Category: Health

  • It’s a Matter of Life

    Think FAST - Generations Magazine - February-March 2013

    The chance of having a stroke doubles for each decade of life after age 55 and are common among the elderly. In 2009, about 650 Hawai‘i residents died of a stroke, according to the state Department of Health. But here’s the good news: a stroke is largely preventable and is the No. 1 preventable cause of disability.

    Created in 1997, the American Stroke Association (ASA), a division of the American Heart Association (AHA) is to empower and educate you and loved ones of preventing strokes.

    According to recent research commissioned by the ASA, about 93% of Americans do not consider stroke as a major health concern, yet it is the fourth-leading cause of death in the U.S. It is also the second leading cause of death in the world. Ages 60 – 79, 7.2% are men, 8.25% are women. For Asian or Pacific Islander, 34% are males and 32.1% are females. This was above cancer, accidents, diabetes, and pneumonia.

    But here’s a hopeful statistic: 80% of strokes may be prevented. It is largely treatable. One thing to remember, to help recognize a stroke, is to think FAST.

    For the first time in its 38-year history, the International Stroke Conference will be at the Hawai‘i Convention Center on Feb. 5–8, 2013. It is the world’s largest meeting for cerebrovascular healthcare professionals and will have the latest research findings and science. The conference will have over 1,300 scientific presentations.

    The American Stroke Association’s mission is to reduce disability and death from stroke. Also, to help stroke survivors and their families recognize they are not alone in the recovery and to provide helpful resources for a productive life.

    For information, visit StrokeAssociation.org, StrokeConference.org, or call 1-888-4Stroke.

    The chance of having a stroke doubles for each decade of life after age 55 and are common among the elderly. In 2009, about 650 Hawai‘i residents died of a stroke, according to the state Department of Health. But here’s the good news: a stroke is largely preventable and is the No. 1 preventable cause…

  • ‘Tis the Season of Merriment & Stress

    Relief is in your hands. Here are points that can be used easily and quickly. The Sea of Vitality (B-23 and B-47) in the lower back, are super important healing points to counteract holiday stress, lower back pain, and health problems due to excess cold. Use these points to boost your immune system!

    Body diagram - Generations Magazine - February-March 2013Place your fists into your back and rock them gradually, in slow motion, to activate these points. Do this 2–3 times daily.

    There are also other complimenting points that are helpful in this time of high energy. One in particular is Bearing Support (B-36), that governs resistance, especially to colds and flu. It is located near the spine, off the tips of the shoulder blades. Conversely, they are also the first to get blocked up just before an illness.

    Relief is in your hands. Here are points that can be used easily and quickly. The Sea of Vitality (B-23 and B-47) in the lower back, are super important healing points to counteract holiday stress, lower back pain, and health problems due to excess cold. Use these points to boost your immune system!

    Place your fists into your back and rock them gradually, in slow motion, to activate these points. Do this 2–3 times daily.

    There are also other complimenting points that are helpful in this time of high energy. One in particular is Bearing Support (B-36), that governs resistance, especially to colds and flu. It is located near the spine, off the tips of the shoulder blades. Conversely, they are also the first to get blocked up just before an illness.

    Acupressure Points & Methods for Boosting and Strengthening Immunity

    In a fast-paced world, everyday stresses accumulate inside our bodies, causing shoulder and neck tensions; and anxieties that often make it hard to breathe. It is easy to overwork yourself with too many commitments and extending yourself to the point of exhaustion. This energy imbalance weakens the immune system. Eating properly, getting enough rest, exercise, practicing techniques that release tension and balancing the body would help the resistance to illnesses. Acupressure and especially deep breathing strengthen the immune system and helps to ward off disease.Front of Body Diagram - Generations Magazine - February-March 2013

    Traditional Chinese medicine discovered that excesses of particular activities weaken the immune system by overstressing certain acupressure meridian pathways.

    Excess standing damages the bladder and kidney meridians, which can cause fatigue and low backaches. To restore these meridians, stimulate the Sea of Vitality (B-23 and B-47) points by rubbing your lower back for one minute. Then hold Elegant Mansion (K-27) directly below your collarbone for another minute. Finally, hold the Bigger Stream (K-3) points on the insides of your ankles for one minute as you breathe deeply.

    Excess sitting can damage the stomach and spleen meridians, which can contribute to anemia or digestive disorders. Stimulate the Three Mile Points (St -36) on the outsides of your calves to benefit these meridians.

