By Marjorie Marcus, MSW

In the past, doctors took the lead and patients typically followed without question. These days, a good doctor-patient relationship is a partnership. So here is what you can do to make your physician visits as productive and effective as possible.

Create a list before your appointment. This will make it easier to fully cover what it is that brought you to your doctor, and ensure that you do not forger any problems or issues you want to discuss. The list should include the following information:

A list of symptoms

This list should include, but not limited to, aches and pains, trouble sleeping, anxiety, moods. Are you sad all the time? Are you more confused lately? This list ensures that you give your doctor an accurate account of what is occurring in your life, mentally and physically. Include when these issues started, how often and how long they last, what makes them better or worse. Be sure to explain how these issues affect your daily activities.

A list of your medications

ALL medications should be listed; non-prescription, herbal remedies, vitamins, even eye drops should be included on this list. Better yet, bring your medications to your appointment. Include dosage, how often and times of day you take these medications. Make sure to note any side effects.

An outline of your daily activities

Be honest when discussing these activities. What do you enjoy doing? How often do you exercise? Do you smoke and/or drink? Describe your sex life. How do you sleep? What and how often do you eat?

Describe any life changes

Examples of these are divorce, death of a loved one (including pets), or a change in living arrangements. These life changes can cause stress, and stress affects our health.

This comprehensive approach of sharing complete information is key to developing a solid doctor-patient relationship. By being open, honest and detailed about your medical and personal condition, you and your doctor will be working together to formulate the comprehensive care plan you desire.

Written by Marjorie Marcus, MSW, a Client Care Liaison for American In-Home Care. Originally published in The Villager's Voices Publication, Palm Coast, FL. Sept. 2015

Contact Whitsyms today at 1-800-952-3881 for your free, in-home consultation. We will work with you to match the best care provider and determine the right care options for you and your family.

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Although the rate of depression in the elderly population is relatively high, that does not mean that it is a normal part of aging. Depression can affect anyone, at any age, but there are several risk factors that put older adults at higher risk.

Risk Factors For Depression In Older Adults

1. Difficult life events and changes in personal circumstances
2. Losing loved ones and friends
3. Loneliness and isolation
4. Lack of social support
5. Pain and physical illness
6. Being a victim of crime or abuse
7. Financial crisis
8. Family history or past episodes of depression
9. Moving accommodations
10. Alcohol abuse
11. Over medicating

Recognizing the risk factors for older adults allows you to realize when a loved one might be at risk for depression, and to be able to prevent possible negative repercussions. As the risk factors vary with different age groups, it is important to be familiar with the factors for older adults specifically. Elderly people also display symptoms of depression differently than younger adults, so it is important to recognize age-specific symptoms of depression as well.

Symptoms Of Depression In Older Adults

1. Psychotic Symptoms
   1. Delusions
   2. Auditory hallucinations
   3. Catatonic features
2. Cognitive Symptoms
   1. Disorientation
   2. Memory loss
   3. Poor concentration
   4. Easily distracted
   5. Apathy
3. Behavioral Symptoms
   1. Feeling melancholy
   2. Anorexia or excessive eating
   3. Insomnia or disrupted sleep patterns
   4. Loss of interest in hobbies and activities
   5. Thoughts of suicide
   6. Anergia
   7. Inappropriate feelings of guilt
   8. Pyschomotor retardation
   9. Note: sometimes medications can cause some of these same symptoms

Depression is a serious illness, and whether it affects people young or old, the condition's many symptoms make it very difficult for the individual to overcome it, or find a way out on their own. While depression affects around 6 million Americans aged 65 and over, only about 10 percent actually receive treatment. Perhaps this is because risk factors and symptoms are different in older adults and make recognizing the disease more difficult. Another factor could be the fact that seniors were raised in a generation when the disease was a stigma, and are afraid or embarrassed to ask for help.

Given the fact that depression can increase the risk for other serious diseases in older adults, it is important to make every effort to recognize and help get treatment for a loved one suffering. If you are caring for a depressed elderly person, you can make a difference by supporting them emotionally and making a point to be involved in their lives. Although you might not have the answer to fix their situations, sometimes just listening and giving support, companionship and love is enough to make a difference.

