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Caring for Older Adults: Managing heart attack treatment and follow-up care

As the proportion of older adults in the U.S. continues to increase, appropriate care for older people becomes increasingly important. In fact, caregivers and loved ones should be aware of age-appropriate care for heart attack or chest pain.

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(Family Features) As the proportion of older adults in the U.S. continues to increase, appropriate care for older people becomes increasingly important. In fact, caregivers and loved ones should be aware of age-appropriate care for heart attack or chest pain.

The first step is to call 911. Once medical care is started, age-related changes in general health and in the heart and blood vessels require consideration, and likely modifications, in how people age 75 and older are treated, according to a scientific statement from the American Heart Association, published in its flagship, peer-reviewed journal “Circulation.”

The statement, “Management of acute coronary syndrome (ACS) in the older adult population,” highlights evidence to help clinicians better care for older patients. According to the statement, 30-40% of people hospitalized with ACS, which includes heart attack and unstable angina (heart-related chest pain), are age 75 or older.

“Older patients have more pronounced anatomical changes and more severe functional impairment, and they are more likely to have additional health conditions not related to heart disease,” said Abdulla A. Damluji, M.D., Ph.D., FAHA, chair of the scientific statement writing committee, director of the Inova Center of Outcomes Research, and an associate professor of medicine at Johns Hopkins School of Medicine. “These include frailty, other chronic disorders (treated with multiple medications), physical dysfunction, cognitive decline or urinary incontinence.”

Normal Aging and Age-Related Changes in the Heart and Blood Vessels
Cardiovascular changes that occur with normal aging make ACS more likely and may make diagnosing and treating it more complex. These changes include large arteries becoming stiffer, the heart working harder but pumping less effectively, blood vessels becoming less flexible and less able to respond to changes in the heart’s oxygen needs and an increased tendency to form blood clots. Sensory decline due to aging may alter hearing, vision and pain sensations. Kidney function also declines with age, with more than 1/3 of people ages 65 and older having chronic kidney disease.

Multiple Medical Conditions and Medications
As people age, they are often diagnosed with health conditions that may be worsened by ACS or complicate existing ACS. As these chronic conditions are treated, medications prescribed may result in unwanted interactions or medications that treat one condition may worsen another.

“Geriatric syndromes and the complexities of their care may undermine the effectiveness of treatments for ACS, as well as the resiliency of older adults to survive and recover,” Damluji said. “A detailed review of all medications – including supplements and over-the-counter medicines – is essential, ideally in consultation with a pharmacist who has geriatric expertise.”

Steps for Heart Attack Care and Follow-Up for Older Adults

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  • Call 911 if you notice someone experiencing heart attack warning signs. These include chest discomfort, discomfort in other areas of the upper body (one or both arms, back, neck, jaw or stomach), shortness of breath or other symptoms such as a cold sweat, nausea or lightheadedness.
  • Consider treatment needs for co-existing conditions. An individualized, patient-centered approach is best for older adults.
  • Get input from multiple specialists, including a pharmacist, to manage care and medications.
  • People with cognitive difficulties and limited mobility may benefit from a simplified medication schedule, with fewer doses per day and 90-day supplies of medications so fewer refills are necessary.
  • The goals of care for older people with ACS should extend beyond clinical outcomes and focus on quality of life and the ability to live independently.
  • Do-not-resuscitate orders should be discussed before any surgery or procedure.

For more information about managing ACS in older adults, visit Heart.org.

Photo courtesy of Getty Images

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SOURCE:
American Heart Association

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Lifestyle

AMERICAN GREETINGS JOINS THE AMERICAN CANCER SOCIETY IN ENCOURAGING LOVED ONES TO GET CANCER SCREENINGS

American Greetings and the American Cancer Society launch customizable digital greeting cards to promote cancer screenings, emphasizing early detection and personal connections in health discussions.

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New digital greeting card collaboration launches to encourage friends and family to prioritize their health

CLEVELAND /PRNewswire/ — American Greetings and the American Cancer Society are collaborating on a collection of customizable digital greeting cards designed to encourage loved ones to seek out life-saving cancer screenings. The all-new Creatacard™ greetings feature a range of heartfelt messages in both English and Spanish and aim to promote the importance of early detection. Senders can add personal touches by customizing the designs with photos or video, a personalized message, digital envelope liner and stamp, and more.

American Cancer Society
American Greetings and the American Cancer Society Creatacard collection.

“Having conversations with your loved ones about serious topics like cancer can be difficult, but discussions like this can save lives,” said Rob Matousek, Executive Director, Direct to Consumer Business at American Greetings. “We are proud to work with the American Cancer Society on this collection of digital greeting cards that give people a new, easy, and thoughtful way to encourage family and friends to seek cancer screenings. Together, we can make a difference.”

Cancer is the second most common cause of death in the US, and over 2 million new cancer cases are expected to be diagnosed in 2024. Regular screening can find cancer before symptoms appear and keep a person informed about the state of their health. To learn more about screening recommendations and resources, visit cancer.org/getscreened.

