Geriatrics
Bone & Joint health
This FDA 2-pg color fact sheet describes what arthritis is, why people get it, how it is diagnosed and treated, and how patients can be proactive in their care.
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This 3-pg printer-friendly handout covers diagnosis, treatment, and prevention of osteoporosis. The significance of calcium and vitamin D are addressed, including how to increase these nutrients in Asian diets. Specific types of exercise are detailed. Treatments of osteoporosis are briefly mentioned. Available in English and Chinese.
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This AHRQ 12-pg consumer guide compares the effectiveness and safety of pain relievers for osteoarthritis as well as information on medication costs. Also available in Spanish.
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This NIH/NIAMS 5-pg handout covers common knee problems. It provides an overview of anatomical considerations and a simple knee illustration. Arthritis and traumatic disorders are described, along with conditions relating to cartilage, tendons, and ligaments. Simple home-care recommendations are included, such as rest, ice, elevation, and NSAIDs.
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This 2-pg, printer-friendly PDF describes osteoarthritis causes, symptoms, and diagnosis. An overview of treatment is provided, including pain relief, exercise, and weight management; indications for joint replacement surgery are discussed. Lifestyle modification is emphasized. Available in English, Chinese, and Vietnamese.
This AHRQ booklet for adults summarizes research about the most effective treatment strategies for knee osteoarthritis including getting active, maintaining a healthy weight, and taking pain medications. Also includes information on those options found to be less effective.
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This FDA 2-pg color handout describes causes, risk factors, diagnosis, and lifestyle modications to prevent osteoporosis. Includes a list of high-calcium foods that help prevent the disease. Available in English, Spanish, Chinese and Korean.
This AHRQ 16-pg color booklet describes different treatment options for preventing broken bones due to osteoporosis in postmenopausal women, their efficacy, side effects and costs.
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NIA's 7-pg guide helps older adults recognize and prevent osteoporosis by understanding the risk factors and following a diet and lifestyle that keeps bones strong and healthy. It covers bone density tests, how medicines impact bone density, and the preventive benefits of calcium, vitamin D, and strengthening exercises. An osteoporosis tx section covers common medicines including bisphosphonates, raloxifene, and estrogen.
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Constipation
The National Institute on Aging's 4-pg handout provides questions and factors to consider to help patients determine if they have a constipation problem that requires medical attention. It addresses possible causes of constipation including dietary, overuse of laxatives and enemas, lack of exercise, holding back bowel movements, and medications. Dietary and lifestyle changes to alleviate constipation are also included.
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This NIH/NIDDK 12-pg fact sheet defines constipation, its possible causes (including a diet low in fiber or a diet high in fats), and describes various diagnostic tests and treatment options. Specific diseases that cause constipation, complications that may arise, and problems with the colon, rectum and intestional function are also described.
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The NIH/NIDDK's 24-pg booklet defines constipation and its possible causes such as dietary and lifestyle habits and/or medical conditions. It provides information on diagnostic tests including sigmoidoscopy and colonoscopy and proactive steps to prevent and relieve constipation such as eating high-fiber foods, staying hydrated, and getting enough exercise.
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Dementia & Delirium
This 1-pg printer-friendly handout lists mild, moderate and severe symptoms of Alzheimer. It also describes the tests and scans used to diagnose it. Treatment for symptoms and to delay progression of disease is briefly discussed. PET scans comparing a normal brain to one with Alzheimer are included.
NIA's 8-pg illustrated fact sheet describes how Alzheimer disease is diagnosed and treated from the onset to the later stages, where patient care involves extensive caregiver support. Covers the cognitive sx and physical changes in the brain that occur as the disease progresses through the mild, moderate and severe stages. Includes information on medications and strategies for maintaining mental function and managing behaviorial sx. Also available in Spanish as 24-pg downloadable PDF.
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This 3-pg fact sheet provides an overview of common medications used to treat Alzheimer disease in its mild-to-moderate and moderate-to-severe stages. It explains that although these medications can provide pts w/ comfort and independence for a longer period of time, they cannot stop the disease itself. Includes a comparison table that lists cholinesterase inhibitors and an NMDA antagonist with information on how they work, common side effects, and manufacturer's recommended dosage.
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This 108-pg booklet provides guidance on how to care for a person w/ Alzheimer disease. It covers safety, everyday care, and common behavior and medical problems of people w/ AD. Includes practical strategies for effective communication, getting support w/ caregiving, and planning for health, legal and financial issues.
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This 1-pg, printer-friendly handout defines delirium and describes the different types of disturbances that may be present. It lists the causes of delirium, differentiates it from dementia, and outlines tx options, including both supportive care and medications.
This 1-pg, printer-friendly handout defines dementia and lists the common signs and symptoms of the condition. Alzheimer disease and other causes of dementia are discussed, along with their risk factors. It briefly discusses medications to slow the progression of illness.