    Side of Body Diagram - Generations Magazine - February-March 2013Excess lying down can damage the large intestine and lung meridians, which can affect both respiration and elimination. For these meridians use Joining the Valley (Hoku, LI-4) in the valley between the thumb and forefinger and Crooked Pond (LI-11) on the upper edge of your elbow.

    Excess use of your eyes (as in close desk work) or emotional stress can damage the small intestine and heart meridians, which can create emotional imbalances. The Sea of Tranquility (CV-17) on the center of your breastbone is an excellent point for balancing these meridians.

    Excess physical exertion can damage the gallbladder and liver meridians, which can cause cramps and spasms. Use Bigger Rushing (LV-3) on the top of your feet to benefit these meridians.

    By using these acupressure points regularly, balancing your activities, eating proper foods and practicing deep breathing, you can counteract stresses, prevent fatigue, and boost your immune system.


    For more information, visit Acupressure.com.

    *This article is originated from the book Acupressure’s Potent Points and was given reprint permission by Acupressure.com, the official website for acupressure.

    Relief is in your hands. Here are points that can be used easily and quickly. The Sea of Vitality (B-23 and B-47) in the lower back, are super important healing points to counteract holiday stress, lower back pain, and health problems due to excess cold. Use these points to boost your immune system! Place your…

  • Soups Up!

    Diane’s Kale, Bean & Roasted Vegetable Soup

    The fall season is here. What better time to prepare for flu season than with a hearty pot of immunity boosting soup.

    Kale Bean Soup - Generations Magazine - October-November 2012In order to keep your immune system strong, you need to eat a nutrient dense diet rich in antioxidants and anti cancer phytochemicals, which only come from fruits and vegetables. This soup is packed with just that. Kale, bok choy, onions, garlic, mushrooms, zucchini, carrots, and red bell pepper are all micronutrient rich foods that protect us from disease. The beans add a good source of healthy protein and fiber that we need on a daily basis. Feel free to add any other vegetable or other types of beans you may like. It makes a good amount so you can freeze some for later. Know you’re getting everything your body needs to stay healthy and live strong.

    PART 1

    • 2– 3 green zucchini
    • 1 yellow squash
    • 1 onion
    • 6– 8 mushrooms
    • 1 red bellpepper
    • 4 carrots
    • Handful cilantro
    • 5– 6 cloves garlic
    • Olive oil
    • Italian seasoning

    Diane Cadinha holding soup - Generations Magazine - October-November 2012Slice vegetables onto a foil tent, pour 3-4 Tbsp. of olive oil over them and toss. Add cilantro, sprinkle with Italian seasoning and pressed garlic cloves. Toss again. Close tent and roast on the grill for 30 minutes. If roasting in the oven, bake at 475° until vegetables are tender.

    PART 2

    • 4 bunches bok choy
    • 3 bunches kale
    • 3 cloves garlic
    • Stir-fry with olive oil, garlic, bok choy and kale.

    PART 3

    • 3 boxes organic chicken broth
    • 2 cans white cannellini bean
    • 1 can kidney beans
    • 2 cans low sodium diced tomatoes with
    • basil & garlic
    • 2 cans summer crisp corn
    • 1 tsp cumin
    • Seasalt & pepper to taste
    • 2 Tbsp. low sodium soy sauce

    Combine all of the parts in a soup pot and simmer for 20 minutes. View the video below. Enjoy; stay healthy.

     


    Join Diane on Facebook at shapingup808.com, or call 808-221-3905; email shapingup@hawaii.rr.com.

    Diane’s Kale, Bean & Roasted Vegetable Soup The fall season is here. What better time to prepare for flu season than with a hearty pot of immunity boosting soup. In order to keep your immune system strong, you need to eat a nutrient dense diet rich in antioxidants and anti cancer phytochemicals, which only come…

  • Asbestos – Not a Thing of the Past

    New data indicates that the asbestos exposure in Hawai‘i and the Pacific Islands could be significantly higher than previously thought. The finding is serious, as the latency (delayed time period) between exposure and asbestos-related diseases, such as mesothelioma and asbestosis, can be up to 50 years or more.

    Seniors who worked or lived near shipbuilding and repair facilities are at heightened risk. Prior to the mid-1970s, asbestos was heavily used in the maintenance and repair of ships. Pearl Harbor, Guam and the Commonwealth of the Northern Mariana Islands all had active military ports. Military and civilian workers at these sites were likely exposed to asbestos.