“Early detection is a key factor in changing cancer outcomes,” said Dr. Arif Kamal, chief patient officer at the American Cancer Society. “The American Cancer Society is working with multiple organizations to deliver that message and remove barriers to cancer screening. We appreciate American Greetings using its platform to help spread this message and we encourage everyone to use these cards to save lives.”

The new cards with the American Cancer Society add to American Greetings portfolio of digital greetings related to health and wellness topics, which include the recently released Creatacards™ with singer and songwriter Jelly Roll that focus on mental health, as well as offerings released with the Cleveland Clinic around the topics of heart health, Alzheimer’s disease, and cancer research. 

Creatacard™ greetings are available on www.americangreetings.comwww.bluemountain.com, and on the Creatacard™ offerings, American Greetings and Blue Mountain ecard apps for iPhone and Android. They can be shared via email, text, or on social media. Users can sign up for a monthly, yearly, or two-year American Greetings account to have the ability to send an unlimited number of Creatacard™ greetings —as well as all American Greetings digital offerings—over the course of their membership period. Membership costs range from $6.99-$39.99, depending on the length of membership. For the latest news from Creatacard™ offerings, follow @americangreetingsdigital on Instagram and @americangreetingsdigital on Facebook.

ABOUT AMERICAN GREETINGS:
American Greetings is a global leader in the large and enduring Celebrations marketplace. The company helps people celebrate holidays, each other, and all of life’s special moments, in-person and online, guided by a mission to “make the world a more thoughtful and caring place every single day.” American Greetings offers products wherever and however people wish to purchase them – online, in-store, or curbside pickup. Celebrations happen throughout the year, driven by traditional holidays, key milestone moments such as weddings, baby showers and graduations, as well as recurring everyday events such as birthdays and anniversaries. The company’s brands include American Greetings, Papyrus, Carlton Cards, and Recycled Paper Greetings. Its digital business unit, AG Interactive, is a leading provider of digital greetings and premium Celebrations content through proprietary technology platforms and apps. Its popular digital brands include American Greetings, Blue Mountain, Jacquie Lawson, SmashUps™, and Creatacard™. For more information, visit corporate.americangreetings.com and follow us @AmericanGreetings on Facebook and @amgreetings on Instagram.

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Business and Finance

Reasons to Consider an Up-and-Coming Career in 2025

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(Family Features) If you’re thinking about making a career change, re-evaluating your long-term career path or looking for a career with purpose, there is one path you may not have considered – and it might be the perfect fit: funeral service.

Consider this: Funeral service is facing a critical shortage of skilled professionals in the next decade due to retiring funeral home owners and rising death rates. In fact, the National Funeral Directors Association (NFDA) estimates 5,700 openings for funeral service workers during each of the next 10 years.

In a world where Gen Zers said having a sense of purpose is important to their overall job satisfaction and well-being, according to a study by Deloitte, there’s an opportunity for business-minded individuals, young professionals and those seeking second career paths to explore this distinguished and fulfilling profession. While 1 in 10 (12%) adults would consider a career as a funeral director, Gen Zers (44%) and Millennials (38%) admit they do not know enough about the profession based on a survey by the NFDA.

There are several reasons to consider funeral service as a career, whether you’re a new grad, a young professional looking to get your foot in the door or someone with years of experience who’d like to test your transferable skills in a new career.

1. Fulfillment and Purpose
Funerals and memorial services are an important part of the grieving process and an opportunity for family and friends to gather to comfort one another and say goodbye to their loved one.

Funeral directors are not just in charge of logistics. They play a vital role in helping families navigate one of the most challenging times in their lives. They provide emotional support, guide families through funeral arrangements and ensure the service honors the deceased’s life.

2. Community Involvement
Funeral directors are often deeply involved in the communities they serve, volunteering with local nonprofit and community organizations, sponsoring little league teams and organizing collections for troops overseas. This sense of community extends beyond the immediate responsibilities of the job, as many funeral directors take on the role of mentors and leaders, guiding the next generation of professionals.

“As I look ahead to the next 15 years of my career and beyond, I ask myself one question and encourage others to do the same, no matter what career they are in: Are you doing the work to inspire a new generation of leaders and being the person you needed when you first started out?” said Allyse Worland, CFSP, licensed funeral director. “For me, the answer is always yes, and I am excited to see what the future holds.”

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3. Ability to Own a Business
A career in funeral service offers the opportunity to own your own funeral home. With experience and business skills, you can manage and grow a company that provides essential services to your community. It’s a unique blend of compassion and entrepreneurship, allowing you to make a meaningful impact while running a successful business.

If you’re looking for a meaningful career that combines purpose, community and the opportunity for growth, funeral service might be the path for you. With the occupation’s demand for skilled professionals on the rise, now is the time to consider how you can make a difference in the lives of others while shaping the future of a growing profession.

Learn more about the career path and take a quiz to determine whether it’s right for you by visiting rememberingalife.com/careers.

