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Spowita mgłą #droga krajowa nr 50 to obecnie rzadko używana trasa. W roku 2025 najczęściej spotkamy na niej turystów spragnionych widoków na jej górskiej trasie i intrygujących odnóg. Jednak w roku 1966 otwarcie #Oyggjarvegurin odmieniło życie mieszkańców #Tórshavn #WyspyOwcze #farerskiekadry
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Czytelnicy "Farerskich Kadrów" pamiętają być może rozdział "Wiadukt donikąd". Relacjonowałem w nim spacer po niedokończonej obwodnicy #Tórshavn, okraszony zdjęciami na wpół ukończonych wiaduktów. Okazuje się jednak, że już niebawem na opuszczonej inwestycji przestanie w końcu hulać jedynie wiatr.
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Older and Overmedicated Are Seniors Prescribed Too Many Drugs
Bruce Corridor, 81, directed a cab driver to take him from his Marin County, California, house to the Golden Gate Bridge. Once they arrived, Bruce gave the driving force all his cash, obtained out of the automobile, and tried to leap off the bridge. "I couldn't get over the edge," Bruce instructed Healthline. "It was terrible." Whereas he was acutely aware of what he was doing, Bruce says the impulse to finish his life was out of his management. The retired banker and deacon of his church had tried suicide two instances inside a span of some months main as much as that day on the bridge. Nonetheless, for 80 years of his life, Bruce by no means had a suicidal thought. "Bruce suffered from a series of strokes and had brain surgery. He became psychotic from the medicine he was prescribed," his spouse, Ellen Corridor, instructed Healthline. Shortly after the bridge incident, Bruce known as 911 and instructed them he was going to kill himself. Instantly he was dedicated to the psychiatric unit of a hospital. Bruce was medicated there much more earlier than transferring to a nursing house. "At the nursing home, he looked like a dead man walking. He didn't have any real emotion. He couldn't walk, talk, read, or write," Ellen recalled. Bruce's major care physician instructed that Ellen contact Dr. Elizabeth Landsverk, a geriatrician in Burlingame, California, who evaluates medicines that elders are on. Landsverk believes too many seniors are overmedicated. She's on a mission to alter this. "As geriatricians, we're trained to take off medications first before we put more on. But often once medications are on, unless there's a blatant problem, they don't come off," Landsverk mentioned. The primary cause medicines aren't stopped, she provides, is as a result of medical doctors do not wish to override medicines given by one other physician. "This is where I am different. I'll call specialists and make sure a patient really needs a medication," Landsverk mentioned. "I also make house visits with patients." This was her method with Bruce Corridor. "I started getting rid of a number of medications he was taking. It took me months to the Ativan he was on, and because he was psychotic, he needed antipsychotic medication, so I had to find the right combination," she defined. Over the course of a 12 months, Bruce stopped having suicidal ideas and slowly gained again his capability to speak. He is again residing at house with Ellen and has a part-time caretaker who works with Landsverk to repeatedly regulate his medicines. "I couldn't read or write, and now I'm writing and giving sermons again at my church," Bruce mentioned. "My life has changed."
Agitated elders could also be wrongly medicated ones
Landsverk says most of her purchasers come to her as a result of an elder is agitated. Oftentimes, she says anti-anxiety medicines trigger agitation, like Ativan and Xanax, or sleeping drugs. "I do not use these medications . Even with my own mother's care, I have found that when you give elders these medications, it's like giving them shots of vodka. And what happens is they get more confused and agitated," Landsverk mentioned. "A month after we get all of the anti-anxiety and sleeping pills out of their system, they are less agitated." She says Xanax is especially harmful as a result of it is quick appearing. "Elderly are given it more often as needed or to sleep and then they get hooked, and within a few days or weeks they can be withdrawing from it and can be more agitated and fidgety. To deal with the increased agitation, they are given a higher dose, which makes them more irritable, aggressive, confused, and susceptible to falls," Landsverk mentioned. She provides that nervousness medicines typically substitute antipsychotics and ache treatment, which exacerbates the issue. "There's a movement of 'hugs not drugs,' which on the surface sounds great because the push is to not drug elders with antipsychotics. But Ativan and Xanax are being used to treat what antipsychotics and narcotics were used for," Landsverk mentioned. She believes if ache is correctly handled, older adults now not want psychiatric medicines greater than half of the time. "People are upset and agitated because they're in pain," Landsverk harassed. "The goal should be to get rid of other sedating medications and treat their pain." She remembers an aged man who was in bodily remedy after breaking his hip. Landsverk was known as as a result of the person would not take part in rehab and was agitated and violent. "When I visited him, the therapist asked him to get up and walk, but they hadn't given him any pain medication. His hip hurt, so he was hitting them to get away from him," Landsverk mentioned. Whereas ache treatment is usually prescribed to older adults as wanted, she says typically an ongoing routine is required. "People with dementia can't often locate where the pain is, even if it's a repaired hip fracture, so what's better is to give them a standing dose of Norco twice a day and watch them," Landsverk mentioned. Nonetheless, she acknowledges the opioid disaster is critical, however mentioned, "With older adults, there's an occasional addict, but really old people are in real pain. They have bone-on-bone arthritis, spinal pains, and fractures."
