Category: March-April 2022

  • The Benefits of Aging at Home

    The many benefits offered by aging at home cannot be overlooked when deciding whether to consider at-home care for kūpuna. Here are some of the most valuable:

    Familiarity & Comfort

    Living at home keeps kūpuna in an environment that is familiar and comforting. Remaining at home helps decrease confusion and distress that some people tend to experience as they age. Staying at home enables kūpuna to continue their daily routine, see neighbors and be surrounded by their personal items, along with the memories associated with them.

    Independence

    A loss of independence can have serious emotional effects on kūpuna and can be difficult to accept. Most kūpuna will eventually need assistance with everyday tasks; however, staying at home helps maintain a sense of independence and provides them the freedom to maintain normal activities and routine.

    Health

    Kūpuna who age at home are less susceptible to colds and viruses, as contact with others can be limited to a small care team.

    Overall, the mental and physical health benefits of aging at home can improve quality of life for our kūpuna.


    ALTRES HOME CARE
    808-591-4930 | homecare@altres.com
    www.altreshomecare.com

    The many benefits offered by aging at home cannot be overlooked when deciding whether to consider at-home care for kūpuna. Here are some of the most valuable…

  • Check for Signs of Oral Cancer

    April is Oral Cancer Awareness  Month and it’s the time of year to remind seniors and loved ones to visit the dentist. Did you know a routine visit to the dentist also includes a screening for oral cancer? While they look for signs of decay (cavities) and gum disease, they’re looking for typical warning signs of cancer in the mouth.

    Female dentist talking to smiling senior patient at dental clinicPossible signs of oral cancer are white or red patches in the mouth; persistent sores, ulcers, or irritation in the mouth  cavity; difficulty in chewing, swallowing, moving the jaw or tongue; numbness in the tongue, a sore throat that does not go away; a constant toothache or pain in the jaw; or an earache. If you come across any of these signs, give your dentist a call right away. An early diagnosis can make a huge difference. Even if you don’t see any of the warning signs, you should still see your dentist twice a year for exams and routine cleanings, whether you have dentures or not.

    Every day, 132 people in the US will be newly diagnosed with oral cancer caused by lifestyle conditions, poor dental care and oral hygiene, age, poor nutrition, exposure to UV light, genetics and other medical conditions. Smoking and chewing tobacco can also contribute to oral cancer.

    See your dentist, brush twice a day and floss daily to prevent oral cancer. Find a dentist at www.HawaiiDentalService.com/FindADentist.


    HAWAII DENTAL SERVICE (501(c) 4 nonprofit)
    Kahala Howser, Wellness & Events Manager
    808-521-1431 | khowser@hawaiidentalservice.com
    www.HawaiiDentalService.com

    April is Oral Cancer Awareness  Month and it’s the time of year to remind seniors and loved ones to visit the dentist. Did you know a routine visit to the dentist also includes a screening for oral cancer? While they look for signs of decay (cavities) and gum disease, they’re looking for typical warning signs…

  • The Best Defense Against Glaucoma

    Although glaucoma is a leading cause of irreversible blindness, the most common presentation of glaucoma often has no noticeable symptoms in its early stages. When glaucoma develops, vision loss progresses so gradually that the people affected are often unaware of it until their sight has already been compromised. Due to the lack of symptoms in most cases of glaucoma, the American Academy of Ophthalmology advises the public that the best defense against developing glaucoma-related blindness is to maintain routine, comprehensive eye exams.

    “Like many illnesses that progress slowly over time, the best preventative measure against developing vision loss from glaucoma is by early detection of symptoms, only possible by having regular eye exams,” says Dr. Steven Rhee of Hawaiian Eye of Hawaiian Eye Center. “When glaucoma is in its early stages, most vision loss is preventable with early detection and medical intervention.”

    Open-angle glaucoma, in which the drainage angle for eye fluid remains open, is the most common presentation, with gradual onset of symptoms without pain. Less common types of glaucoma include closed-angle glaucoma and normal-tension glaucoma, which can come on gradually or suddenly. The sudden presentation may involve severe eye pain, blurred vision and other bodily symptoms.

