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Care for our elderly parents & preparing for our golden years

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The past few years I have been thinking a lot about how to make the life of elderly parents fulfilling and with less stress on our lives. How we should also prepare adequately for our golden years while we provide guidance to our children and grandchildren. These thoughts have on several occasions shifted to perimenopause and menopause and the role of finance and wellness and all this cannot be taken for granted.

Age does creep up on us. One minute you are a teen, with neither fears nor cares and in a blink of an eye, you are a parent of teens who will remind you that being around for over half a century is old. Is fifty that old? I do not think so, but a lot depends on what we have been doing for most of the fifty years. It is never too late to make changes.

As we trudge through life, most of us never think about the challenges that our elderly parents may face, and we are just not prepared when reality stares us in the face. Every age bracket has its unique issues and between forty to sixty-five years we often have quite a lot on our plate; supporting our elderly parents, putting our own lives in order and guiding our young ones.

Necessary steps to enhance life of elderly

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1. Never boss or try to “par­ent” your parents

a. Think about this; we uncon­sciously start “ordering” our parents. Telling them what to do without find­ing their preferences etc. Parenting our parents is one of the challenges many elderly parents endure silently. Stop It!

2. Ask for their opinion

a. Being old does not mean one no longer has opinions. Ask. Argue in love, discuss issues such as exercise, medication, hospital visits, food, friends, religion, politics. Everything. By all means seek their opinion.

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3. Do not overtreat them medically

a. Not every change you see in an elderly person requires medical intervention. Be careful what you buy medicines for and stay away from unnecessary tests. Make sure you speak to a knowledgeable health professional.

4. Hospital stays should be as brief as possible

a. Plan hospital or clinic visits to make them as short and conve­nient as possible. If possible, get tests and consultations done on the same day. If it’s not an emergency, find out if the medical facility has special arrangements for the elderly and also check the time of days with the shortest wait time. Many elderly people do not like the stress of hos­pital environments and why should they?

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b. When admitted for an ill­ness, work together with the medical team to ensure they are home as soon as possible. Most of them do best in familiar surroundings and home is numero uno.

5. Have them stay at home for as long as possible

a. Sometimes children are in a hurry to send parents off to homes that care for the elderly. People often ask where they could get such support. I think we should all plan to keep parents at home for as long as humanly possible. Sometimes we do not have the option of having them at home, but we need to explore all our options

6. Help them to socialise

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a. Organise time with friends etc. at home and out of home. This brings a breath of fresh air to every­one including our elderly parents. This makes them happier, healthier and they live longer.

b. …and the more time we spend with our elderly parents, the longer they live.

7. Ensure physical activity

a. No matter one’s age and medical condition, there is always a form of physical activity to engage in. It may be as simple as making fists or moving arms, but every movement goes a long way to make life better.

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b. Sunlight is a must. Do what­ever it takes to ensure at least one gets a few minutes of sunlight a day.

c. The presence or chance to see beautiful plants is a bonus worth going the extra mile for.

Steps to prepare for our own gold­en years

1. Start a wellness plan or con­tinue if you already have one

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a. It’s a must!! Learn to breathe, build muscle, move to ensure your heart is happy and even more important parts of your brain that protect you from dementia will grow.

2. Keep in touch with your classmates

a. They have known you for years and a phone call or occasional visit or gathering definitely ignites memories and it brings “warmth” beyond your wildest imagination

3. Surround yourself with younger people

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a. They can support you in many ways and their visits brighten your day while your advice is priceless to them. It is a win-win situation.

4. Avoid loneliness at all costs

a. You are not an island. Even if you think you are better off on your own and with your thoughts, nature does not agree with that. Kindly make a few good friends.

5. Protect your brain/memory

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a. Dementia is a matter of when and not if; exercise will enlarge the part of the brain that controls mem­ory. Having a larger hippocampus means it takes longer for dementia to show up.

