Aging, Alzheimer's, Dementia, Health & Wellness, Long-Term Care, Mental Health, Mexico, Senior Care Mexico

International Geriatric/Gerontology Conference Guadalajara 2016 – Focus on Dementia

The Hospital Civil “Fray Antonio Alcalde”, also known as the Old Civil Hospital, produced its 21st International Geriatric and Gerontology Symposium July 7-9, 2016, at the Hilton Hotel auditorium in Guadalajara, Mexico. The theme was “Enfermedades Neurodegenerativas en la Vejez”, or, Neurodegenerative Illness in Older Adults.

There were about 250 attendees as well as one pharmaceutical company (Asofarma de Mexico, S.A.), one hospital supply company from Switzerland, and a private pay day care senior center (www.vidavi.mx) offering business cards, pamphlets, free pens, and carry bags to participants in the registration area.

Four geriatric physicians from the hospital organized the event – Dr.David Leal Mora (the international section), Dr.Hector Ivan Cruz Neri, Dr. Julio Alberto Dias Ramos, and Dra Rocio Garcia Talavera. Guest speakers were from Guadalajara, Leon, Mexico City, and the U.S.

Old Civil Hospital Geriatrics Symposium, Guadalajara, 2016
Old Civil Hospital Geriatrics Symposium, Guadalajara, 2016   Dr. Rocio Garcia is at the podium, Dr. David Leal is the first man on the left with dignitaries from the public hospital system

There were memorable talks about the Use and Abuse of Antipsychotic Drugs, Managing the Symptoms of Parkinson’s, When a Day is 36 Hours, Evidence-Based Geriatrics, Government Assistance Programs for Older Adults, and Can We Prevent Dementia?

Peter V. Rabins, MD, MPH, Professor of Psychiatry, Johns Hopkins
Peter V. Rabins, MD, MPH, Professor of Psychiatry, Johns Hopkins, and author

 

 

 

 

 

 

 

 

What stood out most were the physicians, both American and Mexican, who are exploring and interested in alternative non-drug options for dementia prevention. The common theme – we must all be vigilant in keeping our cognitive skills sharp to the very end, if possible.

Topic-Related Resources:

Israeli physicians have developed a surgery to remove shaking due to Parkinson’s disease http://healthamazing.co/2016/07/13/first-in-israel-surgery-that-removes-shaking-due-to-parkinsons-disease/

http://www.latimes.com/opinion/op-ed/la-oe-stone-solvadi-drug-pricing-20160705-snap-story.html   By Daniel Stone, MD, internal medicine and geriatric specialist, Los Angeles, and, Pres of LA Society of Internists. Another physician calling for a stop to the increasing costs of drugs and “pharma greed”.

http://www.AlzheimersDementiaSummit.com focusing on dementia prevention and alternative remedies that already exist for protecting our brains and our minds. Produced by Jonathan Landsman, a natural health advocate with physicians and others as guest speakers – Dr. Russell Blaylock, Dr. David Jockers, Donna Gates, Dr. Mark Hyman, Josh Axe, Sayer Ji, Michael T. Murray and many others. I missed this July 2016 summit on line but believe it might be available to listen to.

http://goodlifeawareness.com/men-may-be-able-to-avoid-dementia-by-marrying-intelligent-women-researchers-say/  Don’t know if the studies are true, but this article caught my attention. 😉

http://yournewswire.com/harvard-professor-says-prescription-drugs-are-killing-population/utm_content=buffer7c70d&utm_medium=social&utm_source=facebook.com&utm_campaign=buffer   article is not professionally written, has a sensational headline, and, requires quotes and some fact-based evidence.
http://seniorhousingnews.com/2016/08/17/communities-turn-to-marijuana-to-treat-memory-care-residents/?_hsenc=p2ANqtz-9Kxe5ppADrvnIp22h1hj0wP4zRi3r8rV1Y_cRXvTORbY5Zis0oK9cbZtcGubP25n_orIdb35T0M8nX7GJuMFljm_Bygw&_hsmi=33083300    article about successful use of marijuana (with family permission) instead of drugs to calm patients in northern California dementia care residence
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End-of-Life Care, Health & Wellness, Hospice, Long-Term Care, Palliative Care

Iconic British Rock Star David Bowie Creates a Good Death, a Hero’s Death

Iconic British rock star (singer, writer/poet, actor, dancer, and musician) David Bowie passed away at the tender age of 69 this week, two days after his birthday and the release of a new album.