    Those most at risk of developing glaucoma include those…

    • aged 40 and older.
    • who are siblings of people diagnosed with glaucoma or have a family history of glaucoma.
    • who are of African and Hispanic descent in older age groups.
    • diagnosed with diabetes or high blood pressure.
    • who have had an eye injury or eye surgery.

    Most known risk factors of glaucoma are not preventable and the optic nerve is unable to regenerate after any damage has occurred. However, glaucoma can be controlled with an early diagnosis and treatment to slow down or stop further damage. Treatment ranges from topical medications to laser surgery, which helps lower the eye’s internal pressure.

    People of older age groups or with a family history of glaucoma should have a comprehensive dilated eye exam every two to three years from an eye care professional to check for glaucoma and other eye diseases. People at higher risk of developing glaucoma should get eye exams annually, including those 40 and over or with other known risk factors.


    HAWAIIAN EYE CENTER
    Steven Rhee, DO, Medical Director and Cornea Specialist
    Wahiawa 808-621-8448 | Waipahu 808-678-0622
    www.hawaiianeye.com

    Although glaucoma is a leading cause of irreversible blindness, the most common presentation of glaucoma often has no noticeable symptoms in its early stages. When glaucoma develops, vision loss progresses so gradually that the people affected are often unaware of it until their sight has already been compromised.

  • Recognizing Substance Abuse in Older Adults

    Close-up image of unrecognizable senior woman holding pills and glass of water, medicine and recovery treatment, copy space. Photo of a elderly woman taking daily medicine. Healthcare concept.When people think about substance abuse and addiction, they often imagine young adults. While it’s true teenagers are at a higher risk for substance abuse as a group, research done on the elderly population is lacking. Despite the lack of research, it’s widely believed that substance abuse and addiction in the elderly is a hidden epidemic.

    While no one wants to even imagine that their parents or grandparents may have problems with substance abuse or addiction (especially if they have no history), it’s essential to keep an eye out for these challenges. This article aims to help explain the importance of the issue, how to recognize the signs of use and abuse of different substances, and how to help.

    Substance Abuse & Addiction Defined

    There are many terms used to describe the use of drugs or alcohol. The shortest description is: “Substance abuse is a coping mechanism developed in response to triggers, while addiction is a disease involving chemical dependency.”

    Those living with substance abuse generally have more control over the situation, often drinking or using drugs to deal with stress. They sometimes experience minimal disruption to their lives, but this should still be taken seriously because substance use or abuse of any level can exacerbate health problems — especially for seniors.

    Those who are addicted to substances tend to have their lives overtaken by their conditions. They usually have a chemical need for alcohol or drugs and very little ability to stop themselves from partaking. It affects their daily lives and relationships are often damaged.

    Substance Abuse Disorder is a Health Crisis

    There’s a common misconception that older adults don’t experience substance use disorder (SUD). However, a study revealed that nearly one million people over 65 were living with SUD.

    As people age, their need for pain relief is likely to increase. But because opioids are highly addictive, they risk abuse of or addiction to the drugs.

