Caregiving Archive

Help with coping

If you're grieving, it may help to do the following:

Take care of yourself. This means eating well, exercising, and getting enough sleep. It also means asking yourself, "What would help me most today?" and taking care of the need, be it having a good cry, talking to a friend, or going to the movies.

Let people know what helps. Often, people aren't sure how to act around you when you are grieving. They will be relieved if you tell them how they can help you, whether you want someone to pitch in with the laundry, sit quietly by, or share stories about your loved one. It's also fine to let people know if you'd like to be left alone.

Accept mixed feelings. It is entirely normal to have mixed emotions about the loss and about your loved one. It helps to express these so that other people understand what you are going through. Chances are, they've been there themselves.

Find others who understand. People who have also lost a loved one are likely to be more understanding. Many hospitals, religious organizations, and community groups have support groups for mourners, in which participants offer comfort and share coping strategies. When friends and family can't help in these ways, support groups often can.

Seek professional help. Grief and depression are hard to tell apart. The symptoms are similar, and so are the therapies. If you are finding yourself overwhelmed by grief, you may want to seek help from a professional. Psychiatrists, psychologists, and spiritual leaders are trained to help people through the grieving process. "We all want to help you to feel better and move through the world more easily," Dr. Miller says.

A grip on mobility

Grip strength also may predict your future loss of mobility. A May 2014 study in The Journal of Gerontology Series A: Biological Sciences and Medical Sciences analyzed data from more than 20,000 adults ages 65 and older to evaluate the link between weak grip strength and lack of mobility, in this case slow walking speed.

Among the men in the group, those with a weak grip—less than 26 kg using a dynamometer—were seven times more likely to be facing mobility issues compared with men who had normal grip strength.

You can take steps to improve grip strength and possibly avoid problems down the road. "You need to exercise your hands and wrists just like every other part of your body to keep them strong and supple," says Cole.

Guideline changes

Some new health guidelines made their entrance in 2016, and others underwent updates. The CDC announced its first-ever guidelines for prescription painkillers, encouraging doctors to stop treating chronic pain by prescribing opioids, such as oxycodone (OxyContin) and hydrocodone (Vicodin). Long-term use of the drugs carries risks for dependence, addiction, overdose, and death.

The U.S. Department of Health and Human Services (HHS) strengthened its guidelines granting access to one's own medical records. Among the rules: you do not have to give a reason for a records request, you can ask for the records by mail or email, and most requests should be granted within 30 days.

Also of note, the U.S. Preventive Services Task Force updated its guidelines to screen for depression, now recommending screening in all people 18 or older, including older adults, when there are systems in place to ensure accurate diagnosis (as opposed to selective screening based on judgment and patient preference).

New medications

This year also brought the news that we'll have to wait for an antidote to stop rare uncontrolled bleeding episodes linked to some newer types of blood thinners, such as apixaban (Eliquis) and rivaroxaban (Xarelto). In August 2016, the FDA rejected the potential antidote AndexXa (andexanet alfa), saying it wanted more information before it could grant approval. Another of the newer blood thinners—dabigatran (Pradaxa)—already has an approved antidote called idarucizumab (Praxbind).

The newer blood thinners are alternatives to warfarin (Coumadin). People who use warfarin require frequent blood tests to see if the dose needs to be adjusted, but if dangerous bleeding does occur, there's a treatment to reverse it. The newer blood thinners don't require lab monitoring. Apixaban and rivaroxaban do not yet have approved treatments to reverse bleeding.