Who knew he had cancer for 18 months? 

Below is an excerpt from an article I wish I had written based on subjects I like to speak of often – advance planning, creating a way for your end-of-life wishes to be honored, living your last days (if you have terminal illness) in a way you so choose.

Bowie seemed to have experienced a “good death” with the support of family, colleagues, physicians, and undoubtedly a splendid palliative care team. In the next months I trust we will learn more about the kind of care he had. What I like most is that he seemed to have been honored by those around him, that he manifested a way to live to see his birthday and the release of his album.  Rest in peace dear soul.

Here below is the excerpt from http://www.chtonicboom.com by Diana S-V. It is worth going to the web site to read the rest of the report…

How to Die Like Bowie, or, We Can Be Heroes

Posted in Music on January 12, 2016 by Diana S-V

bowie

A picture from David Bowie’s final photoshoot, shot by Jimmy King.

By now, everyone has heard the news of David Bowie’s death of cancer at sixty-nine years of age. Bowie’s death came two days after his birthday and the simultaneous release of his newest album, Blackstar, and so many fans and Bowie aficionados likely received this news after a few days of appreciating the new album, revisiting old favourites, and generally appreciating the oeuvre of a man whose work, words, and aesthetic profoundly changed them in some way.

When I first read the news of his death, the first thing I felt was shock. The second thing that I felt was appreciation that what I was feeling was shock. Let me explain: Bowie is one of the most famous and widely known musical artists to have ever lived, and if he was living with cancer for eighteen months without it being public knowledge, it was very deliberate. This means that he, his family, and his colleagues had to make several complicated arrangements to ensure their privacy, and it also means that the folks who were a part of Bowie’s inner circle had to respect that desire for privacy. In other words, a number of factors had to be in place—human, bureaucratic, legal, and more—in order for Bowie to confront his death in the way that we wanted.\
The more I learn about things like his final photoshoot, the deliberate timing of the release of the video for “Lazarus,” and the tone of ★ (Blackstar) the more I appreciate what a good death looked like for David Bowie, especially given how much labour, organizing, and effort had to be expended in order to make this good death happened. In the weeks to follow, we will likely learn even more about Bowie’s final months and his approach to dying of a terminal illness, but in the meantime, what can we learn about how to die from Bowie? What can we learn about how to make a good death happen for ourselves? Here’s another way to think about it: how can we emulate, in a meaningful way, the worldview and courage of a man that was so widely admired and loved? I’ll be going into more detail in subsequent blog posts about my encounters with the following topics, but it seems to be that David Bowie’s good death consisted of several basic components or actions that we can all practice ourselves. (web site cited above has rest of Diane’s worthy story).

Here is a link to the Lazarus video referred to above…

http://www.ebaumsworld.com/video/watch/84892627/

Aging, Ecuador, Ecuador Senior Living, End-of-Life Care, Health & Wellness, Long-Term Care, Palliative Care

Palliative Care Training for Healthcare Professionals in Cuenca, Ecuador at Hospice Foundation FASEC

Ethical dilemmas at End-of-Life
Ethical dilemmas at End-of-Life

FASEC (Fundacion al Servicio del Enfermo de Cancer/Foundation Serving Those Ill with Cancer), together with Care Partners International of Washington state, and the University of San Francisco, Quito hosted a palliative care training in Spanish for five days, April 20-24, the first in a series of four trainings for physicians, nurses, psychologists, volunteers, and others. The well-attended event drew healthcare workers from Cuba, Cuenca, Europe, Mexico, and the U.S.

The main speaker was Dr. Susana Lua Nava, a highly regarded Mexican educator and nun who teaches throughout Mexico and at UAG (Universidad Autonoma de Guadalajara). She runs a hospice, Juntos Contro El Dolor (United Against Pain), with three nurse nuns and a staff of volunteers. Dr. Lua and her team are dedicated to the alleviation of pain in all – no matter a patient’s background, religious belief, or economic position.

