Many factors influence how we age, and whether it’s in a healthy way. Unfortunately, some of these (such as genetics) are out of our control. The good news? Other factors — such as exercise and physical activity, a healthy diet, going to the doctor regularly, staying up to date on vaccines, taking your medications as prescribed, and taking care of our mental health — are all within our reach.

As we get older, our immune systems tend to weaken, putting us at higher risk for certain diseases, infections, and complications. However, there are actions you can take to help manage your health as you age while maintaining independence and quality of life.

Healthy Eating

Eating well is not just about your weight. Making healthier food choices can help protect you from certain health problems as you age and may even help improve brain function. The best part? You don’t have to make it complicated! Follow an eating pattern that includes lots of fresh fruits and vegetables, whole grains, healthy fats, and lean proteins. If you feel overwhelmed by all the choices, start small. Try making small changes like introducing fish and more leafy greens into your weekly meals. Even if you haven’t given your diet much thought before, making those changes now can still improve your well-being as an older adult. ¹

Chart: https://www.nia.nih.gov/health/how-much-should-i-eat-quantity-and-quality

 

Getting the proper nutrients and vitamins from food and eating the right number of calories for your weight and exercise level can contribute to health aging. ² If you are concerned about your eating habits, talk with a doctor about ways you can make better food choices.

Exercise

As people age, muscle function often declines, and you may find yourself not having the energy to do everyday activities. This makes exercise and physical activity an important foundation of healthy aging. If you are new to exercising, start simple by taking a brisk walk each day. You can also do activities like yoga that do not require any special equipment. As you become more active, you should start to feel more energized after exercising rather than exhausted. You can still exercise even if you have a health condition like arthritis, high blood pressure, or diabetes. For most older adults with chronic conditions, activities like walking, riding a bike, swimming, and weightlifting are safe with your doctor’s consent. ³

Vaccines

Immunizations are not just for young children. Protection from certain childhood vaccines can wear off over time or your risk factors for certain diseases may change with age. On top of that, our immune systems can have a harder time fighting off diseases we are exposed to, making vaccination more important. All adults need immunizations to help them prevent getting and spreading serious diseases that could result in poor health. In addition to the influenza and Td or Tdap vaccine that are needed at regular intervals throughout a person’s life, adults should also get: ⁴

• Shingles vaccine, which protects against shingles and complications from the disease (recommended for healthy adults ages 50 and older)
• Pneumococcal vaccine, which protects against pneumococcal infections and serious complications, including ear and sinus infections, pneumonia, and bloodstream infections. If you have never received a pneumococcal vaccine, the CDC recommends the new single-dose Prevnar 20 (PCV20); alternatively, you can get Vaxneuvance (PCV15) followed by a dose of Pneumovax23 (PPSV23). If you had previously received a dose of Prevnar 13 (PCV13), a dose of Pneumovax23 is needed to complete the series (recommended for all adults 65 and older, and for adults younger than 65 who have certain health conditions) ⁵
• Hepatitis B vaccine, which provides protection from hepatitis B and complications including liver damage, cirrhosis, liver cancer, and even death (recommended for all adults ages 19 and older, especially those 60 and older with risk factors for hepatitis B infection)

It is important to talk to your doctor or pharmacist about staying up to date on your vaccines and which ones are recommended for you based on your risk factors. Our pharmacists here can check for which vaccines you still need and administer them at any time.

 

Medication Safety

We often develop health conditions as we age, many of which need more treatment and more medication than we used to need. If you are not used to taking medicine regularly, or if you have a change in medication dosage, number of meds, or some other alteration, it can be hard to manage your regimen and take your medications properly. Many studies have shown that following provider recommendations on medication timing, dosage, and frequency can improve quality of life and prevent death — yet about half of the 3.2 billion U.S. prescriptions dispensed each year are not taken as prescribed. For every additional dollar spent on following your med regimen, your medical costs could be decreased by about $4 to $7, depending on the disease state. ⁶ In 2015, the cost on non-adherence per person could range from about $950 to more than $52,000, depending on disease state(s). ⁷

Luckily, your community pharmacy can help! We are focused on offering services that make your medication regimen — and your life — easier: Med sync helps cut down on the number of trips to the pharmacy to keep up with your regimen; delivery means that you can stick to your regimen without coming to the pharmacy at all; medication packaging makes keeping track of multiple medicines easier by pre-sorting and labeling each dose; and our included med reviews will give you an thorough understanding of what, when, and why you should take your medications.

