- Community, Infectious DiseaseGeneral Page Tier 3BlogCharlotte Wallace makes her way inside Morris H. Blum Senior Apartments. She knocks three times on one of the wooden doors. ‘I’m a nurse with Anne Arundel Medical Center,’ she identifies herself. The lock slowly turns. Before Wallace knows it, a hand quickly grabs the bag she’s holding and then disappears with the sound of the door shutting. ‘Thank you,’ they shout from inside. She smiles, grabs another bag and repeats the process. She does this with more than 150 tenants in that building alone. “Some of the seniors we visit are scared and close the door immediately,” she said. “Others give us Halloween candy in exchange as a thank you and some are just excited to see new faces.” Wallace explained a few of the residents are not as in tune with the news or updates. As a result, they’re confused as to why Wallace and her team are there. “We answer their questions and give them as much education as we can,” she added. Wallace is a community health nurse at Anne Arundel Medical Center (AAMC). Her main role is to bridge the hospital and the community. When news about coronavirus (COVID-19) broke, she knew she had a lot of work to do. She started by contacting community partners to look at ways to slow down the spread of the virus. This meant looking at the ‘wrong trends,’ misconceptions and ways to close the gap. To do this, she launched the COVID-19 Community Outreach program. The primary goal of the program is to decrease the spread and hospitalization of COVID-19 patients. This is achieved through increased education and improved access to support and health services. “We quickly discovered there was a gap in some of our housing units,” Wallace explained. This was primarily the case where subsidized seniors, disabled adults and homeless shelter residents lived. Wallace had already built relationships of trust and understood the systemic problems in the community. As a result, her approach included passing out educational fliers and kits to meet basic needs. On April 14, she started to knock on doors to personally distribute the kits. To date, she has visited 18 different locations around Anne Arundel County – conducting visits in 14 of those locations by herself. Just a couple of weeks later, another team at Doctors Community Hospital (DCH) did the same in Prince George’s County. This team covered 10 additional locations. “We used the same program in Prince George’s County,” said Leslie Strimel, director of Case Management, Social Work and Transition for Care at DCH. “We sent out a nurse practitioner to the communities that the county identified as being in need of this program.” Just like in Anne Arundel County, Strimel said low-income seniors in residential facilities formed these communities. Each COVID-19 Community Outreach kit has two cloth masks per resident, two laundry detergent pods and a bar of soap per apartment, along with educational resources. The printed resources are Centers for Disease Control and Prevention (CDC) guidelines simplified by Wallace to help residents understand how to best protect themselves. Each kit also includes fliers that explain how to wear a mask, how to protect yourself and others, how to wash your clothes during the pandemic and much more. In Prince George’s County, the educational material includes the 211 number, which is also a crisis number for behavioral health. According to Wallace, the identified gaps already existed. However, the outbreak made these and the need to close them more obvious. “Some people told me that they just wash their clothes in hot water and don’t use any soap,” she said. “With the pandemic, a lot of our most vulnerable residents are taking a bigger burden. ‘Just doing telehealth’ is not possible without a phone or an email address. Some of these residents don’t even have a landline.” Wallace goes out at least twice every week and visits several sites to distribute kits. Additionally, she gives out kits with instructions. These are specifically for management at the sites and include best practices to protect their residents. Wallace also uses visits as an opportunity to conduct screenings. These include screenings for mental health and nutrition. According to her, many seniors she visits are scared, isolated, already limited and depressed. “We came across a senior who was very depressed,” she said. “I went through a basic screening and I gave the person the crisis response number in case they needed to reach someone. I was giving out that number at least once per building, which is common.” To date, the program’s teams conducted over 2,900 visits in Anne Arundel County and over 2,250 visits in Prince George’s County. And while it is hard to measure the true impact of the outreach, Wallace is confident the team is helping many during this difficult time. “One day, a team entered a floor to find a gentleman, with rotted nubs for teeth, standing in the hallway,” she said, adding that he started to cry. “He said