Dr. Lua, author of El Enfermo, Terreno Sagrada/The Ill, Sacred Terrain, offered several slides of her work in Mexico and Spain, gave stunning examples of patient care, and spoke about dying at home or in a hospital (advantages and disadvantages of both), myths and realities on the use of morphine, the art of sharing sad news, and preparing the spirit, among other subjects. The most riveting discussion was on ethical dilemmas, a subject she teaches often – why and who one tells or does not tell of their terminal condition based on socio-economic backgrounds, culture, expectations, and other factors.

The next FASEC trainings are scheduled for the second week of June, the third week of July, and a week in October.

For contact information and more story details please click on the link below.

http://cuencahighlife.com/cuenca-palliative-care-training-educates-the-public-and-healthcare-community-first-of-four-training-session-sponsored-by-fasec/

Aging, Alzheimer's, Assisted Living, End-of-Life Care, Health & Wellness, Hospice, Long-Term Care, Palliative Care, Senior Services

Institute of Medicine End-of-Life Care Conference March 20

I am super excited to attend this on-line conference (a webinar), open to the public, on Dying in America – what we can do for better communication with patients and their families, what education and development opportunities can be created and implemented, and most of all how we can create a future where palliative and hospice care is serene, comfortable, painless (should the patient wish this), supportive, and honoring free will. See link below for details.

IOM looks deep into end-of-life care.

Health & Wellness, Health Care Reform, Long-Term Care

Considerations for Reporting on Heath Care Costs

Three healthcare writers have posted on WordPress through the Association of Healthcare Journalists their challenges with covering health care costs – how “wildly” variable they are in the U.S., including block to block in the same city.  The link to their comments is at the end of the last sentence.

Six (or more) things to remember when reporting on health care costs

by Pia Christensen

health-care-costs-reportersHealth care costs lack transparency and are wildly variable, not just from region to region but sometimes from block to block within the same city. It is a complex topic, with chargemaster prices, what insurers paid and what consumers pay (if anything). Then there are the administrative rules set by Medicare and Medicaid and the negotiated rates between insurers and providers. It’s daunting, but Lisa Aliferis of KQED, Rebecca Plevin of SCPR and Jeanne Pinderof clearhealthcosts.com have teamed up to offer guidance for reporting on health care costs in this new AHCJ tip sheet.

Emergency Preparedness, Health & Wellness, Long-Term Care, Senior Services

CMS (Medicare and Medicaid Services) Proposes Stepped-Up Emergency Preparedness

In light of devastating and continuing natural disaster challenges throughout North America, the Centers for Medicare and Medicaid Services proposes increased emergency preparedness standards for long-term care facilities.  May this plan be implemented soon!!  Below is an article with more details by  for McKnight’s

January 03, 2014

CMS proposes more rigorous emergency preparedness rules for long-term care facilities

CMS proposes more rigorous emergency preparedness rules for long-term care facilities
CMS proposes more rigorous emergency preparedness rules for long-term care facilities

Long-term care facilities would have to meet more comprehensive emergency preparedness guidelines, under a newly proposed rule from the Centers for Medicare & Medicaid Services.

Events such as the Sept. 11 attacks, Hurricane Katrina and recent devastating floods around the nation have shown that current emergency preparedness requirements for Medicare and Medicaid providers are inadequate, according to the 120-page proposed rule. Therefore, CMS has drafted more robust requirements for providers and suppliers.

Long-term care facilities would be subject to similar requirements proposed for hospitals. These are based on the principle of “all-hazards planning,” the rule states. This means planning should not involve developing highly specific plans for every conceivable threat, but should focus on creating the capacity to handle a spectrum of emergencies. The government has identified 15 scenarios for healthcare providers to use in assessing their risks, including natural disasters, cyber attacks and biological attacks.

Based in part on a risk assessment, hospitals should develop specific policies and procedures, the rule states. These include such items as tracking the location of staff and patients, and ensuring that medical records are “secure and available” in an emergency.

Long-term care facilities would be responsible for meeting all the hospital requirements, with some specific adjustments and additions, according to the rule. LTC facilities would specifically be directed to account for missing residents during a disaster, would have to determine what emergency planning information should be shared with residents and families, and should evaluate the need for chargers or electrical outlets for items such as motorized wheelchairs.

Click here to access the complete document, issued Dec. 27. Comments are being accepted through Feb. 25.