Caregiving Archive

People taking antidepressants may have many reasons for wanting to discontinue the drug. They may feel they no longer need the medication or decide they cannot tolerate side effects. A doctor should guide the process of tapering off antidepressants. The chance of depression recurrence is higher for people who take antidepressants long-term and stop abruptly. Withdrawal symptoms can make the tapering process uncomfortable, but it's generally not dangerous.

Morning back and neck pain are often triggered by sleep position or poor choice of mattress or pillow. Certain sleep poses, especially stomach-down, can lead to pain by creating misalignment of the spine and other areas of the body. To prevent back and neck pain, people can switch sleep positions frequently, align all body areas when shifting positions, use firmer pillows, consider buying a new mattress, and place a foam wedge under the pelvis or between the legs while sleeping.

Studies have shown that doing any one of certain activities, such as staying physically active and maintaining social ties, helps maintain brain health in older adults. A new study suggests that participating in multiple kinds of these activities, several times a week, may help even more.

Clostridioides difficile, a bacterium that causes severe diarrhea and colon inflammation, is common in hospitalized people. New research suggests that even patients who are not diagnosed with the infection in the hospital can bring it home and expose family members.

Recent guidelines suggest a blood pressure reading of less than 120/80 mm Hg as normal. But the ideal number for individuals depends on their individual goals and whether they also have a chronic condition, such as heart disease or kidney disease.

A research letter published online April 25, 2022, by JAMA Internal Medicine suggests that existing advance care directives often don't reflect people's actual wishes (based on values and beliefs) and care goals.

A randomized trial published May 14, 2022, in The Lancet found that people with heart disease who ate a Mediterranean diet for seven years had a 26% lower risk of having a heart attack or stroke, compared with people who ate a low-fat diet.

In May 2022, the FDA approved a blood test to help diagnose Alzheimer's disease. The test looks for amyloid-beta protein, a marker of Alzheimer's. The blood test is quite accurate, compared with positron emission tomography (PET) brain scans, which are more expensive and complicated. More blood tests, including some that look for tau protein (another marker of Alzheimer's), also are under development. Other tests used to diagnose Alzheimer's include computed tomography (CT), magnetic resonance imaging (MRI), and a spinal tap.

There are many choices for lenses to replace a cataract. Examples include lenses that allow a person to see clearly at a single distance, or at several distances. Some types can correct astigmatism. When deciding which lens to choose for cataract surgery, people should consider costs, daily vision needs, existing vision problems, and pros and cons; for example, some lenses have more vision range than others, but also have risks of glare at night; some lenses still require a person to use glasses for up-close or distance vision.

There's no one sound unique to a particular shoulder problem. That makes it hard to know what various shoulder noises are telling you. Possibilities include arthritis; bone breaks; rotator cuff tears; gas bubbles, loose parts, or bone spurs in the shoulder joint; neck problems; and bursitis. It's advisable to investigate shoulder noises if they happen, along with shoulder pain, weakness, or limited movement, or if the sound followed a shoulder injury. It's also smart (though not urgent) to ask a doctor about shoulder sounds that aren't accompanied by other symptoms.