    Hawai‘i has a history of widespread asbestos use, from public buildings to commercial establishments. Nearly every building in the state constructed before 1980 — including schools, state buildings and military bases — was built with asbestos products. As these buildings begin to deteriorate, need repair or are destroyed, they can continue to cause asbestos exposure.

    Asbestos exposure is the cause of mesothelioma, a rare cancer caused by the inhalation asbestos fibers. Mesothelioma victims typically do not show symptoms of the disease until 10 to 40 years after the initial exposure. Most people diagnosed with mesothelioma are in their 50s, 60s or older and only start to show symptoms in the later stages of the disease. Sadly, there is no cure.

    This latency period creates information gaps regarding asbestos exposure and disease, especially in areas like the U.S. Pacific islands. The missing data is why professionals conclude that the actual prevalence of asbestos diseases is underestimated. For more information, please visit www.asbestos.com/states.

    New data indicates that the asbestos exposure in Hawai‘i and the Pacific Islands could be significantly higher than previously thought. The finding is serious, as the latency (delayed time period) between exposure and asbestos-related diseases, such as mesothelioma and asbestosis, can be up to 50 years or more. Seniors who worked or lived near shipbuilding…

  • The Wisdom Tooth

    QUESTION:

    My dentist says I have “root caries.” What are they, what causes it, and what can be done to treat it?

    ANSWER:

    Root caries, or root decay, are cavities that develop in root exposed areas. It looks like brown or black spots on the area near the gum line. Early stages of root decay may have no pain associated with it. At later stages, you may start to have cold or sweet sensitivity. According to the American Dental Association, the majority of people over age 50 have tooth root decay.

    Tooth Decay - Generations Magazine - October-November 2012Root decay can occur when the gums recede or draw away from the tooth and expose a softer root surface called cementum. The rest of the tooth surface is covered by a much harder enamel surface. The causes of gum recession include periodontal (gum) disease, stresses when teeth bite together, heredity and rough toothbrushing.

    There are various ways to address this problem, depending on its severity. Treatment may include medicated mouth rinses, placing a filling at the gum line, treatment restorative veneers, root canal therapy or gum surgery. In the worse case scenario, a patient may even lose the tooth.

    The best treatment, of course, is always prevention. Be sure to stay up-to-date with your examinations and cleanings. This way any problems can be caught early and addressed promptly.


    Wynn H. Okuda, DMD, Inc.
    808-734-1099 | www.cosmeticdentistryhawaii.com

    QUESTION: My dentist says I have “root caries.” What are they, what causes it, and what can be done to treat it? ANSWER: Root caries, or root decay, are cavities that develop in root exposed areas. It looks like brown or black spots on the area near the gum line. Early stages of root decay…

  • The Flu & You

    The flu shot is a vaccine that helps to prevent the flu, an illness caused by infection with the influenza virus. Viruses are very small germs that cause illnesses. Flu is a contagious disease, with symptoms such as fever, cough, headaches, body aches, sore throat and fatigue. For older people, especially those who have chronic diseases such as diabetes or heart disease, the flu can be very serious and even life threatening.

    The influenza pandemic of 1918-1919, also known as the Spanish Flu, killed more people than World War I. During the 1918 pandemic approximately 20 percent to 40 percent of the worldwide population became ill. An estimated 50 million people died, including nearly 675,000 in the United States.

    WHO SHOULD GET THE FLU SHOT?

    • All people 50 years and older
    • Persons with diabetes or chronic problems of the lungs, heart or kidneys
    • Persons whose immune system may be weakened, such as HIV, cancer or organ transplant patients
    • Residents of nursing homes, care homes, foster homes and other chronic care facilities
    • Staff working in nursing homes, hospitals and health centers

    WHY DOES A PERSON NEED A SHOT EVERY YEAR?

    The Flu and You - Generations Magazine - October-November 2012Flu viruses change often and each year’s virus is just a little different than the year before. Since different forms of the viruses appear each winter, a new vaccine is manufactured each year according to the circulating strain that will fight the viruses most likely to occur that year. The protection received from a flu shot also lessens with time, especially in older people. This is another reason why seniors need a flu shot every year. It helps keep seniors protected from the flu and stay healthy. Flu season is usually between November and April. It takes at least two weeks for the shot to start working, so try to get the flu shot in October or early November.