    Substances Commonly Abused by the Elderly

    ALCOHOL: Alcohol is the most commonly abused substance. Alcohol abuse can be hard to recognize, leading many to call it a “hidden epidemic.” Part of the challenge is that signs of alcohol abuse are very similar to signs of aging. Nonetheless, here are some signs of alcohol abuse disorder:
    • Frequent injuries
    • Increased tolerance for other medications
    • An overabundance of empty liquor bottles
    • Displaying signs of cognitive impairment (e.g., forgetfulness, unsteadiness, confusion, memory loss, etc.)
    • Slurred speech
    • Symptoms of depression or anxiety
    • Unpredictable mood swings
    OPIOIDS: Synthetic opioids, such as oxycodone (Percocet and OxyContin), hydrocodone (Vicodin), codeine, morphine and fentanyl, are commonly prescribed for severe or chronic pain. With an estimated 65 percent of older adults suffering from pain and 30 percent reporting chronic pain, many could be prescribed opioids — which are highly addictive. Signs of opioid addiction:
    • Hiding prescriptions
    • Running out of opioid medications quickly
    • Showing withdrawal symptoms (e.g., nausea, vomiting)
    • Signs of cognitive impairment
    • Using multiple pharmacies to fill prescriptions
    BENZODIAZEPINES (BENZOS): Benzodiazepines, such as diazepam (Valium), lorazepam (Ativan), alprazolam  (Xanax) and midazolam (Versed), are psychoactive relaxers that are commonly prescribed for people experiencing depression, anxiety, insomnia, muscle spasms or seizures (benzos are no longer recommended for treating insomnia in older adults because of the risk of Alzheimer’s). Signs of potential abuse include:
    • Decreased attention span
    • Drowsiness
    • Memory loss
    • Profuse sweating
    • Running into objects or walls frequently (difficulty with spatial reasoning)
    • Slurred speech

    Man hand holds plastic packet or bag with cocaine or another drugs, drug abuse and danger addiction concept, selective focus, tonedCOCAINE: It may seem odd that cocaine is on a list of substances commonly abused by seniors. But aging baby boomers are changing the landscape of drug use — cocaine wasn’t a widely used in previous generations at the same age. Cocaine is popular because it makes many people feel great — at least for a little while. They may have increased self-confidence, euphoria and desire to be social — all things older adults may miss from their youth. With no prescriptions allowed — the only way users can get cocaine is through dealers. Some signs your loved one could be addicted to cocaine include:
    • Dilated pupils
    • Excess energy and over-excitement
    • Experiencing paranoia
    • Little appetite
    • Not sleeping
    • Runny or red nose and sniffling often
    MARIJUANA: Marijuana can be either smoked or ingested by being mixed with foods (edibles). Medical marijuana is commonly prescribed to older adults because it’s believed to help treat Alzheimer’s, cancer, glaucoma and pain, among other things that frequently affect this population. For states where it’s legal to sell and purchase, you can walk into a cannabis shop or dispensary. For states where the drug is illegal, regular users would likely purchase from a dealer. Some signs your loved one might have a marijuana dependency include:
    • Consistently bloodshot eyes
    • Decrease in coordination
    • Lethargy and lack of motivation
    • Loss of memory
    • Using it every day or multiple times a day, especially if their doctors have recommended a lower frequency
    HEROIN: People addicted to prescription opioids are often at risk of turning to heroin, especially if it gets too difficult to procure prescriptions. The drug can ease their pain the same way the opioids did. Heroin is usually acquired through a dealer. Signs of heroin use include:
    • Constricted pupils
    • Sleepiness while on it; inability to sleep when it wears off
    • Slowed thoughts or movements
    • Visible injection marks on their skin, often called “track marks”
    • Pain, chills, vomiting, itchiness and nervousness when the heroin wears off

    How to Help

    Acknowledging there is a problem can be the first step to helping a loved one overcome addiction. Both caregivers and medical professionals can have important roles in getting assistance to someone suffering from SUD.
    Addiction Center: www.addictioncenter.com. Information on SUD and addiction, rehabilitation centers and other treatment options.
    National Institute on Drug Abuse: www.drugabuse.gov. Government resource provides answers to nearly every question you may have.
    Opioid Treatment Program Directory: dpt2.samhsa.gov/treatment. This directory helps you find opioid treatment in your state.
    RehabNet: https://rehabnet.com. Specifically designed for seniors living with drug and alcohol abuse or addiction. It provides a 24/7 hotline.
    SAMHSA National Helpline: www.samhsa.gov/find-help/national-helpline. This 24/7, confidential hotline is available to people living with or who care about someone with a substance use disorder. They can provide referrals to local assistance and send publications.


    Find the full article at www.premiernursingacademy.org.