he thought we missed him with our ‘masks and laundry soap’ after his sister, who lives in the same building, called him to tell him that the nurses came by her apartment.” After a short screening, they noted that he had major food insecurities and connected him to the Senior Nutrition Program. Another resident received her kit and couldn’t stop hugging it. “She was so excited to receive two laundry detergent pods,” Wallace said. Similarly, Ursula Friton, manager of Transitional Care at DCH, said residents in Prince George’s County have been very welcoming of the program. According to her, it’s been very new but a great experience both for the DCH team and the seniors. “There was a big need for this program in our county,” she said, explaining that the program is on its third week. “Seniors are happy to see us and very grateful to get their kits.” The outreach teams in both counties plan to continue working with managers at the various facilities. They plan to support the most vulnerable communities, even after the pandemic subsides. Wallace and Strimel are working with both counties and the Maryland Health Department to reach other communities that are in need of resources and information.0
- Behavioral Health, Senior Care, Wellness, UncategorizedGeneral Page Tier 3BlogSeniors tend to face special risks from alcohol, even if they aren’t heavy drinkers. Even moderate drinking can be a problem in this age group. Health risks of alcohol in the aging Alcohol poses special risks for seniors for a variety of reasons. For example, alcohol can: Interact with medications. The older we get, the more likely we are to take medications, according to the American Society on Aging. And medicines—whether prescribed by a doctor or bought over the counter—often don’t mix well with alcohol. Alcohol can counteract or decrease the effects of some medications, such as those taken for high blood pressure,reflux disease or gout. Alcohol also can magnify a medication’s action. The combined sedative effects of alcohol with tranquilizers, sleeping pills or pain relievers can be particularly dangerous. Increase the risk of accidents. Alcohol impairs coordination and increases the likelihood of falls and other accidents. For older people, that raises an already increased risk for hip fractures and disability. Hide other health troubles. Alcohol can mask symptoms of other medical problems, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA). For example, the changes it causes in heart and blood vessels may dull the pain of angina—an important warning sign of heart attack. Cause problems in small amounts. The body’s ability to absorb and deal with alcohol changes as we age. Our tolerance level goes down, meaning it takes little alcohol to have a big effect. A diagnosis overlooked It’s not always easy to know when an older person is abusing alcohol, according to the NIAAA. They’re often retired, which eliminates occupational red flags like missing work or losing jobs. Older people also are more likely to drink alone at home, according to the American Geriatrics Society. That makes them less likely than younger drinkers to be arrested for fighting or drunk driving. In addition, some of the side effects of alcohol abuse may be dismissed as signs of “getting old.” Mental confusion caused by heavy drinking can be mistaken for symptoms of Alzheimer’s disease, for example. Depression, insomnia and poor eating habits are associated with aging—and alcohol abuse. So how can you tell if someone you love is abusing alcohol? If someone minimizes how much they drink, that’s a red flag. Or if someone takes offense when asked about their drinking, that’s a red flag. Other signs may include someone who: Drinks alone or hides his or her drinking from others. Feels irritable or resentful when he or she is not drinking. Uses alcohol to cope with problems like depression or sleeplessness. To get an idea of whether or not you might have a drinking problem, take this short quiz. If you think alcohol might be a problem for you or someone you love, seek the advice of a health care professional. He or she may suggest counseling or a treatment program. The good news is that older people tend to stick with treatment programs better than younger people. In fact, research has found that simply pointing out the ill effects of alcohol can significantly reduce an older person’s drinking. For more information about alcohol visit AAMC’s Pathways drug and alcohol rehabilitation center, askAAMC.org/Pathways. Originally published Dec. 23, 2014. Last updated Jan. 21, 2019.0
- Location96056971tel:(410) 268-88621106 Annapolis Rd, Ste 210, Odenton, MD 21113Sports Medicine, Joint Replacement, Foot and Ankle, Hand, Wrist, Elbow, and Shoulder, Hip and Knee, Spine, General Orthopedics, Rehabilitation, Orthotics0