A medication review can also address other common concerns with a med regimen. Even when medicines are necessary and even life-saving, they can come with nasty side effects and interact with other meds in your regimen. Though these interactions are not always noticeable as physical side effects, they can make the meds not as effective. Adjusting dosage or looking for an alternative medication that doesn’t have the same negative effects can make life much more pleasant. ⁸

Many medicines, especially those treating chronic conditions like diabetes or cholesterol, can lead to your body losing essential vitamins and minerals. We can help you recognize symptoms of this nutrient depletion and try to address and reverse the effect by adding in relevant vitamins and supplements.

Along with addressing side effects, drug interactions, and nutrient depletion, we can check for alternative options that may be more affordable and answer any questions you may have about your medicines or your health.

 

Mental Health

Taking care of your mental health is important throughout your life, but it’s sometimes easy to ignore or misdiagnose the signs of mental disorders as we age. Depression, for instance, may not be recognized because the main symptom is generally considered to be sadness; instead, older adults may feel numb or uninterested in activities, or they may lose sleep or their appetite. These symptoms can easily be misdiagnosed as a symptom of another illness. On top of that, physical changes like hearing or vision loss, memory loss, and mobility issues are common as we age — and all of those physical challenges can make it hard to stay connected, leading to feelings of loneliness and isolation. Depression, loneliness, and isolation can increase your chance for chronic conditions like heart disease and memory decline. ⁹

Fortunately, many of the same things that help us physically as we age can help us mentally, too! A good diet and staying active go a long way toward keeping up our cognitive health and our overall mood as we age. If you are feeling the strain of loneliness or isolation, try scheduling calls with friends or joining a new activity or class! If you are concerned that your mental health is not what it used to be, don’t put off talking to a doctor. ⁹

Sources

¹ https://www.nia.nih.gov/health/what-do-we-know-about-healthy-aging

² https://www.nia.nih.gov/health/how-much-should-i-eat-quantity-and-quality

³ https://www.nia.nih.gov/health/exercising-chronic-conditions

⁴ https://www.cdc.gov/vaccines/adults/rec-vac/index.html

⁵ https://www.cdc.gov/vaccines/vpd/pneumo/index.html

⁶ Bosworth, Hayden B et al. “Medication adherence: a call for action.” American heart journal vol. 162,3 (2011): 412-24. doi:10.1016/j.ahj.2011.06.007

⁷ Cutler, Rachelle Louise et al. “Economic impact of medication non-adherence by disease groups: a systematic review.” BMJ open vol. 8,1 e016982. 21 Jan. 2018, doi:10.1136/bmjopen-2017-016982

⁸ https://www.fda.gov/drugs/information-consumers-and-patients-drugs/you-age-you-and-your-medicines

⁹ https://www.nia.nih.gov/health/what-do-we-know-about-healthy-aging

Since the beginning of the COVID-19 pandemic, mental health has been in the spotlight more than ever. We have seen the impacts of changing routines, limiting activities, and avoiding socialization, and this is especially true in children. As things begin to get back on track, it’s important to keep kids’ positive mental health as a priority so that the next generation can thrive.

What is mental health, really?

Mental health is usually in the news in a negative light, but it’s really just an aspect of a person’s overall health and isn’t always bad. Mental health includes your emotional well-being and influences your behavior, good and bad. In children, it also is closely tied to their development – how they cope with new experiences and feelings, developing healthy coping skills and the ability to make healthy choices. ¹

The Centers for Disease Control and Prevention (CDC) report that most children, from toddlers to older teenagers, regularly display signs of positive mental health. The indicators that are monitored shift with age. For instance, the markers for positive mental health in children ages 3-5 years can include: ²

• Curiosity
• Positivity
• Resilience (ability to recover quickly)
• Affection

In children ages 6-17 years, the markers observed include: ²

• Curiosity
• Persistence
• Self-control

Mental disorders, meanwhile, are when there is a serious change to that development, affecting their ability to learn, behave, interact with others, cope with feelings, and even just get through the day. Some common disorders include: ³

• Anxiety
• Depression
• Conduct Disorder (CD)
• Attention-Deficit/Hyperactivity Disorder (ADHD)
• Tourette Syndrome
• Obsessive-Compulsive Disorder (OCD)
• Post-traumatic Stress Disorder (PTSD)

ADHD, anxiety, behavior disorders, and depression are the most diagnosed disorders in children; these disorders can often occur simultaneously in a child, and the occurrences of them (or at least the diagnosis of them) as increased over time. Depression in children is most likely to be addressed with treatment, while other disorders are more likely to go untreated. There is also a wide variance in when a child is most likely to be diagnosed, by age. Depression, for instance, is more often diagnosed in teenagers, while behavior disorders are usually diagnosed when between 6 and 11 years old. ²

 

 

When is it growing pains and when is it something else?