    When people think about substance abuse and addiction, they often imagine young adults. While it’s true teenagers are at a higher risk for substance abuse as a group, research done on the elderly population is lacking. Despite the lack of research, it’s widely believed that substance abuse and addiction in the elderly is a hidden…

  • The Art & Science of COVID-19 Prevention

    It has long been established that consistently wearing a proper-fitting mask over your nose and mouth is critical in preventing the spread of COVID-19. In January, nearly two years into the pandemic, the Centers for Disease Control and Prevention (CDC) updated its mask recommendations, because as the SARS-CoV-2 coronavirus changes and mutates, producing a bounty of variants, we must adapt. The virus will continue to circulate and mutate as long as there are people to infect, so masks will likely remain a part of our lives for some time.

    Proper Fit is Essential

    Masks are made to contain droplets and particles you breathe, cough or sneeze out. They {Play} mostly protect others. If they fit closely to the face, they can also provide some protection from particles spread by others.

    Respirators fitting closely on the face to protect you by filtering out particles so that you don’t breathe them in. They can also contain droplets and particles you breathe, cough, or sneeze out so you do not spread them to others.

    While all masks and respirators provide some level of protection, properly fitting respirators provide the highest level of protection. N95s, KN95s and surgical-style masks, (when they are legitimate and fit properly) are more protective than cloth ones.

    Assuming the mask fits well and its filtration has been rigorously tested, these types of masks are some of the most protective face coverings you can buy.

    Whichever you chose, fit, comfort and consistent use are important to provide good protection.

    • Make sure your mask fits snugly against your face.
    • Pick a mask with layers to keep your respiratory droplets in and others’ out.
    • Choose a mask with a nose wire and bend it over your nose to fit it close to your face.
    • Use a mask fitter or brace over a disposable or cloth mask.
    • Check for gaps by cupping your hands around the outside edges of the mask.
    • Make sure no air is flowing from the area near your eyes or from the sides of the mask.
    • If the mask has a good fit, you will feel warm air come through the front of the mask and may be able to see the mask material move in and out with each breath.
    • If you use a cloth mask, make sure it has multiple layers of fabric, or wear a disposable mask underneath the cloth mask. The cloth mask should push the edges of the disposable mask against your face.
    • Knot the ear loops of a three-ply face mask where they join the edge and fold and tuck the unneeded material under the edges (instruction video: https://youtu.be/GzTAZDsNBe0.)

    The Genuine Article

    The New York Times’ “Wirecutter” features a selection of masks they consider to be the best options. They tested 39 models and confirmed the filtration claims of their favorites with government agencies or their own lab testing performed in collaboration with Colorado State University.

    Their picks have been confirmed to block at least 95 percent of 0.1-micron particles when worn with a secure seal, with good fit, feel and value. They vetted the sellers and manufacturers to confirm that you’re getting the genuine article.

    Go to www.nytimes.com/wirecutter/reviews/where-to-buy-n95-kn95-masks-online/#ourfavorite-respirator-masks to find legitimate N95, KN95 and surgical masks from trusted retailers. For reusable options, visit www.nytimes.com/wirecutter/reviews/best-cloth-face-masks.

    Read “12 Signs You Have a Fake N95, KN95, or KF94 Mask” at www.nytimes.com/wirecutter/blog/12-signs-you-have-a-fake-n95-kn95-orkf94-mask to ensure your mask’s legitimacy.

    How to Reuse Disposable Masks

    You may find that these disposable respirator masks cost $1 to $3 apiece. The cost can add up and used masks in our landfills can pile up. Fortunately, for most people and in most situations, you don’t need to dispose of your mask after each use or each day.

    Masks work the same way on any variant — by trapping virus-containing particles in their layers. But don’t try to save money or your local landfill by trying to wash or disinfect a mask, which can render it ineffective. You can have a steady supply of reusable masks by marking paper bags with the days of the week written on them. When you take off a used mask, put it in the appropriate bag, touching only the elastics. Then wash your hands. Store the bags by a sunny window to hasten decontamination.