How did overmedicating older adults turn out to be so frequent?
A number of causes could also be responsible. Pharmaceutical firms play a component. In response to a report in , drug firms spent $6 billion on direct-to-consumer drug commercials in 2016. Commercials and adverts that individuals see can cause them to ask their medical doctors for particular medicines. Medical doctors will typically prescribe medicines their sufferers request, regardless of the drawbacks of these requested medicines, in accordance with analysis printed in Landsverk factors out lack of communication between specialists and first care medical doctors is one other contributing issue to overmedication of older folks. In response to a , almost 85 p.c of older adults usually take a minimum of one prescription drug, and almost 36 p.c usually take a minimum of 5 totally different pharmaceuticals. Bruce Corridor believes this contributed to his scenario as effectively. "I was on a dozen medications and there were three or four doctors giving me meds at the same time. They were all good doctors, but they didn't all understand how the medications they prescribed me played together," he mentioned. A few of this can be exacerbated by the truth that digital medical data aren't environment friendly at or user-friendly sufficient to make it simple for medical doctors to know all of the medicines a affected person is taking. All of the extra cause Landsverk says geriatricians are wanted. "It's complicated for doctors to communicate with every doctor who treats every one of their patients. That's where I come in and call specialists and get the whole picture," she mentioned. Nonetheless, Landsverk notes there is a scarcity of geriatricians, with solely 6,000 in america in the present day. Examine that with the greater than 49.2 million folks ages 65 or older who reside on this nation, and the issue appears urgent.
Further elements
One other unintended cause for overmedication of older folks could contain sufferers wanting a fast repair for an issue and medical doctors wanting to assist them shortly with out totally pondering via potential negative effects. This sentiment resonates with Illinois resident Marina Mantas. In 2015, her 68-year-old father, Gus, had a sinus an infection and was prescribed prednisone, a steroid to cut back irritation. He was a smoker and had diabetes. "My dad began experiencing panic assaults. The sort that made him shake uncontrollably. All of us had been at a loss. We by no means questioned what his medical doctors prescribed him. Not till a couple of days later once we observed a change in habits. "Then we researched what he was taking and had been shocked to be taught that the steroid can enhance blood sugar ranges and in addition trigger chemical reactions that have an effect on moods," Mantas instructed Healthline. Gus' physician went on to prescribe him treatment to handle the panic assaults. "It was one drug after the opposite. He lastly gave up and instructed my dad to see a psychiatrist," Mantas mentioned. In an try to assist Gus, his psychiatrist offered remedy but in addition gave him treatment to assist together with his nervousness and despair. "As soon as once more he started months of attempting each kind of medication. They might swap medication so shortly that typically we felt that there wasn't sufficient time for it to kick in earlier than he was on to the subsequent medication," Mantas said. "This then led to signs of withdrawal from the final spherical of meds he was on." Throughout this time, Mantas says her dad was so overmedicated that he could not even maintain a dialog along with her 5-year-old daughter. "Fortunately, my sister lived subsequent door to him and will assist him together with his each day duties: ensuring he had meals to eat, reminding him to bathe, and to show off his oven," she mentioned. After seeing almost 20 medical doctors over the course of three years, Mantas says her dad has discovered some aid with a health care provider who treats him with electroconvulsive remedy and constantly works to lower his dosage of antidepressants. "Though our dad will not be again to his regular state, he now has some independence," Mantas mentioned. To others with older family members, she provides, "In terms of their well being, they want oversight and supervision. One mistaken choice and it may possibly flip their life the other way up so shortly. "Having a doctor add notes to their file will not suffice. Go to appointments with them. Ask about side effects related to drugs and how long the medicine stays in their system. Be their advocate." Cathy Cassata is a contract author who makes a speciality of tales about well being, psychological well being, and human habits. She has a knack for writing with emotion and connecting with readers in an insightful and interesting method. Learn extra of her work right here. Read the full article
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Maskinførari til norðurøkið hjá Landsverki - 9. sep
Maskinførari til norðurøkið hjá Landsverki – 9. sep
Landsverk søkir eftir einum dugnaligum og álítandi maskinførara til norðurøkið at byrja skjótast gjørligt.
Arbeiðsuppgávur Arbeiðsuppgávurnar fevna í høvuðsheitum um: – viðlíkahald av landsvegum – vetrarhald – aðrar fyrifallandi uppgávur
Førleikakrøv Royndir innan oman fyri nevndu arbeiðsuppgávur er ein fyrimunur, men eingin treyt. Tó skalt tú hava stóra koyrikortið og vera førur fyri at koyra…
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