The NIA's 12-pg guide to understanding memory changes in older persons covers normal age-related changes as well as more serious memory problems such as mild cognitive impairment and dementia. Explains dementia symptoms and treatment particularly Alzheimer disease and vascular demention, and the relationship between MCI and Alzheimer disease. Includes a special section with techniques for keeping one's memory sharp.
The NIA's comprehensive 36-pg guide to frontotemporal dementia and other brain disorders explains how these often difficult-to-diagnose disorders profoundly and progressively affect personality, behavior, language, and movement. It summarizes the different types of disorders including the most common, bvFTD, how they are diagnosed, and early and later symptoms. Practical information for pts and caregivers is provided on how to treat and manage these life-changing conditions.
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The NIA's 24-pg booklet on Alzheimer disease helps pts and their family members to recognize its early and late sx, how it differs MCI and other medical conditions involving memory problems, when to see the doctor, and what treatment options to expect. Includes a chart that helps pts understand the differences between Alzheimer disease and normal aging. Uses real life patient stories and provides tips on how to get help caring for a person with this disease.
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Driving in Older Persons
NIA's 8-pg booklet alerts older drivers to changes in flexibility, vision, hearing and reaction times that may impact one's driving skills and provides tips on safe driving and car safety. Covers the role of medications and certain diseases such as Parkinson and Alzheimer diseases that can affect driving skills. Includes a checklist of questions to consider when deciding if it is time to give up driving.
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End-of-life care
This 8-pg handout addresses the advance healthcare decisions required due to age or medical illness. Topics such as CPR, ventilator use, artificial nutrition, comfort care, hospice, and palliative care are defined. Steps to take on making wishes known include a section on a living will, durable power of attorney, healthcare proxy, and advance directives.
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The NIA's 5-pg guide on planning for the future outlines essential steps for preparing for the possibility of being unexpectedly sick or disabled. Covers legal documents such as wills and trusts, advance directives, living wills and powers of attorney (general & durable). Includes a check list of important types of personal and financial records that should not be overlooked.
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NIA's 6-pg guide to finding the best skilled nursing facility for family members describes the different kinds of nursing homes available and their specializations. Outlines best practices for selecting a home such as using the Medicare Nursing Home Checklist and understanding nursing home standards. A section on how to pay for nursing home care includes a discussion of Medicare, Medicaid, private pay, and long-term care insurance.
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Falls & Injury Prevention
This 1-page printer-friendly handout highlights 4 areas for fall prevention: exercise to improve balance and strength, medication review, regular vision checkups, and specific steps to fall-proof your home. It also addresses factors that increase the risk of a fall and what to do if you fall.
This 8-pg guide lists helpful lifestyle changes and home safety improvements that older adults can implement to minimize their chance of falls and broken bones. Highlights tips such as staying physically active, having one's eyes and hearing tested, and knowing the side effects of medications taken. Includes a special precaution for persons w/ osteoporosis.
This 2-pg printer-friendly handout lists symptoms of mild, moderate and severe traumatic brain injury in older adults. It highlights 4 areas for fall prevention: exercise to improve balance and strength, medication review, regular vision checkups, and specific steps to make the home/surroundings safer.
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This trifold printer-friendly brochure lists symptoms of mild, moderate and severe traumatic brain injury in older adults. It highlights 4 areas for fall prevention: exercise to improve balance and strength, medication review, regular vision checkups, and specific steps to make the home/surroundings safer. Available in English and Spanish.
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NIA's 20-pg illustrated booklet addresses the increased risks of hypothermia in older adults and provides tips on how to stay safe when it's cold outside. Includes information on the dangers of hypothermia for those who already have underlying health problems such as such as diabetes, arthritis, or Parkinson disease as well as the best emergency response practices.
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This 2-pg printer-friendly brochure highlights 4 areas for fall prevention: exercises to improve balance and strength, medication review, regular vision checkups, and making the home safer. It includes specific steps to fall-proof surroundings, like removing small throw rugs and using grab bars in the bathroom.
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Fitness, Older Persons
NIA's exercise DVD for older adults works for individuals at different fitness levels, including beginners, and features activities that can be done at home, work or the gym. A personal trainer demonstrates exercises that focus on improving strength, balance, flexibility, and endurance.
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This 124-pg illustrated guidebook on the benefits of physical activity and exercise for adults 50+ focuses on improving endurance, strength, balance and flexibility. It addresses how much and how often specific physical activity should be performed for optimal benefit and how to do so safely. Includes tips for nutritious eating and staying hydrated. Goal-setting tools and worksheets to track progress are also provided.