    The coronavirus has an expected survival time of about 72 hours, so waiting seven days should be enough time for the mask to become clear of virus contaminants.

    When Should You Throw It Away?

    According to the CDC, a mask should still be wearable if its elastic bands continue to create a secure fit and the material looks clean and provides good airflow.

    However, consider where you’ve worn the mask and for how long. Someone who wears a mask in close quarters with others every day, for example, may need to throw it out sooner than someone who wears theirs to the grocery store every once a week.

    Whatever the circumstances, switch to a fresh mask if yours is dirty, thinning, damaged or hard to breathe through, or if it no longer maintains a good seal. Throw the mask away if you think you have been exposed to a virus load, such as, if you may have interacted with a person who has tested positive for COVID-19.

    For more information, go to the CDC website: www.cdc.gov/coronavirus/2019-ncov/preventgetting-sick/about-face-coverings.html.

    It has long been established that consistently wearing a proper-fitting mask over your nose and mouth is critical in preventing the spread of COVID-19. In January, nearly two years into the pandemic, the Centers for Disease Control and Prevention (CDC) updated its mask recommendations, because as the SARS-CoV-2 coronavirus changes and mutates, producing a bounty…

  • A Medical Marijuana Odyssey

    Elton Goo was surfing in Peru when the government closed its borders to fight COVID-19 in March 2020. As an avid surfer, being temporarily stranded in one of the best countries in the world to score some “epic surf” might not have been such a bad thing, but unfortunately, Elton, who was diagnosed in 2016 with terminal lung cancer at age 55, was running out of his medication. He had no way to attain more. He ended up taking the medication every other day, but it ran out. “My health was fading,” said Elton.

    In lieu of his regular medication, Elton was able to attain some CBD, an oil derived from the cannabis plant, which he had been taking along with his prescribed cancer medication since 2016.

    With the genetics of longevity on his side, along with a healthy and active lifestyle, Elton’s initial diagnosis came as a shock. But in November 2020, Elton found out that he was cancer-free — a miracle, he says. Elton credits his recovery to God and a medicinal marijuana product called “Rick Simpson Oil” (RSO), a concentrated cannabis oil with a very high THC content. It is a full-spectrum, whole-plant extract that retains all components of the cannabis plant, including cannabinoids, terpenes and flavonoids.

    The results of RSO use are promising, according to a “Healthline” article, but “large human studies are needed before cannabis becomes a recommended cancer treatment… If you want to try using RSO for cancer, it’s best to keep up with any other treatments recommended by your doctor.”

    Since his diagnosis in 2016, Elton had been on a mission to surf the world and live each day as if it were his last. At age 60 and cancer-free, his mission continues. An avid sports fan, he travels extensively, seeking new surf spots and attending sporting events of all kinds. “The last three times after returning from my travels, I received a notice from Hawai‘i Department of Health that I might have come in contact with a COVID-positive person,” says Elton, who is fully vaccinated. “But each time, my COVID test came back negative.”

    “There were many times during my travels when I found myself coughing,” says Elton. “Each time, I would grab my syringe of RSO and go to bed. The following morning, I would always feel fine.” A syringe facilitates accurate  measurement for oral consumption of RSO, an easy-to-use concentrate.

    In January, Oregon State University published research results showing that two cannabis compounds — cannabigerolic acid (CBGA) and cannabidiolic acid (CBDA) — have the ability to prevent the COVID-19 virus from entering human cells. The compounds bound to spike proteins on the virus and blocked a step the pathogen uses to infect people.

    Elton has had many personal encounters with terminal patients who have recovered from cancer using RSO. “But don’t go rushing out to buy marijuana to smoke,” he says. Applying heat to the key compounds changes their makeup, and then they are not effective. Eating it metabolized the compounds, also making them ineffective. Both these methods of consumption produce a high, which Elton found to be unpleasant. “To work as a medicine, the dosage is strong. I was stoned out of my mind for months.” The medication he now uses as a preventative treatment comes in suppository form, with no psychotropic effects.