It’s important to remember that it’s normal for children to experience anxiety, sadness, anger, or stress, and those feelings don’t necessarily mean that there is a disorder in play. Kids have big feelings and it takes some time to learn how to cope with them; there are also a lot of external influences that can rightly cause stress – being away from parents in a new space, an illness of a close family member, or even little things like not being able to find a favorite pair of socks. Healthy mental development will mean that these stressors will be short-term, and the child will outgrow most of those fears, feelings, and reactions.

While extreme emotional swings and periods of acting out are part of the growing pains of childhood, they can also be signals of something else.

As a rule of thumb, you should consider seeking help for your child if their changes in behavior or emotions last more than a few weeks or is getting in the way of day-to-day life at work or at home. If you or your child are worried sooner than that, there’s nothing wrong with seeking help before the two or three week mark; in fact, some situations call for immediate action. If your child is talking about harming themselves or others, get a professional involved right away. ⁴

Different mental disorders have different warning signs, though there is overlap. It’s important to pay attention to your child’s actions and emotions so that you are aware if they shift outside of the norm.

Anxiety & Related Disorders

Anxiety is a common reaction to something that we see as dangerous or generally negative for us. The concern is when the feeling of anxiety doesn’t match up with the reality of the danger. Consider seeking help for your child if they: ⁵

• Worry about being separated from parents or other family members
• Extreme fear of very specific things, such as spiders or the dentist’s office
• Fear social activities (school, a crowded playground) or going to new places
• Have a hard time functioning because extreme worry makes it hard to function
• Think that repeating certain thoughts or actions will stop something bad from happening

Signs of anxiety can go unnoticed easily, as many children may keep their worries to themselves. They can also manifest as a physical symptom, like a headache or trouble sleeping. ⁶

Depression

Being sad or unmotivated is part of life – being depressed is not. Depression is long-term feelings of sadness or hopelessness, and it can lead to a person no longer enjoying things that used to bring happiness.

Consider taking action if your child is experiencing: ⁵

• Long-lasting mood changes or swift shifts in mood. Depression in adults often shows as sadness, but children are more likely to show symptoms by being irritable.
• Changes in sleeping habits. This could be difficulty falling or staying asleep, but it’s more often sleeping too
• Changes in appetite
• Lowered energy or self-esteem
• Difficulty concentrating
• Thoughts or talk of self-harm

Depression can go unnoticed or misdiagnosed because children often don’t seem sad like a depressed adult may be. The changes in mood and activity can lead to a child being thought of as a troublemaker or as lazy instead of getting the help they need. ⁶

Behavior Disorders ⁷

Unlike depression and anxiety that are mostly internalized, behavior disorders are considered externalizing disorders because the child is generally acting out toward others. These disorders are generally diagnosed as a child (before the teenage years) and are often most visible to people close to them, as those are the people most likely to experience the disruptions, defiance, or bad conduct.

Some behaviors that could indicate a disorder include a child often:

• Being angry or losing their temper
• Arguing with or pushing back at rules or requests made of them
• Being spiteful, resentful, or aggressive – especially aggression that causes harm to others
• Purposely annoying others around them
• Blaming other people for their mistakes or actions
• Breaking serious rules
• Purposely lying, stealing, or damaging others’ things

 

What should I do if I think my child has a mental disorder?

The first step to take if your child is showing symptoms of a mental disorder is to talk to their healthcare provider. If your child is diagnosed with a disorder, there are generally two avenues to take for treatment: psychotherapy and medication.

Psychotherapy

Psychotherapy can help children process what they’re feeling and address concerns by talking with a psychologist or other mental health professional. This could also include playing games or doing activities while they talk. This process can help kids learn to recognize their feelings and develop healthy ways to respond to and cope with them. ⁸ Therapy doesn’t look at the feelings on their own – external factors can influence mental health, so looking at social, cognitive, and biological identity alongside culture, language, and more is essential at forming a well-rounded picture.⁹

Looking to find a psychologist for your child? Psychologists for children are in touch with hospitals, pediatricians, and adult psychologists, but you can also often find options by contacting your school or a community health center. ⁹

Medication ⁸

Like mental conditions in adults, medication can provide stability to a child experiencing a mental disorder. The medication recommended will vary with the diagnosis, and many mental health medications can take some trial and error to find the right fit for you. Some common types of medication for mental disorders include:

• Stimulant
• Antidepressant
• Anti-anxiety
• Antipsychotic
• Mood stabilizer

There are risks and side effects that go along with the benefits of medication, so be sure to talk everything through with your child’s healthcare provider so you know what to expect and what concerns to watch for.

