects. Age-related changes in the kidneys, liver and central nervous system also put seniors at…

  • Hospice and Palliative Care

    Dame Cicely Saunders (founder of the first modern hospice in London in 1968) summed up the hospice philosophy best when she told her patients:“You matter to the last moment of your life, and we will do all we can, not only to help you die peacefully, but to live until you die.” Hospice care is…

  • Gum Disease In Seniors

    Periodontitis is a serious gum disease that damages soft tissue and destroys the bone that supports the teeth. Periodontitis is the primary cause of tooth loss in seniors, often leading to a need for dentures. It also increases a person’s risk for heart attack or stroke. Many seniors may have gingivitis, which is a common…

  • Cataracts

          Cataract is clouding of the lens in the eye that affects vision. It is extremely common among seniors. In a normal eye, light passes through the transparent lens to the retina. Once it reaches the retina, light is changed into nerve signals that are sent to the brain. The lens must be…

  • Listen to Your Heart

    One in three adults in the U.S. has high blood pressure. Blood pressure is the force of the blood pushing against the walls of the arteries as the heart pumps blood. If pressure stays high over time it will damage the body. Hypertension is the persistent elevation of blood pressure. Blood pressure rises with age…

  • Emphysema

    Emphysema is a lung disease that makes it hard to breathe. Emphysema, along with chronic bronchitis are referred to as Chronic Obstructive Lung Disease (COPD). COPD is the fourth leading cause of death in the United States. Smoking is the leading cause of emphysema. Emphysema results when the delicate linings of the air sacs in…

  • Mind & Body: Sober Seniors

    According to the National Survey on Drug Use and Health conducted in 2012, nearly 41 percent of adults 65 years of age or older drink alcohol. Most of them don’t have a drinking problem, but some of them drink too much. Men are more likely than women to have problems with alcohol. What are the…

  • Caregiver Survival Tips

    Caregivers often are so busy caring for others that they tend to neglect their own emotional, physical and spiritual health. Caregiver stress can be particularly damaging since it is a long-term challenge. Caregiving can be overwhelming at times and if this stress is left unchecked it can take a toll on a person’s health, relationships…

  • Shingles

    Shingles also known as Herpes Zoster causes a painful rash that usually is located on one side of the body. Shingles is caused by the varicellazoster virus, the same virus that causes chickenpox. After a person recovers from chickenpox, the virus can enter the nervous system and lie dormant for years. Eventually it may reactivate…

  • Heart Failure

    Approximately 5.8 million people in the United States have heart failure. Heart failure is a very common condition in seniors and is also known as congestive health failure. This is a condition in which the heart can’t pump enough blood to meet the body’s needs. In some cases, the heart can’t fill with enough blood…