Posts by Heidi Godman
A POLST order goes beyond what a DNR can cover: it allows you to set your preferences for treatments such as nutrition, pain medicine, and antibiotics at the end of life, and it applies both inside and outside the hospital. However, it’s not without its drawbacks. Ultimately, it’s safest to draw up not only a POLST, but other types of tried-and-true directives, to ensure you get the end-of-life care you want.
Retail health clinics are popping up everywhere, from drugstores and supermarkets to large retailers like Target and Walmart. Staffed by nurse practitioners or physician assistants, retail health clinics can be a great option, particularly if you’re younger and in generally good health. These clinics list their prices up-front and tend to be cheaper than a doctor’s visit. They’re convenient too: usually open extended hours, with no need for an appointment.
Loneliness affects the dinner table. Whether it’s a busy, single professional, a college student, or an elderly adult, a person eating solo may wind up skipping meals or relying on convenience foods, such as cereal, frozen dinners, or canned foods. But healthy meals don’t need to be complicated or time-consuming. Sharing meals with friends and family on a regular basis is good for your health and well-being.
Mental and social engagement can help keep your brain sharp and lower the chances of cognitive decline, in part because challenging our brains may help forge new connections between brain cells. The key to taking advantage of the brain’s malleability is to find activities that you truly enjoy and to commit to life-long learning.
Today’s world runs at a hectic pace. To keep up, more and more people are turning to convenience foods — but many of these are high in calories, sugar, sodium, and unhealthy fats. The good news is that healthy convenience foods are out there, and you can find them if you’re willing to spend a few minutes reading ingredient labels. Other ideas for enjoying home-cooked meals in short order include using canned or frozen fruits, vegetables, or seafood in your next recipe, as well as planning meals ahead and cooking in batches.
Study after study has shown that Americans don’t get enough activity. In fact, many of us don’t even get our recommended 10,000 steps a day. Could pedometers or digital fitness trackers help? Pedometers are simple gadgets that measure how many steps you take. Digital fitness trackers also measure the pace, distance, duration, and intensity of your activity, and often have accompanying web applications that can evaluate and even graph this information. In a small study published in the American Journal of Preventive Medicine, researchers gave either a standard pedometer or a Fitbit brand digital fitness tracker to 51 overweight postmenopausal women who had been getting about 33 minutes per week of moderate to vigorous physical activity. The pedometer group did not have any significant change to their activity levels. But the fitness tracker group increased their physical activity by an additional 38 minutes per week.
The steady stream of reports about foodborne illness is making many people think twice about their food. Foodborne illness sickens 48 million people annually, sending 128,000 to the hospital and killing 3,000. To improve testing for foodborne illness the FDA sponsors a Food Safety Challenge. Purdue University researchers walked away with the $300,000 grand prize, announced last week, for their new method that would dramatically shorten the time it takes to test for Salmonella, a disease-causing bacteria. While faster ways to detect microbes in food are a step in the right direction, we need to take action at home right now. All fresh foods contain at least low levels of potentially harmful microbes. Handling food properly and cooking it thoroughly can prevent most cases of foodborne illness.
When kids pack for summer camp, sunglasses may not always top the supply list. But I made them a priority for my 12-year-old son Carson, who just started rowing camp in Florida, because eyes are vulnerable to damaging ultraviolet rays, which are especially intense near reflective surfaces. Ultraviolet rays can damage the eyes several way, ultimately leading to cataract, glaucoma, macular degeneration, and other thieves of vision. You don’t have to spend a bundle to get a good pair of sunglasses. Just make sure to pick ones that block close to 100% of ultraviolet A and ultraviolet B (UVA and UVB) rays.
For the past 25 years, US News and World Report has been listing the “best hospitals” in the United States. In a Viewpoint article in this week’s JAMA, the magazine’s top health analysts describe how they are expanding and changing the way they rate hospitals. The current ratings aren’t designed for use by patients in need of typical hospital care. That’s changing. The US News team has spent more than a year analyzing more than 5 million patient records regarding more than a dozen common procedures and medical conditions from more than 4,300 hospitals. Ratings for five of these — hip replacement, knee replacement, coronary artery bypass surgery chronic obstructive pulmonary disease, congestive heart failure — were published online today. The new ratings use only performance measures such as patient safety, technology, and survival rates after admission. Keep in mind that ratings like these can help, but they’re mostly limited to data, and aren’t the whole picture. Other organizations also provide hospital rankings and ratings.
Fainting can be alarming. Sometimes it’s a signal of a heart or other problem that needs to be fixed. But sometimes it is nothing to worry about, caused by not eating, having blood drawn, or even laughing too hard. Up to one-third of people at low risk for serious short-term problems after fainting end up being hospitalized. A research letter in this week’s JAMA Internal Medicine points out that hospitalization for low-risk fainting can do more harm than good. Just because you’re in the emergency department after fainting doesn’t mean you need to be admitted to the hospital. Ask your physician if you’re at risk for a worse event if you go home, and make sure that if you’re admitted it’s because there’s a potential serious cause for your fainting that can’t be fully assessed in the emergency department.