What YOU can do to help your child.

Your child can’t take care of their mental health alone. Having support at home is essential for improving your child’s mental health. Some steps you can take to care for your child (and for yourself!) include:

• Learn about the illness. It’s hard to help when you don’t understand what’s going on with your child and know symptoms to watch for.
• Get counseling. Treatment is stressful for everyone involved, but family counseling can help support and guide you all on the journey.
• Get help. Whether it’s advice on handling difficult behavior or training on appropriate responses, there’s nothing wrong with reaching out to people who are experienced in this area. This also means knowing when your child may need more help than what you can give.
• Don’t just focus on the disorder. Take time to have fun with your child, and make sure they know their strengths. It’s easy to focus on the negative, but make sure everyone sees the positive, too.

Your child can’t have positive overall health without positive mental health – though many disorders are out of anyone’s control, many others are preventable. It all starts with being observant, taking warning signs seriously, and making sure you have a great support team (like your local pharmacy!) that knows you and is available to help.

 

Sources:

¹ https://www.cdc.gov/childrensmentalhealth/basics.html

² https://www.cdc.gov/childrensmentalhealth/data.html

³ https://www.cdc.gov/childrensmentalhealth/symptoms.html

⁴ https://www.nimh.nih.gov/health/publications/children-and-mental-health

⁵ https://nami.org/Your-Journey/Kids-Teens-and-Young-Adults/Kids/What-to-Look-For-and-When-to-Act

⁶ https://www.cdc.gov/childrensmentalhealth/depression.html

⁷ https://www.cdc.gov/childrensmentalhealth/behavior.html

⁸ https://www.mayoclinic.org/healthy-lifestyle/childrens-health/in-depth/mental-illness-in-children/art-20046577

⁹ https://www.apa.org/pi/families/children-mental-health

Pharmacy has come a long way from its origins, and it keeps evolving. New medicines are developed, and new uses are found for older medicines; more people are using meds to treat and even prevent diseases – and insurances have expanded coverage on many prescriptions. That’s all amazing…but it also means that there’s more medications out there, and more medications means more chances for having an adverse drug event (ADE). ¹

According to the CDC, an ADE is when a person is harmed by a medication – this can include: ¹

• Allergic reactions
• Side effects
• Overmedication
• Medication errors

Taking steps now to store and use medication safely can mean less scares for you and your loved ones down the road.

Why is medication safety so important?

A large majority of American adults take at least one medication, and more than 25 percent take at least five medications. With those large numbers, it’s no surprise that there are a large number of ADEs – and a large cost associated with that. It’s estimated that ADEs are the cause of 1.3 million ER visits and 350,000 hospitalizations each year, translating to $3.5 billion spent on medical costs directly tied to those events. ¹

Certain medications are more likely to be associated with an ADE than others: ²

• For those 65 or older, anticoagulants led to almost one third of emergency room visits and more than a third of hospitalizations.
• Antibiotics are tied to more than half of emergency room visits by children 5 years or younger.
• Insulin-caused ADEs are generally meal-related or product-related mistakes. Nearly 25 percent of emergency visits due to insulin mishaps were tied to the patient using the wrong insulin product.
• Opioid pain relievers continue to be a concern in the United States; poisoning deaths from opioids were happening at a higher rate than heroin deaths in 2013.

 

All these numbers are daunting – even more daunting, many ADEs may have been preventable if the medication was used more safely.