    ARE THERE SIDE EFFECTS TO THE SHOT?

    The flu shot is safe and most people have no problem. Seniors cannot catch flu from the vaccine because flu shots are made with a killed virus. A person may experience soreness or redness around the site of the shot for up to a few days. A few people do have a headache or a low-grade fever for about a day after they get the shot. Because eggs are used to make the flu vaccine, people who are allergic to eggs should not receive a flu shot.

     

    THINGS TO REMEMBER ABOUT THE FLU

    • The flu can be dangerous for older people
    • The flu can be prevented
    • Older people need a flu shot every year
    • Medicare pays for the flu shot

    The flu shot is a vaccine that helps to prevent the flu, an illness caused by infection with the influenza virus. Viruses are very small germs that cause illnesses. Flu is a contagious disease, with symptoms such as fever, cough, headaches, body aches, sore throat and fatigue. For older people, especially those who have chronic…

  • Acupressure: Points of Relieving Stress

    Head Massage - Generations Magazine - August - September 2012 Everybody suffers from stress from time to time, given the tremendous challenges, options and responsibilities in our busy lives. Stress depresses respiration and causes shallow breathing which can lead to irritability, frustration and fatigue. Many people turn to unhealthy habits like smoking, overeating, and excessive drinking to counteract stress. Instead, you can follow this 10-minute, self-care acupressure routine to alleviate everyday tensions.

    Shoulder & Neck Tension Relief

    Shoulder Tension Points - Generations Magazine - August - September 2012This 10-minute self-care routine is shown sitting, although you can also practice these techniques lying down.

    STEP 1 — Shoulder Grasp: Curve your fingers of both hands, and place them on the tops of your shoulder muscles (GB 21), close to the base of your neck. Gradually apply firm pressure directly on to your shoulder tension. Simply let the weight of your arms relax forward, keeping your fingers curved like a hook. Sink deeply into the muscles as they soften and relax. Hold for one minute as you take slow, deep breaths. Then let your hands relax in your lap. Gently shrug your shoulders up and down to encourage them to relax.

    STEP 2 — Neck Press: Interlace your fingers behind your neck, and let your head hang forward, with your elbows close together, pointing down toward your lap. Inhale deeply, raising your head as you stretch your elbows out to the sides; let your head tilt back. Exhale as your head relaxes forward and your elbows come close together in front of you. Repeat this exercise for two minutes; then let your hands float back into your lap. Keep your eyes closed and deeply relax for one minute.

    STEP 3 — Press GB 20: Close your eyes, and place your thumbs on GB 20 (underneath the base of your skull in the indentations that lie about three inches apart). Apply firm pressure for one minute.

    STEP 4 — Press GV 24.5: Bring the palms of your hands together. Close your eyes, placing your middle fingertips between your eyebrows on GV 24.5 (in the indentation above the bridge of your nose). To collect your thoughts and rejuvenate yourself, breathe slowly and deeply for three minutes as you focus your attention on the gentle touch of this point. Deeply relax in a chair or on your back, eyes closed, to gain the full benefits.


    For more information, visit www.acupressure.com

    Everybody suffers from stress from time to time, given the tremendous challenges, options and responsibilities in our busy lives. Stress depresses respiration and causes shallow breathing which can lead to irritability, frustration and fatigue. Many people turn to unhealthy habits like smoking, overeating, and excessive drinking to counteract stress. Instead, you can follow this 10-minute,…

  • Your Mind & Body: Controlling Cholesterol

    Cholesterol - Generations Magazine - August - September 2012Cholesterol is a type of fat which occurs naturally in the body. It has both good and bad effects on the body. The body uses cholesterol to make hormones and to build and maintain nerve cells. However, when the body has too much cholesterol deposits of fat called plaques form inside blood vessel walls. The blood vessel walls thicken and the vessels become narrower. This change in the blood vessels reduces blood flow through the blood vessels contributing to heart attacks and strokes.

    Types of Cholesterol:

    Cholesterol travels through the blood attached to a protein. This cholesterol-protein package is called a lipoprotein. Lipoproteins are classified as high density, low density, or very low density, depending on how much protein there is in relation to fat.

