Skip to main content

Healthy Dying... An important part of healthy aging

By: Paul Tatum  @doctatum

This year the Obama administration will convene the 2015 White House Conference on Aging (WHCOA).  The WHCOA has historically been viewed as a catalyst for improving policy on aging. This year's conference includes one laudable goal of improving "Healthy Aging."  This month's WHCOA blog makes the case as follows: "Older Americans are calling for a shift in the way we think and talk about aging. Rather than focusing on the limitations of aging, older adults across the nation want to focus instead on the opportunities of aging. Older adults are seeking ways to maximize their physical, mental, and social well-being to remain independent and active as they age."

The WHCOA has focused on important areas to improve aging and has highlighted key areas:  Promoting Health and Prevening Disease and Injury, Optimizing Cognitive Health, Optimizing Behavioral Health, Maximizing Independence at Home, and Promoting Community and Civic Engagement.

So the question that I have if we are shifting the way we think and talk about aging is this:  Isn't it time that we make Healthy DYING a part of Healthy Aging?"
If we are going to maximize well-being don't we need to improve the quality of care for the dying (and yes by that I include those with serious illness who are dying a few years from now)?  And isn't the WHCOA a key place to begin this conversation and finally move beyond Death Panels rhetoric?


The WHCOA blog Policy Briefs states, "The Administration recognizes the need for a culture change in how we manage chronic conditions..."  This is absolutely correct, and excellent advance care planning for all patients and early provision of palliative care are two key elements of culture change that must be discussed openly.  I propose that palliative care and advance care planning be added as key elements of the WHCOA.

Do you agree?
Here is your chance to act.
The April WHCOA blog has called for a national conversation about the following questions:

• What do older adults and their families need to manage their chronic conditions and to optimize their physical, cognitive, and behavioral health?

• How can we ensure that older adults know about, and take advantage of, the preventive services available to them under Medicare?

• How can we provide more opportunities for older adults to stay engaged and connected to their communities?

• Are there current healthy aging programs or policies you think are the most or least effective or potentially duplicative?

• What steps can help Americans to live safely and comfortably in their homes and communities as they age?

• What additional actions could help ensure that older adults of all backgrounds can equally enjoy a long, productive, and healthy quality of life?


You can ask them to include a specific focus on advance care planning and palliative care. Or make a comment about the need for palliative care education for all providers.  Or discuss the importance that advance care planning can make and the policy needs that must be addressed.

Go to  the WHCOA website  and make your voice heard.  While comments don't appear on the site, they are collated under the public comment section of the main WHCOA website.


 Let's be sure that palliative care and advance care planning are included as important components of the conversations of the WHCOA.

by: Paul Tatum

Comments

Anonymous said…
Not that any of us are aging...;) ;) but, here is an opportunity to have some input for the White House Conference on Aging. Many of us have or, are currently experiencing caring for our parents as they age and, yes, let's get real...we're confronting our own aging issues. Some of it is not a pretty picture! Based on what I've seen my mom go through for more than a decade.....I AIN'T GOIN' THERE!
The difficulty is that although we have seen some positive changes in some service models for folks who are aging, much more remains to be done. Much of what currently exists is based on a "Medical Model" and, often, trying to "fix" what simply cannot be fixed. I'm looking for a "Live Richly Model."
My own "Bucket List" is currently full of.....diagnostic codes HOWEVER, those codes simply DO NOT define who I am and what I may need as the future comes roaring on.
Finally, please take some time, give your own issues some thought and, give some input into this conference planning. Who knows, we might just change our own future lives!
Thanks for your participation!
Marilyn

Popular posts from this blog

Practical Advice for the End of Life: A Podcast with BJ Miller

This week we talk with BJ Miller, hospice and palliative care physician, public speaker, and now author with Shoshana Berger of the book "A Beginner's Guide to the End."

As we note on the podcast, BJ is about as close as we get to a celebrity in Hospice and Palliative Care.  His TED Talk "What Really Matters at the End of Life" has been viewed more than 9 million times.  As we discuss on the Podcast, this has changed BJ's life, and he spends most of his working time engaged in public speaking, being the public "face" of the hospice and palliative care movement.

The book he and Berger wrote is filled to the brim with practical advice.  I mean, nuts and bolts practical advice.  Things like:
How to clean out not only your emotional house but your physical house (turns out there are services for that!)Posting about your illness on social media (should you post to Facebook)What is the difference between a funeral home and mortuaryCan I afford to die?  …

Improving Advance Care Planning for Latinos with Cancer: A Podcast with Fischer and Fink

In this week's GeriPal podcast we talk with Stacy Fischer, MD and Regina Fink, RN, PhD, both from the University of Colorado, about a lay health navigator intervention to improve advance care planning with Latinos with advanced cancer.  The issue of lay health navigators raises several issues that we discuss, including:
What is a lay health navigator?What do they do?  How are they trained?What do lay health navigators offer that specialized palliative care doesn't?  Are they replacing us?What makes the health navigator intervention particularly appropriate for Latinos and rural individuals?  For advance care planning? Eric and I had fun singing in French (yes French, not Spanish, listen to the podcast to learn why).
Enjoy! -@AlexSmithMD




You can also find us onYoutube!



Listen to GeriPal Podcasts on:
iTunes Google Play MusicSoundcloudStitcher

Transcript

Eric: Welcome to the GeriPal podcast. This is Eric Widera.

Alex: This is Alex Smith.

Eric: And Alex, I'm really excited about toda…

The Dangers of Fleet Enemas

The dangers of oral sodium phosphate preparations are fairly well known in the medical community. In 2006 the FDA issued it’s first warning that patients taking oral sodium phosphate preparations are at risk for potential for acute kidney injury. Two years later, over-the-counter preparations of these drugs were voluntarily withdrawn by the manufacturers.  Those agents still available by prescription were given black box warnings mainly due to acute phosphate nephropathy that can result in renal failure, especially in older adults. Despite all this talk of oral preparations, little was mentioned about a sodium phosphate preparation that is still available over-the-counter – the Fleet enema.

Why Oral Sodium Phosphate Preparations Are Dangerous 

Before we go into the risks of Fleet enemas, lets spend just a couple sentences on why oral sodium phosphate preparations carry significant risks. First, oral sodium phosphate preparations can cause significant fluid shifts within the colon …