Age will definitely catch up with each of us if we hang around Earth long enough. It is a matter of when and not if so, we should take steps to make our golden years and those of our loved ones happy and fulfilling. I will choose SUCCESSFUL ageing over USUAL ageing any day.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sug­ar, blood pressure, blood cholesterol, BMI)

Dr Kojo Cobba Essel

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Health Essentials Ltd (HE&W Group)

(dressel@healthessentialsgh. com)

*Dr Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week (1) – “Ageing comes with psychosocial challeng­es such as neglect, abuse, sexual adjustment, emotional disorders, oth­er mental health challenges, issues with living arrangement and several others. Let us all help to make life easier and more enjoyable for the elderly”-Kojo Cobba Essel

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By Dr Kojo Cobba Essel

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Health Essentials

Cancer; a burning desire to reduce risk

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When it comes to cancer risk factors; ALL RISK FACTORS ARE NOT CREATED EQUAL. Someone may have several risk factors but remain perfectly fine while another may have only one or none yet end up with breast cancer or other cancers.

We cannot say with certainty that we can do all it takes to prevent cancer BUT we can do a lot to reduce our risk.

TEN (10) TIPS TO CANCER RISK REDUCTION

  1. Weight Control – being overweight or obese increases risk to SEVERAL cancers.
  2. Smoking – cigarette smoking predisposes one to several cancers including lung cancer. Other forms of air pollutants serve as risks too.
  3. Alcohol – limit intake or avoid. It has the power to expose one to several cancers as well especially when we can’t apply brakes to how much we consume.
  4. Healthy Eating
    1. Limit intake of processed food and sugar
    2. Limit intake of red meat
    3. Fruits and vegetables should be a mainstay of our diet.
    4. An antioxidant rich food like cocoa should be part of our food. The purer the cocoa, the better
    5. Fibre in your food is crucial.
  5. Exercise – on its own reduces risk for breast and colon cancers directly and many others through weight control.
    1. Also increases immunity.
  6. Cancer Screening – be regular so cancers can be detected early and managed aggressively.
  7. Vaccinations – take vaccines where needed e.g. Hep B vaccine or vaccine against HPV (human papilloma virus accounts for the majority of cervical cancers)
  8. Know your Family History
    1. Anyone in your family with a cancer? Necessary to be on your guard but also remember that you may be the first person in your family with a particular cancer.
    2. Start your family early and breast feed for as long as possible to reduce risk of breast cancer.
  9. Check exposure to Ultraviolet Light and other forms of radiation. Protect your skin.
  10. Practice SAFE SEX
    1. HPV infection leading to cervical cancer is commoner when one is exposed to sex early, directly or indirectly has multiple partners but NOT everyone follows this rule. As in many situations, outliers do exist.
    2. Conditions such as HIV/AIDS may suppress your immune system if not managed appropriately.

Do add two (2) others of your choice and send to me via email. Together we can protect ourselves.

  1.  
  2.  

Will treating H. Pylori infections be a game changer too?

ALWAYS remember that CANCER PREVENTION HAS NO QUICK FIX – we need to follow these points over and over.

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AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel

Health Essentials Ltd/ Medics Clinic

(dressel@healthessentialsgh.com)

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*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

Thought for the week – WHERE YOU LIVE SHOULD NOT DETERMINE IF YOU LIVE.”- WHO

By Dr. Kojo Cobba Essel

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Health Essentials

DUMP these medicines; Save lives!

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some unused medications

Accidental poisoning of children at home, starting point of drug abuse by teenagers at home and uninformed self-medication have one thing in common; in all three unused or unwanted medicines are likely culprits. The harm we cause when we fail to properly dispose of medicines we do not need is crippling.

So many people have out of fear or anxiety converted their homes into mini-pharmacies where medicines that are supposed to keep us alive are stocked. COVID-19 worsened this practice and no-bed syndrome also plays a role.

Some of these medications may end up complicating our conditions as we self-diagnose and treat ourselves with what “the all-knowing “social media curb-side doctors prescribe.

From “blood-thinners” including aspirin to steroids, antibiotics, assorted supplements, ivermectin, hydroxychloroquine and even tanks filled with oxygen have found their way into homes. People including children will now “consume” some of these medicines and any left-overs may be accidentally taken, given out to family and friends with “similar” symptoms etc.

We all run the risk of abusing drugs and unfortunately some may end up indulging in “hard drugs.”

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Prior to COVID-19 many of us had turned our homes into dumping sites for medicines and we have now expanded our range of supplies. We seem to develop “unholy” attachments to drugs and end up keeping them for years even when they have long expired. I have had several unpleasant requests to identify a drug that is partly decomposed and has no name on its container. Unfortunately I have on all occasions refused to even make an attempt. My trade may teach me many things about humans and medicines but it also teaches me to be wary whenever I attempt to play Sherlock Holmes especially with medicines that are not labelled.