However, if you feel any concern, don't hesitate to contact a medical doctor for help and support. Also, if you are concerned about your loved one feeling isolated or lonely, and you don't have the chance to be around as much as you would like, you could consider a caregiver. Whitsyms refers care providers that can perform many useful duties, and provide companionship and excitement for your loved one, so you don't have to worry. Call toll-free at 1-800-952-3881 to schedule a free consultation to discuss all of your options and find a caregiver that is right for you and your loved one.

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One of the reasons for this high statistic is that the aging process causes changes to the body which can affect the way medication absorbs and reacts. Decreased kidney and liver function that are a product of aging could affect how fast medications are processed and excreted from the body, and a slower GI tract can influence how much of the medication actually enters the bloodstream.

Another reason is the sheer difficultly of keeping track of medications and taking them directly as prescribed. With 44% of men and 57% of women older than age 65 taking five or more medications per week, it is no wonder that mistakes with medications occur frequently. It also becomes problematic when patients are prescribed too many medications by multiple healthcare providers working independently, and no one doctor knows the patient's full history.

So what can you do to lower the risk of potential problems related to multiple drug use? There are several strategies to help get a handle on your medication habits to make sure that you are getting the proper amount that was intended for you.

1. Always ask the doctor questions

When you are diagnosed with an illness and have to be put on to a new medication, be sure to ask the doctor everything that is relevant to you so that you are prepared and know exactly how and when you should be taking the medication. Also be sure he or she knows what other medications you are taking so they could notice any possible interactions.

2. Educate yourself

While doctors and pharmacists will be able to advise you about prescription interactions and dosing, they will likely not be aware of all of the over-the-counter medications and herbal supplements and vitamins that you take also. And just because these medications are not prescription strength does not mean that they do not have the potential to interact with other medications. In fact it is quite the opposite. OTC products, such as vitamins, minerals, antacids, sleep aids and laxatives can all interfere with the effectiveness of other medications, so be sure to read up on possible interactions and let your doctor or pharmacist know if you have any questions.

Also, be sure that you are aware of the side effects of prescription medications so that you know what to expect and don't get caught in a dangerous situation. Many medications have side effects such as dizziness and drowsiness which can increase the chances of accidents or falling if the warnings are not heeded.

3. Listen to your Doctor

Medications are meant to be taken exactly as prescribed, so do everything you can to take the medication as you had discussed with your doctor. This means taking it at the proper time of day, with or without food and taking the correct dosages. If any unexpected side effects occur, immediately call your doctor to discuss the best course of action, but never suddenly quit taking a medication without first discussing it with your healthcare provider.

4. Keep a Comprehensive List of Medications

You should create a comprehensive list that serves as the reference any time you go to the doctor or pharmacy. Be sure to add any over-the-counter medications and herbal supplements as well as prescriptions. The list should include the prescribed dose, how many times a day you take the medication, who prescribed it and what it was prescribed for. Keeping a list is a good way to make sure you never forget any medications when you meet with new doctors or go back for new appointments. Be sure to keep the list updated and on you at all times because being able to determine your medications could save your life in an emergency situation.

5. Get Help to Remember

With all the different medications, times and doses, it is hard to remember and easy to make mistakes. The best way to avoid this is to get help in some way. Try syncing your pill schedule with meals so you remember, or get a pill box and/or pill calendar to help keep track. There are even high tech options now with programmable prescription caps that sound an alarm, and a device called the CompuMed Dispenser that dispenses the proper amount of medication at the right time and gives you the instructions as you take it.

But if it gets to the point where this is not enough, caretakers are wonderful helpers when it comes to medication because they can help administer the exact right medication and dosages throughout the day, and are there if there is every any problem with negative drug interactions or reactions.

It is natural for mistakes to happen, especially given the alarmingly high number of medications taken every day. So educate yourself and be proactive to lower your risk of potentially dangerous drug interactions, and never be afraid to ask for help. These medications are meant to save our lives, not damage them, so let's not give them the opportunity to do so.

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