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Leslie Kernisan, MD MPH

Practical advice to help caregivers help aging adults

Leslie Kernisan, MD MPH

Tools for Caregivers: How journals can help

July 5, 2013 By Leslie Kernisan, MD MPH

Last month, as I was preparing to present a talk at a Family Caregiver Alliance retreat, I spent some time looking into tech tools to recommend to caregivers.

As you might imagine, there are many apps and programs to consider, and I quickly realized that it wasn’t going to be possible to review everything that’s available.

So instead, I decided to start by thinking about my patients and families, and trying to identify a few key areas in which I’d seen tools and organizational strategies really help caregivers better manage an older person’s health needs.

I came up with four key categories of tools that I’ve recommended to families:

  • Journal/notebook, for notes and symptom tracking
  • Portable and up-to-date medication list
  • Organizer to keep copies of medical results and medical records
  • Personal/family task organizer

In this post, I explain how a journal can help caregivers with the medical parts of their caregiving. Then I’ll describe a few tech tools that caregivers might want to try.

[Read more…] about Tools for Caregivers: How journals can help

Filed Under: Medical caregiving for elderly

How to identify risky medications for older adults

June 28, 2013 By Leslie Kernisan, MD MPH

Many family caregivers know that medications can cause side-effects in older people, and may worry that perhaps their loved ones are being affected by medications.

It’s a very reasonable concern to have. Studies have shown that older adults, especially those taking multiple prescription medications, often experience potentially serious side-effects from their medications.

Today, as I was giving a talk on geriatrics at a Family Caregiver Alliance retreat, the topic of medication side effects came up.

This was a terrific group of fairly experienced caregivers, almost all of whom had been caring for one (or sometimes more than one!) loved one for years. So many in the group had already identified several useful online resources for health information and support.

But most of them didn’t realize that the American Geriatrics Society’s Beer’s Criteria list is available online.

What is the Beer’s Criteria? It’s a carefully reviewed list of medications that are “potentially inappropriate” for older adults, and includes many of the medications that we geriatricians tend to stop or reduce in our patients. (Seriously, identifying and reducing these medications is a big part of my clinical practice!)

Although mainly meant to be used as a reference by clinicians, the American Geriatrics Society(AGS)  also provides the information in an easier-to-read format here.

What to do if you realize that you or a loved one is taking a potentially risky medication? Conveniently, AGS addresses this very issue and provides a handy online guide on “What to Do and What to Ask Your Healthcare Provider if a Medication You Take is Listed in the Beers Criteria for Potentially Inappropriate Medications to Use in Older Adults.”

If you’re a caregiver: Have you ever used the Beer’s list as a resource? Other ideas for how caregivers can be empowered to check on their loved one’s medications?

Filed Under: Medical caregiving for elderly

A blog about geriatrics for caregivers

June 18, 2013 By Leslie Kernisan, MD MPH

Hello and welcome to this blog about geriatrics for caregivers.

I’m Leslie Kernisan, and I’m a geriatrician with a particular interest in enabling family caregivers to better manage the health needs of their older loved ones.

Through my Bay Area geriatrics consultation practice, I work closely with families and geriatric care managers, to improve the health and wellbeing of older adults.

But, I’d like to be able to help even more older adults get better medical care. (This in large part because I have a wonky health policy and quality improvement background, and I love to think about how we as a society and healthcare system can take better care of our aging population.)

So I’m starting this blog, in order to share tips and advice on better medical care for elders with as many caregivers as care to visit the blog.

[Read more…] about A blog about geriatrics for caregivers

Filed Under: Medical caregiving for elderly Tagged With: Elder Care Support, Medications to avoid with Elders, Technology for the Elderly

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Disclaimer

The material on this site, including any exchanges in the comments section of the blog, is for informational and educational purposes only. Any comments Dr. Kernisan may make regarding an individual's story or comments should not be construed as establishing a physician-patient relationship between Dr. Kernisan and a caregiver, or care recipient. None of Dr. Kernisan's website or group information should be considered a substitute for individualized medical assessment, diagnosis, or treatment.
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The Geriatrics for Caregivers Blog by Leslie Kernisan, MD MPH is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.
Based on a work at drkernisan.net/blog.
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Dr. Leslie Kernisan MD

Telephone: 415-574-0545
Fax: 415-634-0204

P.O. Box 170376
San Francisco, CA 94117-0376

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