I took another look at “DUMP”, which is acronym for “disposal of unused/unwanted medicines programme.” I must admit I was extremely impressed with the usefulness of the DUMP. Many countries have tried a variety of approaches including self-disposal but I think the option that is being promoted in Ghana by Dr Edward Amporful, Cocoa Clinic and other patrons is exceptional. In my candid opinion every hospital, company and home should adopt this programme.

All you need to do is to return all unused/unwanted or even expired medicines to participating hospitals. Put these medicines in labelled receptacles or bins that are provided. You do not need to disclose your identity, just walk away because your work is done. The necessary arrangements have been made with the relevant regulatory bodies for the safe disposal of such medicines.

Sounds absolutely simple yet this has the potential to save lives; that baby who could have accidentally swallowed some of these medicines is still alive and the teen who would eventually have been hooked on stronger drugs is spared the agony.

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I think bins should be in all offices so that staff could drop off their medicines and the appropriate steps taken. Market places could also have these bins available and locked and properly secured to prevent people taking the boxes away. Even homes can have a similar bin for discarding and then periodically taken to participating hospitals/clinics. Unused or unwanted medicines should not find their way into a First Aid Box, they don’t belong there.

How do we amass “riches” in unused, unwanted or even expired medicines?
• We may not adhere to the right dose of the medicine thus we end up accumulating medicines at home.
• Sometimes our healthcare provider may make changes to medicines especially when we have chronic diseases such as high blood pressure but we do not return the old ones to the hospital but instead keep them at home.
• Sometimes we react to a drug and stop taking it, leaving the excess at home. I am not sure why we keep these at home when we are aware we are no longer going to use them.
• …and now we stock medicines for fear that we may not have access to some when we have an emergency. Our excuse is that many people are hoarding social-media proposed life-saving medication. After all we are all still learning.

In support of ‘DUMP’
• A frequent cause of accidental poisoning of children at home is having unused/unwanted or expired medicines within their reach. I have seen children rushed to the emergency room for this reason. Some were lucky to live while others had their exciting life cut short. Start DUMP today and help save lives. Even adults sometimes end up with complications because they assumed a drug was used for something completely different.

• People tend to play doctor or pharmacist at home because they pass on unused medicines to family and friends. This is often the starting point of uninformed self-medication. Many people are unaware that doses and types of medicines needed do not depend only on having an illness that appears similar to what another person on a particular medicine was given.

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• When unused or unwanted medicines are improperly disposed of, they may eventually end up polluting water bodies etc. Start DUMP and make a statement on protecting our water bodies.

• Drug resistance is often a consequence of abuse of medicines such as antibiotics and anti-malarias. Kofi starts medicine required to be taken for one week and feels better after three days so he stops. A few days or weeks later Awo appears to have a similar illness so Kofi gives her the medicines left for four days. The process of developing drug resistance has just taken off.

• Keeping expired medicines at home may lead to unsuspecting people taking them and they may end up with additional problems.

• Improper storage of medicines may affect its potency. A typical example is keeping medicine that needs to be refrigerated in a hot room instead. Return these medicines.

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We could jeopardise our health or that of others just because we are keeping unused or unwanted medicines. STOP. THINK. JOIN DUMP TODAY! You will be saving lives.

AS ALWAYS LAUGH OFTEN, ENSURE HYGIENE, WALK AND PRAY EVERYDAY AND REMEMBER IT’S A PRICELESS GIFT TO KNOW YOUR NUMBERS (blood sugar, blood pressure, blood cholesterol, BMI)

Dr. Kojo Cobba Essel
Health Essentials Ltd/ Medics Clinic

*Dr. Essel is a Medical Doctor with a keen interest in Lifestyle Medicine, He holds an MBA and is an ISSA Specialist in Exercise Therapy, Fitness Nutrition and Corrective Exercise. He is the author of the award-winning book, ‘Unravelling The Essentials of Health & Wealth.’

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Thought for the week –“IN CASE OF AN EMERGENCY you may need someone to be alerted. Since majority of us own cellphones, plan your own rescue by saving this person’s phone number preceded with “ICE.”  An example is ICE Kojo Essel.The more people we have who know about “ice” the better for us all. Spread the news!!”

References/Credit:
• Dr. Edward Amporful, Cocoa Clinic.
• www.healthessentialsgh.com

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