    O‘ahu residents with medical marijuana cards can contact Jason Hanley, the owner of CARE Waialua, a patient-based cannabis farm on O‘ahu that gives those with a Hawaii 329 or cannabis cards a place to get medical marijuana. Call 808-224-0510 or visit www.instagram.com/care_waialua for additional information.

    “God may have given us the tools to combat the two ‘Big Cs’— cancer and COVID,” says Elton. “We must proceed with an open mind and support further study of the therapeutic properties and potential of this unorthodox treatment.”


     

    Elton Goo was surfing in Peru when the government closed its borders to fight COVID-19 in March 2020. As an avid surfer, being temporarily stranded in one of the best countries in the world to score some “epic surf” might not have been such a bad thing, but unfortunately, Elton, who was diagnosed in 2016…

  • Improving Retirement Security in Hawai‘i

    Retirement insecurity is one of the most serious challenges facing the country today. Most at risk are private sector workers whose employers do not offer a workplace retirement savings plan. However, the Hawai‘i State Legislature has initiated action on this critical issue.

    In the regular session of 2021, the Senate adopted Senate Resolution 76 (SR76), Senate Draft 1. Introduced by Sen. Brian Taniguchi, SR76 requested the creation of a Retirement Savings Program Task Force to address the state’s  retirement savings crisis and explore options for helping workers save for their retirement.

    The task force comprised of business and nonprofit stakeholders, and public officials and legislators has been meeting since August 2021 to study the issue of retirement insecurity and to look at how the state can help our residents save more for their future.

    We received testimony and insights from local and national experts, as well as from small business owners and financial institutions in Hawai‘i. Our findings culmina {Play}ted and a formal Report and Recommendations document was submitted to the Legislature on Dec. 10, 2021. This is very exciting for all small business employees and employers who care about their employees and want to give them an opportunity for retirement security.


    HALE HAU‘OLI HAWAI‘I (501(c) 3 nonprofit)
    98-1247 Kaahumanu St., Ste. 207, Aiea, HI 96701
    808-292-4665 | Kwyatt01@aol.com
    www.halehauolihawaii.org

    Retirement insecurity is one of the most serious challenges facing the country today. Most at risk are private sector workers whose employers do not offer a workplace retirement savings plan. However, the Hawai‘i State Legislature has initiated action on this critical issue.

  • Spring Cleaning for Your Wallet

    It’s time to begin your spring cleaning! This year, don’t forget to include your wallet, the home of your critical medical and insurance cards.

    Do you know which cards you should carry or dispose of?

    If you are retired, you can begin by disposing of your work insurance card. Your coverage ended when you retired.

    Also, that Original Medicare card that displays your social security number is obsolete. Call the Social Security Administration at 1-800-772-1213 if you need a replacement Medicare card.

    If you recently qualified for Medicare or changed plans, put your new member identification card in your wallet or swap it for the old one.

    Providing the proper insurance card saves time, money and makes accessing healthcare services easier.

    Healthcare providers count on you to provide them with your current insurance card so you can receive healthcare and the provider can file a claim for their services.

    Having the correct card enables quicker processing and helps avoid billing errors, and treatment scheduling delays.

    Take a moment to get more organized and clean out your wallet today.


    GET2INSURANCE.COM FAMILY OFFICE
    1003 Bishop St., Ste. 2700, Honolulu, HI 96813
    (800) 226-3660 | martha@get2insurance.com
    www.Get2insurance.com

    It’s time to begin your spring cleaning! This year, don’t forget to include your wallet, the home of your critical medical and insurance cards. Do you know which cards you should carry or dispose of?

  • March – April 2022

    March – April 2022

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    The March-April 2022 issue of GENERATIONS MAGAZINE leads with a story about cancer in Hawaii and even though we live in paradise, we’re still susceptible to cancer in all its forms. You’ll also get some tips on navigating your first year in retirement, the benefits of again at home, and you’ll read some good news…