    • Low density lipoproteins (LDL): LDL, also called “bad” cholesterol, can cause buildup of plaque on the walls of arteries. The more LDL there is in the blood, the greater the risk of heart disease.
    • High density lipoproteins (HDL): HDL, also called “good” cholesterol, helps the body get rid of bad cholesterol in the blood. The higher the level of HDL cholesterol, the better. If your levels of HDL are low, your risk of heart disease increases.
    • Very low density lipoproteins (VLDL): VLDL is similar to LDL cholesterol in that it contains mostly fat and not much protein.
    • Triglycerides: Triglycerides are another type of fat that is carried in the blood by very low density lipoproteins.

    Diet guidelines to help control your cholesterol:

    • Check labels for fat and cholesterol content.
    • Eat fruits and vegetables, beans, and whole grains daily. The fiber in these foods helps lower cholesterol.
    • Reduce the amount of cholesterol in your diet.
    • Eat less fat. Limit the amount of butter and margarine you eat.
    • Use sunflower, safflower, soybean, canola, corn, or olive oil.
    • Use egg whites or egg substitutes rather than whole eggs.
    • Replace whole-milk dairy products with nonfat or low-fat milk, cheese, spreads.
    • Eat skinless chicken, turkey, and fish more often than red meat.
    • Choose lean cuts of meat; trim off all visible fat.
    • Avoid fatty desserts: ice cream, cream-filled cakes, and cheesecakes.
    • Reduce amount of fried foods and fast foods.

    Where does cholesterol come from?

    Cholesterol comes from 2 sources — most are synthesized by the liver. Major dietary sources of cholesterol include animal products, meat, egg yolks, cheese, fish, and shrimp.

    How is cholesterol measured?

    It is measured by a blood test called fasting lipid profile. A total cholesterol of less than 200 mg/dl is considered good.

    What is the target LDL goal?

    The goal is less than 160 mg/dl if your risk of heart disease is low, less than 130 mg/dl if you have a moderate risk, or less than 100 mg/dl if you’re a high risk of heart disease or diabetes.

    How can seniors control cholesterol?

    Eating right and exercising can usually control cholesterol levels. If you have a high risk for heart disease, your health care provider may prescribe cholesterol lowering medications as well as changes in lifestyle. Statin drugs such as Lipitor, Crestor, Zocor, Pravachol, Mevacor, all lower LDL cholesterol. Niacin, a B vitamin, increases HDL cholesterol.

    Cholesterol is a type of fat which occurs naturally in the body. It has both good and bad effects on the body. The body uses cholesterol to make hormones and to build and maintain nerve cells. However, when the body has too much cholesterol deposits of fat called plaques form inside blood vessel walls. The…

  • The Hidden Epidemic – Dementia

    How and why we’re not prepared for an increase in cases

    Dementia is a degenerative neurological disease, which is incurable and fatal, rendering a person unable to care for himself/herself. It can deplete family members emotionally and financially, yet there is insufficient funding to research this disease.

    In America more than 5.4 million people are presently diagnosed with Alzheimer’s disease. It is the sixth leading cause of death. Neurological diseases cannot be prevented, cured or even slowed down. Major diseases such as cancer, cardiovascular and HIV have decreased in death rates, whereas Alzheimer’s disease has increased by 66%, even though it is underdiagnosed.

    Dr. Ken Dychtwald, founder and president of Age Wave, speaks of the “longevity revolution” caused by the progressive creation of antibiotics in the 1920s, the polio vaccine in 1950s, the increase in chronic disease management and the progress of medications, which have resulted in “more old people.” In 1900, the average age of death was 47 years, whereas in 2000 the average age of death was 78 years.

    Dychtwald focused on the majority of the population, which is noted as the baby boomers born in 1946-1964. In the years 2000-2020, Dychtwald noted that a large portion of the population will be 55 or older. He states that society’s single greatest challenge will be that 1 in 2 people who are 85 or older will have dementia. There will not be enough resources to deal with this disease. Dychtwald calls for research to “wipe the disease out!”

    Meryl Comer, CEO and president of Goeffrey Beene Foundation – Alzheimer’s Initiative, shares how caregivers hide the disease, bearing the brunt of the consequences while carefully protecting the dignity of the loved one.

    Harry John, president and CEO of the Alzheimer’s Association, notes that our country spends $6 billion dollars on cancer research yearly, $4 billion on heart research yearly and $3 billion on HIV research yearly, whereas we only spend $1.5 billion on dementia. Results from this include decrease in deaths of a negative 3% to 8% in cancer, a negative 13% to 20% cardiovascular deaths, a negative 29% in HIV deaths and an increase of a positive 66% deaths in dementia. This does not reflect the huge number of the undiagnosed population with dementia.