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This 4-pg printer-friendly guide to fitness and physical activity for older adults describes the benefits of staying active and making it part of one's daily routine. The guide promotes exercises that focus on increasing endurance, strength, balance and flexibility. Basic exercise safety tips and precautions for when to consult a doctor before beginning an exercise program are also discussed.
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This 1-page printer-friendly handout describes the benefits of keeping fit. It describes aerobic, strengthening, and balancing execises. Practical pointers for starting and maintaining fitness activities are included. It also lists danger signs that should prompt patients to stop activity and see a provider.
NIA's 24-pg Workout to Go pamphlet, designed to fit easily into a purse or travel bag, features 13 easy-to-follow exercises that can be done anytime and anywhere by beginners or those getting back into a physical activity routine. This sample workout focuses on developing strength, balance, and flexibility. Includes motivational and safety tips.
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This 28-pg guide from NIH/WIN provides tips for adults ages 65 and over on maintaining a healthy weight and developing a healthy eating plan. Disadvantages of being overweight and underweight are discussed, as well as ways to be good to yourself and safe engagement in different types of physical activity. Resources on healthy aging are included.
Hearing, Vision, Taste & Smell
This 2-pg printer-friendly, bilingual (English/Spanish) fact sheet discusses some of the possible signs of hearing loss that should lead parents to contact their child's healthcare provider. Causes and consequences of hearing loss are described. Diagnostic tests are briefly discussed.
This 6-pg pamphlet, available in English and Spanish, helps readers determine whether they might have hearing loss and ways they can prevent and treat it. Different types of hearing loss and hearing aids are discussed, as well as how to help people with hearing loss feel more engaged in conversations. Resources for information are included.
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NIA's fact sheet helps older adults to understand when losses in sense of smell and/or taste may be natural and age-related vs due to short-term causes such as allergies, medications, or radiation/ chemotherapy tx. Cautions that sometimes sensory changes may be signs of a more serious health condition such as Parkinson's or Alzheimer's. Provides tips for coping with these changes through dietary and lifestyle modifications.
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This 2-pg printer-friendly, bilingual (English/Spanish) fact sheet discusses vision loss and ages at which infants and young children should be checked for it. Possible signs of vision loss are listed. Parents are given steps to take if they think their child has vision loss. Early intervention is emphasized.
Heart Health in Older Persons
This 1-pg printer-friendly handout focuses on the negative heart-related effects of acute stress, such as increased heart rate and blood pressure. It also provides tips on dietary, exercise and other behavioral changes that patients can make to prevent and manage stress.
This 1-pg, printer-friendly handout lists the common types and causes of chronic stresses. It focuses on the effects on heart rate, blood pressure, and cardiac function. It includes a discussion of dietary, exercise, and other behavioral changes that patients can make to prevent and manage stress.
NIH/NHLBI's 2-page handout on coronary heart disease (CHD) defines and describes how plaque can lead to blood clots, muscle weakening, angina and/or heart attacks. The handout also outlines the major risk factors for CHD, treatment options, and preventative lifestyle changes.
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This 4-pg printer-friendly guide to fitness and physical activity for older adults describes the benefits of staying active and making it part of one's daily routine. The guide promotes exercises that focus on increasing endurance, strength, balance and flexibility. Basic exercise safety tips and precautions for when to consult a doctor before beginning an exercise program are also discussed.
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This 1-page printer-friendly handout describes the benefits of keeping fit. It describes aerobic, strengthening, and balancing execises. Practical pointers for starting and maintaining fitness activities are included. It also lists danger signs that should prompt patients to stop activity and see a provider.
This 10-pg pamphlet, available in English and Spanish, explains what blood pressure is, what range is normal, and why high blood pressure is sometimes called “the silent killer.” The booklet touches on risk factors, isolated systolic hypertension, treatments, and taking your blood pressure at home. Resources for information are also included.
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This 1-pg information sheet from the American Diabetes Association explains how taking a low-dose aspirin every day can lower the risk of heart attack and stroke for people at high risk, such as those with diabetes. Patients learn who else is at high risk, how aspirin lowers risk, and if it’s safe for everyone. Also discussed are different forms of aspirin and daily dosing.
AHA's 2-page fact sheet describes heart attack warning signs (including chest discomfort, other upper body discomfort, shortness of breath), the importance of acting quickly in the event of any such signs or symptoms, and lifestyle guidelines to reduce heart attack risk.
This 28-pg guide from NIH/WIN provides tips for adults ages 65 and over on maintaining a healthy weight and developing a healthy eating plan. Disadvantages of being overweight and underweight are discussed, as well as ways to be good to yourself and safe engagement in different types of physical activity. Resources on healthy aging are included.
Incontinence in Older Persons
This FDA 2-pg color fact sheet describes types of bladder control problems, the prevalence of this condition, causes, complications, tests to diagnose, and what to expect during treatment.