- Men's Health, Women's HealthGeneral Page Tier 3BlogThe thyroid is a butterfly-shaped gland that sits in the front of your neck and controls a lot of your bodily functions. As part of the endocrine system, the thyroid makes hormones that affect nearly every organ in your body. “The thyroid is actually one of the powerhouses of the body because it regulates your metabolism,” says Barbara Onumah, MD, medical director of AAMG Diabetes and Endocrine Specialists. But for how important it is, it’s not uncommon for something to go wrong. Lots of people have problems with their thyroid. An estimated 20 million Americans have some form of thyroid disease. And up to 60 percent of people with thyroid disease don’t know they have it. The thyroid can be overactive and make too much of the thyroid hormone. This is called hyperthyroidism. Symptoms include weight loss, diarrhea, palpitations, feeling anxious or jittery, increased sweating, feeling hot and trouble sleeping. The thyroid can also be underactive, which happens when the gland does not make enough of the hormone. This is called hypothyroidism and can result in intolerance to cold, constipation, dry skin, dry hair, loss of hair, difficulty losing weight or even weight gain. Women may have irregular or heavy menstrual periods and may feel fatigue. And although thyroid problems are common, Dr. Onumah says they are difficult to identify. “The problem is that the symptoms associated with thyroid problems aren’t specific to thyroid disease,” explains Dr. Onumah. “They could all be due to something else.” So what can you do if you suspect you have a thyroid problem? Don’t hesitate to talk to your doctor. They can perform a simple blood test to identify any abnormal thyroid behavior. And for those who have been diagnosed with a thyroid condition, Dr. Onumah says to make sure to take medications as prescribed. “If you have questions or concerns, or your doctor has any doubts about regulating your thyroid, it’s always best to see an endocrinologist,” says Dr. Onumah. “At AAMG Diabetes and Endocrine Specialists, we’re ready to help.” Contributor Barbara Onumah, MD, is medical director of AAMG Diabetes and Endocrine Specialists. Originally published Feb. 23, 2016. Last updated Aug. 28, 2018.0
- Women's HealthGeneral Page Tier 3BlogWhether it’s a ‘small tinkle’ with a sneeze or a ‘potty dance’ while headed toward the bathroom, the uncontrolled leakage of urine is called urinary incontinence. This condition can be a real bother for many ladies. Do you skip gym class for fear of leaking urine? Are your daily trips planned around restroom breaks? Have you ever heard yourself say, “Stop, don’t make me laugh!”? When the bladder is functioning normally, you should be able to delay a bathroom break until a socially acceptable time and not worry about leaking during activity. You do not need to have pelvic organ prolapse (or a collapsed bladder) for urine to leak. You may look and feel the same, however, the dampness signals a problem. Sometimes this condition can be temporary, such as with a urinary tract infection or during pregnancy. If so, urinary incontinence will quickly resolve after the temporary condition has passed. At other times, leakage may start slowly and worsen over time. Many women wear panty-liners or change their underwear frequently because of urinary incontinence, a condition that according to the National Association for Continence affects close to 18 million women. Urinary incontinence may be common but it’s not normal and, thankfully, there is often a cure. Here are some things you can do to help: Do Kegel exercises. These exercises help muscle strength and endurance training for the pelvic floor. Try core muscle strengthening exercises, like Pilates and yoga. The core muscle and pelvic floor muscles work closely together. Getting one region stronger can help the other. Wear a tampon during exercise, or a pessary vaginal insert made to help with stress leakage. Achieve normal body weight through nutrition or lower impact exercise. Consider a surgical procedure to support the urethra (the tube that empties urine from the body). READ MORE: Bladder control problems: 5 ways women can manage There are other cases when medical conditions or prior surgeries are causing the leakage. Even issues that limit the speed and ease of walking can contribute to leakage. Urinary incontinence and constant dampness can cause skin irritation in the regions of dampness. I have seen firsthand how urinary incontinence can affect day to day activities, plans for the future and even self-esteem. If this problem continues, talk to your healthcare team. Details about treatment can be discussed with your provider or a pelvic floor physical therapist. Leakage can control your life. Even though you can live with these problems, ask yourself, ‘Why should I?’ Would you give your daughter or girlfriend the same advice? Let’s do better for ourselves. For more information on urinary incontinence, visit us today! Author Kay Hoskey, MD is a board certified urogynecologist at the Women’s Center for Pelvic Health at Anne Arundel Medical Center.0
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