Photo courtesy of Shutterstock

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SOURCE:
National Funeral Directors Association


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health and wellness

Why some doctors are prescribing a day in the park or a walk on the beach for good health

Exposure to nature positively impacts health by reducing pain, stress, and anxiety while promoting well-being, encouraging initiatives like Nature Prescriptions for improved health. Walk in the park.

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Hanauma Bay, Hawaii. Jason Maddock, CC BY-SA

Jay Maddock, Texas A&M University

Taking a walk on a wooded path, spending an afternoon in a public park, harvesting your backyard garden and even looking at beautiful pictures of Hawaii can all make us feel good. Certainly, for many of us, it’s beneficial to have time outside in natural environments. Being cooped up inside can feel unnatural and increase our desire to get outside. The renowned biologist E.O. Wilson created a theory called the biophilia hypothesis, where he stated that people have an innate relationship to nature.

On an intuitive level, this makes sense. Humans evolved in an open, natural environment and removing us from this environment could have a negative effect on our health. But what does the research say? Is there actually evidence that being in natural environments can promote our well-being, prevent disease and speed recovery?

Nature and healing

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Hospital gardens can help ease pain in some patients, studies suggest. michaeljung/Shutterstock.com

The pioneering work in this area started in the 1980s with Robert Ulrich, who was a professor at Texas A&M University. His work looked at surgery patients who had a view of trees out of their window compared to those who had the view of a wall. Those with the natural view reported less pain and spent less time in the hospital.

Since then, several studies have shown a reduction in pain both through viewing natural scenes as well looking at nature videos and pictures.

Other studies have looked at the effect of exposure to daylight on patients and found they experienced less pain, stress and use of pain medications than patients who did not have exposure to natural light. There is also preliminary evidence that hospital gardens can alleviate stress in both patients and their families.

In the area of designing health care facilities, there appears to be consistent evidence that exposures to natural environments have a positive effect on pain, stress, anxiety, blood pressure and heart rate. In the Center for Health and Nature, a joint venture between my university Texas A&M, Houston Methodist Hospital and nonprofit Texan by Nature, our new studies are assessing if these effects extend to the virtual world, including immersive VR and virtual windows.

A preventive effect?

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Some doctors in Scotland are encouraging people to learn to like lichen and appreciate the simple pleasures of being outdoors. 4esNook/Shutterstock.com

While nature appears to be helpful in restoring health after illness, can it actually help us keep healthy? Researchers across the world have been asking this question.

From forest bathing (“shinrin-yoku”) in Japan to the 30 Days Wild campaign in the United Kingdom, which encourages people to connect to wild places, people have been examining the healing powers of nature.

While walking is well established as a health promoting behavior, studies are now examining if walking in natural environments is more beneficial than indoors or in urban environments. Results have shown positive effects for mental health, improved attention, mood, blood pressure and heart rate. Several programs across the country have been formed to expose military veterans to natural spaces to combat symptoms of PTSD. In children, playgrounds with greenspace increased vigorous physical activity and decreased sedentary time and even has led to fewer fights.

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While there is growing evidence that exposure to natural environments is beneficial to health there are still many questions to be answered. What is nature? While this may seem simple at first glance, there are many differences between a national park, an urban pocket park and a picture of waves crashing on the beach. What is the dose of nature needed?

In physical activity, there is scientific consensus that people need 150 minutes a week for good health. How much and how often is exposure to nature needed for better health? How do longer doses – such as a weekend camping in a forest – and shorter doses – such as a walk through a park – affect us? What sensory part of nature is affecting us? Is it sight, sound, smell, touch or a combination of them?

A recent paper proposed enhanced immune function as the central pathway for the variety of positive health outcomes received from nature exposure. This needs to be tested.

Despite the need for more research, the need for more nature exposure is urgent. The Environmental Protection Agency estimates that Americans, on average, spend 90% of their time indoors. A study in the U.K. found that children spend only half the time outdoors than their parents used to.

There are signs that a nature movement is beginning to take hold. The 30 Days Wild program run by the Wildlife Trusts in the U.K. encouraged people to engage with nature every day for a month. In its first year, more than 18,000 people signed up. It starts again June 1, 2019.

Doctors in Scotland are now able give Nature Prescriptions to their patients. The educational leaflet they provide describes numerous monthly activities including touching the ocean, taking a dog for a walk and following a bumblebee. In the U.S., the Park Rx America program has been working to connect publicly available outdoor space to physicians to have them prescribe nature.

As spring arrives, it is time to make a commitment to spend more time in nature. Better health could literally be as easy as a walk in the park.

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Jay Maddock, Professor of Public Health, Texas A&M University

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Our Lifestyle section on STM Daily News is a hub of inspiration and practical information, offering a range of articles that touch on various aspects of daily life. From tips on family finances to guides for maintaining health and wellness, we strive to empower our readers with knowledge and resources to enhance their lifestyles. Whether you’re seeking outdoor activity ideas, fashion trends, or travel recommendations, our lifestyle section has got you covered. Visit us today at https://stmdailynews.com/category/lifestyle/ and embark on a journey of discovery and self-improvement.

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