Med Safety and Kids

Kids getting into medicine leads to almost 60,000 emergency room visits each year. In cases with details reported, kids getting into their grandparents’ medication account for almost half of the cases; getting into parents’ medication was nearly 40 percent. When it comes to medication safety and children, especially young children, caution must outweigh convenience. Some things to keep in mind when securing medication include: ³

• Medication, including vitamins, should be kept out of reach AND out of sight. Even if the dosing interval is small, still put the meds away between doses. Kids can climb, reach, and get into things quicker than you expect – if they can’t see the medication, there’s less temptation to explore that area and get into things they shouldn’t.
• Use child-resistant packaging when possible, and make sure the lid is firmly closed. Kids can be persistent when checking out new things, and child-resistant does NOT mean child-proof.
• Many medicines look kind of like candy, meaning kids are going to be tempted to eat it if they find it. Accidents happen, so save the Poison Help number in case of emergency: 1-800-222-1222.
• Don’t just think about your medications – pay attention to where your guests put their bags. Many people keep medication in their purses or bags when they travel. If these bags are easily accessible by children, that means the medication is within reach, too.
• Even though it may be tempting to compare a good-tasting medicine to candy to get them to take it, don’t make the comparison. Medicine is NOT candy.

 

As your kids get older, talk to them about medication safety. GenerationRx is a great resource to understand how medications can be misused and why they should be used as directed.

 

Med Safety and Older Adults ⁴

A person’s chance of having an ADE increases as they age. People are often on more medications and vitamins, meaning there are more changes to have a side effect, reaction, or mix-up. Even without an ADE, medication you’ve been taking for years or even decades could start to interact with your body as it ages; muscle decreases, fat increases, liver and kidney functions change – and all this can mean that your long-time medication doesn’t break down the same way it used to.

 

The most important step you can take to use your medication safely as you age is to get input from your healthcare team. Talk over any side effects you’re experiencing and note any questions or concerns you have. This also includes when you are wanting to stop taking a medicine. Dosing may need to change over time, or a completely different medication may be needed – but they won’t know to make the change without that conversation happening.

 

Even though many older adults face similar concerns – chronic pain or high blood pressure, for instance – that does not mean that the medication is interchangeable. Never take another person’s medication to treat your own condition; instead, talk to your doctor and get your own prescription. Your doctor will know what to look for when it comes to allergies and drug interactions to decrease your risk of an ADE.

Beyond talking to your doctor, staying educated on your medication regimen is essential to using your meds safely. This can include:

• Checking the label for proper storage and expiration dates.
• Knowing about possible interactions and side effects. Some of these interactions are minor, but other can cause serious harm. This isn’t limited to just interactions between meds – some foods, like grapefruit, are known to affect the effectiveness of certain medications and can cause harmful side effects.
• Keep track of what you’re taking. Write down the name of the drug or OTC medication as well as why and when you’re taking it. Dosing amount and timing is also important to write down. Give a copy of this to a loved one in case of emergency, and make sure they know the pharmacy’s phone number if they need to reach out about concerns.

 

Med Safety and Pets ⁵

We want to protect our loved ones – and our loved ones aren’t just human. It’s important to take steps to protect your pets from medication mishaps as well. Some tips to keep your furry family members safe from medication misuse include:

• Keep your medications out of reach of your pets – and remember that animals can reach or jump onto counters. Though many of the bottles are child-resistant, the plastic is no match for the sharp teeth of cats and dogs.
• Find and pick up dropped medications right away. Pets can easily mistake a dropped pill as a toy or a treat before realizing it doesn’t taste that great.
• Don’t store your pet’s medication with your own. Many drugs can be used for pets and humans, but the dosing can vary drastically; others are safe for humans but dangerous for pets. A mix-up in dosing between you and your dog can be harmful at best, fatal at worst.
• Have different species of pets? Keep their meds separate, too. Medications for one species can be dangerous for others. For instance, a dog’s flea medication could poison a cat if they were to get that dose.
• Be aware of your medications in non-pill form, too. Don’t let your pet lick or eat medication patches or medical creams. This includes licking any of your skin where those have been applied.
• If you think your pet has ingested a medication they shouldn’t have, reach out to ASPCA Animal Poison Control Center at 888-426-4435 (a consultation fee may apply).

 

A lot of the tips for medication safety are common sense, but it’s easy to get complacent when there haven’t been any accidents – but you don’t want to realize that you’ve been unsafe by dealing with a medication accident. Take steps everyday to secure your meds, and remember that our pharmacy team is always here to support you!

 

Sources:

¹ https://www.cdc.gov/medicationsafety/basics.html

² https://www.cdc.gov/medicationsafety/adverse-drug-events-specific-medicines.html

³ https://www.safekids.org/safetytips/field_age/big-kids-5%E2%80%939-years/field_risks/medication

⁴ https://www.fda.gov/consumers/consumer-updates/4-medication-safety-tips-older-adults

⁵ https://consumermedsafety.org/medication-safety-articles/item/850-top-10-tips-to-keep-pets-safe-around-medicines