Preventive care Archive

Caring for an aging parent or a loved one who is ill or disabled is often deeply rewarding. But it can also consume a lot of time, as well as physical and emotional energy. You may feel overwhelmed by myriad responsibilities — home, work, other family needs, and caregiving. But it's just as important to care for yourself before you burn out. Try our five tips below to help rejuvenate yourself.

1. Recruit help: You don't have to "do it all" yourself. In fact, it's best to have more than one person involved in caregiving. Whether it's accompanying your loved one to appointments, helping with housework, or cooking dinner one night a week, ask other family members to lend a hand. And if someone asks if he or she can pitch in, don't be afraid to say yes!

Dog lovers know how much warmth and comfort their canine companions add to their lives. But they might not know that a growing body of evidence suggests that having a dog may help improve heart health.

Pet ownership, especially having a dog, is probably associated with a decreased risk of cardiovascular disease. This does not mean that there is a clear cause and effect relationship between the two. But it does mean that pet ownership can be a reasonable part of an overall strategy to lower the risk of heart disease.

When you are caring for someone who is ill, elderly, or disabled, it's important to consider how you'll handle those times when you can't be with your loved one in person. Thankfully, today's technology offers options that can help you keep track of your loved one's safety and well-being.

Most people are familiar with the emergency response system known as Lifeline. Experts call devices and systems like Lifeline "telecare." But there's much more to telecare than emergency assistance. Today, there are a multitude of telecare devices that can help you stay informed of your loved one's activities and needs in real time.

They're full of the nutrients you need for a healthy heart.

That familiar refrain "Eat your vegetables!" still hasn't sunk in. Only about one in 10 adults in the United States eats the amount recommended by the current federal dietary guidelines. And we're not doing much better when it comes to fruit, according to a recent report from the CDC (see "How much should you be eating?" below).

Atrial fibrillation (AF)—in which the upper chambers of the heart contract weakly and rapidly—is associated with an increased risk of stroke and heart failure. Although exercise has been suggested as a preventive strategy, there aren't enough data to indicate whether it prevents AF in women.

To shed more light on the topic, Swedish researchers in 1997 asked about 40,000 women over 50 how much time they had spent exercising throughout their lives. The researchers then tracked the women for 12 years and noted that 2,915 (about 7%) had developed AF. They found that the risk of AF fell steadily with increasing activity. The women who exercised the most—more than four hours a week—were 15% less likely to have developed AF than those who exercised the least (less than one hour a week). Those who walked or biked 40 minutes or more a day had a 20% lower risk than those who rarely did either. The results were reported online by the British journal Heart on May 27, 2015.

Ask the doctor

Q. What's the fastest way to get rid of a cold sore? Is it possible to prevent them?

A. Cold sores, also called fever blisters, are bothersome and painful fluid-filled blisters on or around the lips. They are caused by infection with herpes simplex virus (usually type 1). Cold sores heal on their own in seven to 10 days. However, antiviral medications can modestly shorten the healing period. One-day treatment with the prescription antiviral drugs famciclovir (Famvir) or valacyclovir (Valtrex) shortens cold sore symptoms by one to two days. These oral medications are most effective when taken at the first sign of a cold sore, such as a burning or tingling sensation. Antiviral creams are less effective and need to be applied several times daily for five days.

Most men can get the water they need from their usual diet and by drinking when they are thirsty.

Especially in hot weather, we are urged to drink adequate fluids and be on guard for dehydration. That may be why you see people toting bottled water everywhere, propelled by the myth that you need to drink eight glasses of water a day to be healthy.

If you got the flu shot last year and it didn't work, don't reject vaccination.

During last year's battle of The People vs. Influenza, the virus gained the upper hand. Early in the 2014–15 flu season, a new strain of the virus emerged against which the existing vaccine offered virtually no protection. Hospitalizations for flu in older adults spiked to the highest level in a decade.

Ask the doctor

Q. I find that I breathe through my mouth at night because my nose seems to stuff up once my head is on the pillow. Does sleeping with my mouth open affect my teeth and gums?

A. Open-mouth breathing can dry out your gums and the tissue lining your mouth, leading to a change in the natural bacteria, which can promote gum disease and tooth decay. Lying flat can cause mucus to accumulate in your nose. Try propping up your head with a firmer pillow—or a couple of pillows. If that doesn't work, you should talk to your doctor about your problem. You may have an allergy or polyps obstructing your nasal passages that can make it difficult to breathe through your nose and may need to see an otolaryngologist (an ear, nose, and throat specialist). Meanwhile, be sure to brush and floss your teeth regularly and drink lots of water to moisten your mouth throughout the day.