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This 10-page color pamphlet, available in English and Spanish, describes the causes and symptoms of urinary incontinence and the mechanisms behind it. Readers learn about different types of incontinence and ways of treating and managing it, as well as what to expect during the diagnostic procedure. Resources for more information are also included.
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Menopause
This 8-pg color booklet focuses on menopausal hormone therapy, describing its different forms and who would benefit from each one. Risks and benefits are covered, as well as lessons learned from the Women’s Health Initiative and what is known about the safety and effectiveness of “natural hormones.” Resources for more information are included.
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This FDA 2-pg handout describes menopause and its symptoms, hormone therapy benefits and risks, bioidentical hormones, "natural" menopause products, and online resources for additional information.
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The NIA's 8-pg brochure describes menopause and the physical and emotional changes that may occur including fluctuations in periods, hot flashes, irritability, and vaginal and bladder problems. Discusses lifestyle strategies for staying healthy after menopause in light of the increased risk for osteoporosis and heart disease. The risks and benefits of MHT and phytoestrogens are also addressed.
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This FDA 2-pg pocket guide lists questions to ask providers about the appropriateness of hormone therapy (benefits, risks, minimum doses, side effects), types of health screenings, and optimal lifestyle changes.
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This 12-pg booklet details various types of hormone therapy for menopausal symptoms. Warnings, side effects, and contraindications are explored. Includes a checklist of helpful questions to ask healthcare providers.
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The NIA's 40-pg comprehensive and illustrated guide to menopause describes what a woman can expect during the years prior to and after menopause. It discusses strategies for managing symptoms such as hot flashes, night sweats and sleep problems and covers post menopausal health concerns such as osteoporosis, cardiovascular disease, and urinary incontinence. Focusing on how to stay at optimal health after menopause, it also provides lifestyle and dietary recommendations, a chart on necessary calcium and Vitamin D intake, and information on controlling blood cholesterol.
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Mental health in older persons
The NIA's 10-pg booklet addresses common sleep problems in older people, including insomnia, movement disorders, sleep apnea, and Alzheimer disease. Tips for restful sleep are covered, including sleep hygeine, scheduling, room darkening, regular exercise, meal timing, and caffeine consumption. Safety guidance to avoid falls and other issues is addressed.
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This 5-pg handout from NIAAA addresses the often-overlooked problem of alcohol use in older adults, covering the adverse effects of drinking too much over a long period of time, interactions with medicines, how much drinking is too much, and signs of a drinking problem. Tips on how to get help and resources for more information are also included.
This 5-pg NIH AgePage focuses on how drinking can impact the health of older persons and provides specific NIAAA guidelines for what constitutes problematic drinking as well as tips for cutting back or quitting drinking. It describes how alcohol can both increase the risk for certain diseases and worsen existing health conditions. Includes a section on the dangers of mixing alcohol with medicines, a special concern for the elderly.
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The NIMH's 27-pg color booklet contains detailed information on depression symptoms, causes, diagnosis, and treatments, with a special section on how different populations, including children and teens, experience the illness. Tips on coping with depression and helping loved ones are provided, as well as resources for those in crisis.
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The NIA's 12-pg guide helps older adults and their family members to understand and recognize the symptoms of "clinical depression" vs situational depression, noting that clinical depression in older persons is often missed or untreated. Lists common signs of depression and encourages getting help from healthcare providers. Describes tx options such as support groups, talk therapies, and antidepressant drugs as well as activities that lower the risk for depression.
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This FDA 1-pg color handout describes the prevalence of depression in the U.S. population, possible causes, signs, and treatment of depression, and postpartum depression.
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This 8-page color brochure from NIMH describes signs and symptoms of depression, how depression and chronic pain are linked, and possible treatment options for depression in people who have chronic pain, including medications and cognitive behavioral therapy. Resources for more information on depression are included.
NIA's 7-pg guide helps older adults to cope with the loss of a spouse, including the deep emotional upheaval that is part of the mourning process. It discusses the physical and emotional impact of grief on sleep, concentration, eating, and decision-making and how it may differ for men and women. Outlines suggestions at the various stages of the grieving process for feeling better, taking care of oneself, and planning for financial and legal matters.
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This FDA 2-pg color handout describes how much sleep is considered adequate for good health, the causes and types of common sleep problems such as insomnia, feeling sleepy during the day, snoring, and sleep apnea. Specific tx options for each problem are discussed. Includes practical tips for getting a good night's sleep.
Sexuality in Older Persons
The NIA's 12-pg guide to sexuality in later life addresses normal emotional and bodily changes related to aging that may affect enjoyment of sexuality for both men and women, common sexual problems, their causes and possible treatments, and lifestyle changes to continue an active sexual life. Topics covered include vaginal dryness, ED, surgeries such as hysterectomy and prostatectomy that impact sexuality, and safe sex.
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