    Now is the time to act! Go to www.alz.org. Hit the ‘Advocate or Walk to End Alzheimer’s’ tab. Help in any way you feel comfortable. Help on the micro level by helping someone you know who is forgetful. Help on the macro level by speaking to our politicians and advocating for those inflicted Alzheimer’s.

    For more information, contact Chris Ridley of the Alzheimer’s Association at 443-7360.

    How and why we’re not prepared for an increase in cases Dementia is a degenerative neurological disease, which is incurable and fatal, rendering a person unable to care for himself/herself. It can deplete family members emotionally and financially, yet there is insufficient funding to research this disease. In America more than 5.4 million people are…

  • Back Pain Due to Injury

    Using acupressure and ice

    Back Pain - Generations Magazine - June - July 2012When I have back pain, its usually due to strain and injury due to lifting. This often results in pain hours later, due to the inflammation. In addition to using acupressure points, locally as well as above and below the painful area, I apply ice packs every two hours (for about 15 minutes) to reduce the inflammation and pain.

    Holistic Medical Advice: I rarely see my Western medical doctor, but he taught me something valuable. As a preventive medical care physician, he taught me that icing your lower back 30 nights, before retiring to bed, can be remarkably healing. It also works for injuries and pain in your ankles, including sprained ankles and for knee pain, and sciatica.

    How Ice Works to Heal an Injury: Simply ice the area for 15 to 20 minutes before you go to sleep, 30 nights in a row. When you’re asleep, your body weight is supported, and thus there’s no pressure on your spine. As ice reduces the inflammation, blood and energy can freely flow to heal your injury during the time you’re asleep. Give yourself gentle acupressure for 5 to 10 minutes to increase the energy flow is especially healing.

    Arm Diagram - Generations Magazine - June - July 2012Using acupressure for lower back pains: There is a special point on the arm for relieving aches and pain in the lower back. This point requires strong, firm stimulation. In order to effectively relieve an ache or pain in the lower back this point should be pressed hard enough to be momentarily painful.

    This point is located four finger widths below the elbow crease of the forearm. Place all four fingers together (as a measure) with your index finger against the elbow crease. The point will be on the middle of your forearm, just outside your little finger. You will feel a muscular band or cord. The point is directly under this muscle.

    To make sure you have the muscle, wiggle the middle finger of the arm on which you are searching. Press directly onto the muscle that “pops out” and hold firmly for five seconds; it will be momentarily painful. Stimulate this special point on both arms to relieve pain in the lower back.

    For more acupressure back care, visit www.acupressure.com/acupressure_books.htm.

    _______________________________________________________

    Michael Reed Gach, Ph.D., Acupressure Institute founder, is a foremost acupressure expert. Gach’s seven acupressure books and instructional self-healing programs have sold one-half million copies on how to relieve stress, headaches, backaches, chronic fatigue, and sleep better. Gach’s best selling book Acupressure’s Potent Points book contains 400 illustrations showing how to relieve 40 common complaints from A to Z.

    Using acupressure and ice When I have back pain, its usually due to strain and injury due to lifting. This often results in pain hours later, due to the inflammation. In addition to using acupressure points, locally as well as above and below the painful area, I apply ice packs every two hours (for about…

  • Your Mind & Body: Sleepless Seniors

    Insomnia is defined as having trouble falling or staying asleep. Insomnia affects 1 in 3 adults every year in the United States. Fifty percent of people over 65 years have various sleeping disorders. It can be transient, acute or chronic. Acute insomnia is brought on by situations such as stress at work, family pressures or a traumatic event. Chronic insomnia lasts for a month or longer and is the symptom or side effect of some other problem. Individuals with insomnia and short sleep duration are at increased risk for developing a number of health issues, including diabetes and hypertension.

    Insomnia - Generations Magazine - June - July 2012Adults need 7½ to 8 hours of sleep each night. As we age our need for sleep decreases slightly to 6½ to 7 hours at night. Normal aging includes a general trend toward more time in bed but the same or less time asleep. Older people tend to go to sleep earlier in the evening and wake up for the day earlier in the morning. Compared with young adults, the elderly tend to have delayed sleep onset, fragmented sleep, early morning awakening and decreased time in deepest stages of sleep.

