Tag Archives: elderly

Seniors struggle to access adequate dental care

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

Photo: Maggie Osterberg via Flickr

Photo: Maggie Osterberg via Flickr

Many Americans lose their private dental benefits when they retire.

But Medicare, the nation’s health insurance program for seniors, does not cover routine dental procedures.

The situation leaves millions of elders, living on fixed incomes, making hard choices about when to seek care – and, as in Thelma Chappell’s case, postponing a dental visit until the pain gets too bad to ignore. Continue reading

Program uses pharmacists to help manage complex health needs

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in Kaiser Health News, The Atlantic.com, New America Media, AARP.com, Practical Diabetology and Home Care Technology report. She is a senior fellow at the Center for Health, Media & Policy at Hunter College in New York City, and co-produces HealthStyles for WBAI-FM/Pacifica Radio.

Photo: Mikey G Ottawa via Flickr

Photo: Mikey G Ottawa via Flickr

As the Department of Health and Human Services continues its shift towards an outcomes-based payment model, one small health system is working with its pharmacists to create an innovative disease management initiative to minimize hospital readmissions and improve health status for its most complex – and costly – patients.

The Comprehensive Health Management program developed by Martin Health System in Stuart, Fla., establishes a progressive role for pharmacists to work directly with older, chronically ill patients. Integrating these neighborhood-based professionals into the system’s primary care practices improves management of patients with chronic diseases such as diabetes, obesity, heart and lung disease, according to David Harlow, Pharm.D., assistant vice president for professional services, clinical imaging, clinical laboratory, clinical pharmacy and disease management at Martin. Continue reading

Seniors face struggle to get preventive dental care

Mary Otto

About Mary Otto

Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health, curating related material at healthjournalism.org. She welcomes questions and suggestions on oral health resources at mary@healthjournalism.org.

A recent special “Your Money” section in The New York Times looked at American spending habits from a variety of angles. One piece examined geographic patterns in the consumption of luxury goods. Another explored the emotional aspects of bargain hunting. Then there was an article by Ann Carrns that delved into the difficult spending choices retirees may face in obtaining dental care.

Image by  Partha S. Sahana via flickr.

Image by Partha S. Sahana via flickr.

The piece opened with an anecdote about 73-year-old Terry O’Brien, a retired administrative assistant weighing the cost of a $2,000 crown for one of her teeth.

“I always took care of my teeth,” O’Brien told the Times. But since she lacks dental coverage, she opted for a less expensive filling. The call was a tough one that left O’Brien pondering how she will go on paying for her dental care. “I’ll make 100, I bet,” she said.  “But I wonder how long my teeth will last.” Continue reading

RAND study: More LTSS for Alzheimer’s patients, caregivers needed

Liz Seegert

About Liz Seegert

Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in Kaiser Health News, The Atlantic.com, New America Media, AARP.com, Practical Diabetology and Home Care Technology report. She is a senior fellow at the Center for Health, Media & Policy at Hunter College in New York City, and co-produces HealthStyles for WBAI-FM/Pacifica Radio.

Caregiver

Image by Enrique Bosquet via flickr.

A new study from the RAND Corporation calls on policymakers to improve long-term services and supports (LTSS) for the growing number of people diagnosed with Alzheimer’s and other dementias and their caregivers. The report focuses on policy options at the intersection of dementia and LTSS.

An estimated 15 percent of Americans over age 70 suffer from dementia, but the number of seniors with Alzheimer’s disease is projected to triple by 2050, affecting as many as 14 million in the United States. This will place an unsustainable demand on dementia-related long-term services and supports, according to the report.

The estimated annual costs of dementia care are between $159 billion and $215 billion, which could more than double by 2040 if the age-specific prevalence rate of the disease remains constant as the nation’s population grows older. U.S. policymakers have made funding for clinical responses to dementia a priority. Continue reading

Oral health is a significant factor in overall well-being in seniors

Pia Christensen

About Pia Christensen

Pia Christensen (@AHCJ_Pia) is the managing editor/online services for AHCJ. She manages the content and development of healthjournalism.org, coordinates social media efforts of AHCJ and assists with the editing and production of association guides, programs and newsletters.

Image by Alex E. Proimos via flickr.

Good oral health is a strong indicator of good overall health in older adults. It makes sense that nutritional intake is better when a person has all or most of their teeth. Poor oral health, on the other hand, is negatively linked to obesity, sleep apnea, poorer chronic disease management, higher LDL or “bad” cholesterol levels, malnutritionlow self esteem, and other physiological problems.

A 2011 study assessed geriatric oral health of 386 seniors, and compared physical factors including body mass index, handgrip strength, and one-leg standing time with eyes open – all considered strong indicators of general health status among older adults. They found that oral health scores “are significantly associated with” muscle strength in the elderly, which in turn, affects their activities of daily living.

The good news is that more Americans are keeping their teeth into old age. The bad news is that many still face challenges obtaining oral health care.

Medicare, the nation’s health care program for seniors does not cover routine care. In many states, Medicaid dental benefits for poor adults are also extremely limited. Only a minority have private dental benefits. Overall, roughly 70 percent of Americans age 65 and older have no dental coverage of any kind.

While overall oral health has improved for seniors in recent decades, the lack of access to care has serious implications for millions of elders, particularly those who are poor or living in isolated places or institutional settings.

 

AHCJ topic leaders Mary Otto (oral health) and Liz Seegert (aging) teamed up to compile a tip sheet about oral health in seniors that explains possible links between periodontal disease, diabetes and other conditions. They also suggest some story ideas for reporters to pursue about access to care, programs in your community, caregivers and medical providers and more.