    Causes of insomnia:

    • Changes in sleep patterns because of different work hours or travel
    • Acute stress, such as hospitalization or illness of a relative
    • Behavior-related problems, such as anxiety or depression
    • Medical problems, such as sleep apnea or hyperthyroidism
    • Use of alcohol or caffeine
    • Medicines, such as those used to treat heart problems and cancer
    • Pain, shortness of breath and other discomfort

    How is insomnia diagnosed?

    The health care provider will take an interview, perform a physical exam and take a blood sample for laboratory tests. A person may be asked to keep a sleep diary. The provider may order a sleep study that involves sleeping overnight in a sleep center.

    How is it treated?

    Avoid daily use of sleep medications as they can become addictive. Cognitive behavioral therapy encourages good sleep habits and uses several methods to relieve sleep anxiety. Techniques such as relaxation exercises sleep, restriction therapy and reconditioning may be useful.

    Chronic insomnia involves treatment of the underlying disorder. For example, if insomnia is caused by depression, the medicine used to treat depression should help insomnia. In some situations, a medication may be prescribed to aid sleep. Ambien (zolpidem), Sonata (zaleplon), Lunesta (eszopiclone) are some of the newer drugs on the market replacing benzodiazepines as sleeping pills. Herbal supplements such as Melatonin, L-tryptophan or Valerian tea are also used to treat insomnia.

    What lifestyle changes are recommended?

    Good sleep habits include:

    • Stick to a schedule of sleeping time and waking time
    • Get regular exercise
    • Avoid or limit caffeine or alcohol, especially after lunch
    • Stop smoking
    • Drink less liquids after dinner to avoid going to the toilet at night
    • Don’t eat a heavy meal late in the day
    • Finds way to relax before the bedtime, such as reading, warm bath, massage
    • Avoid or limit naps during the day
    • Do not read or watch television in bed

    Minimize sleep interruption by closing the bedroom door to avoid noise and keeping the bedroom temperature comfortable
    __________________________________________________

    Dr. Ritabelle Fernandes, MD, MPH, FACP is Clinical Associate Professor at the Geriatric Medicine Department of the John A. Burns School of Medicine, University of Hawai‘i. She is board certified in Geriatric medicine, Hospice and Palliative Medicine, Internal Medicine and Home Care. She is a practicing physician at the Kokua Kalihi Valley and Kalihi-Palama Health Center.

    Insomnia is defined as having trouble falling or staying asleep. Insomnia affects 1 in 3 adults every year in the United States. Fifty percent of people over 65 years have various sleeping disorders. It can be transient, acute or chronic. Acute insomnia is brought on by situations such as stress at work, family pressures or…

  • Assistive Technology on Loan

    Assistive Technology - Generations Magazine - April - May 2012Have you ever wanted to try a new technology without having to buy it? If so, you may be interested in the AT Depot/Equipment Loan Program — it is one of five programs offered by Assistive Technology Resource Centers (ARTC) of Hawai‘i. The center is a 501c (3) non-profit organization that receives federal funds to provide assistive technology. Last year, the center celebrated 20 years of service in the Islands.

    The assistive technology devices are designed for individuals with learning, mobility, hearing and vision challenges. Examples of devices that can borrowed include telephone amplifiers, hearing amplifiers, hand-held magnifiers, iPads, intel readers, pocket pro talkers, smart pens and more.

    The program allows you to take the assistive devices home to explore and use on your own terms. If you need help with the technology, the ATRC offers training and demonstrations. Once you give the device a test run, you simply return it to the ARTC. If you choose to purchase the device, ARTC can help you locate a vendor. Funding information and options are also available so you can get the technology you want and need.

    The latest mobility aid in the ARTC’s depot is the iGlasses. Designed for the blind and visually impaired, the iGlasses is a perfect complement to a walking cane or guide dog. It is a head-mounted device that uses ultrasonic sensors to detect objects as far as 10 feet away. Gentle vibrations on the lenses alert the wearer of objects, and the vibrations increase as objects become closer. It is definitely something to “see”!


    Assistive Technology Resource Centers
    www.atrc.org | 532-7115 | 1-800-645-3007

    Have you ever wanted to try a new technology without having to buy it? If so, you may be interested in the AT Depot/Equipment Loan Program — it is one of five programs offered by Assistive Technology Resource Centers (ARTC) of Hawai‘i. The center is a 501c (3) non-profit organization that receives federal funds to provide assistive…