In general, the components of a healthy diet don’t change terribly much over your lifespan. However, as people age, their vitamin needs change, which is a natural part of aging. Following are six vitamin checks for seniors to stay their nutritionally best from Alicia I. Arbaje, M.D., M.P.H., Assistant Professor of Medicine, and director of Transitional Care in the Research Division of Geriatric Medicine and Gerontology at Johns Hopkins University School of Medicine.
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As people age, one of their biggest fears is the loss of independence—the inability to do what they want, where they want, when they want and how they want, on their own and without help from their children, spouse or friends. For many seniors, driving represents freedom, and the threat of taking away that privilege feels like the beginning of the end.
The truth is, as we age we do experience physical and mental changes that can impair our ability to drive. Our hearing and vision may not be as acute and some of our reflexes aren’t quite as fast as they used to be. But most seniors in general good health should be able to drive safely and confidently without putting themselves or others at risk.
Awareness is a big part of being a good driver, and AARP, the national organization that addresses the needs and concerns of the 50+ population, launched the new and improved AARP Smart Driver™ Course in January 2014 to help keep older drivers independent, safe and confident on the road.
The AARP website notes that there have been many changes to roads, cars and technology since they developed their first driver safety course, “55 Alive,” in 1979, and warns that if seniors don’t keep up with the changes they put themselves and others at risk.
Things that can negatively affect driving
Medications are of concern at any age, but it takes longer for their effects to wear off as we age. They can cause blurred vision, confusion, drowsiness, dizziness or weakness. Talk with your doctor or pharmacist to find out if any of your medications, including over-the-counter and herbal supplements, could affect your driving ability.
Remember that alcohol stays longer in an older person’s body. Alcohol is absorbed directly through an empty stomach and can reach and affect the brain within 60 seconds. Mixing alcohol with medications may be even more dangerous and have unexpected effects on your driving.
- Loss of hearing
Hearing may diminish with age, causing us to miss cues that alert us to situations around our vehicles, such as honking horns, engine sounds and emergency vehicles. Talk to your physician if you think you may have a problem with your hearing.
- Problems with vision
Reduced ability to see moving objects clearly, color blindness, cataracts, reduced ability to process visual information quickly, reduced depth perception and reduced peripheral vision can all affect our ability to drive safely. Separate glasses for day and night driving; anti-reflective coatings on eyeglasses; and reducing driving at night or when visibility is limited can help. You should have regular eye examinations by a licensed ophthalmologist or optometrist.
How do you know if you are still safe behind the wheel? Howard County General Hospital (HCGH) offers comprehensive clinical driving assessments that include:
- Vision: acuity, visual motor skills, peripheral vision, sign recognition, color recognition/perception, visual processing speed, phoria and fusion
- Cognition: memory, attention and problem solving
- Sensory-motor function: strength, coordination, reaction time
The in-clinic assessment can help identify deficits and sometimes correct them through occupational therapy services. For more information, call 443-718-3000.
Check out the AARP Driving Resource Center for more tips on safe driving for seniors. Sign up for the AARP Driver Safety class offered in the HCGH Wellness Center, or call 410-740-7601.
Saturday, November 8, 2:00 p.m. I’m Going to be a Big Brother or Sister. Prepare for the arrival of a baby in this class at the Central Branch for new siblings. Enjoy stories, activities, and bring a favorite doll or stuffed animal to practice holding a baby. Resources for parents, too. Well & Wise event. Families; 30 – 45 min. Tickets available at Children’s Desk 15 minutes before class.
Saturday, November 8, 2:00-4:00 p.m. Time for a Spa-liday. Need to relax before the holidays? Paint your nails, learn relaxation techniques, listen to soothing music, and make spa treats such as coconut oil hand scrub, bath fizzies, and glycerin soap scrubbies at the Savage Branch. Recipes and ingredients provided. Ages 8-13. Register online or by calling 410.313.0760.
Monday, November 10, 10:00-12:00 p.m. Blood Pressure Screening. Free, walk-in blood pressure screening and monitoring at the Savage Branch offered by Howard County General Hospital: a Member of Johns Hopkins Medicine. No registration required.
Monday, November 4, 10:15 & 11:15 a.m. Turkey Twist and Shout. Sing and shake your turkey tail to tasty tunes at the Elkridge Branch! Ages 2-5 with adult; 30 min. No registration required.
Thursday, November 13, 1:00 p.m. A World of Kindness. CCome to the East Columbia Branch and celebrate random acts of kindness. Share books, songs, and make a craft. Choose Civility event. Ages 3-5; 30 min. Tickets available at Children’s Desk 15 minutes before class.
Wednesday, Nov. 19, 7 to 9 p.m. Happiest Baby on the Block in Howard County General Hospital’s Wellness Center. Learn successful techniques that can quickly soothe your crying newborn and promote a more restful sleep for your infant. Parent kits are included in the $50 couple fee.
Thursday, Nov. 20, 10 a.m. to 2 p.m. Great American Smokeout in the Howard County General Hospital lobby: includes information and literature to help you stop smoking. Free event.
Monday, November 3, 10:15 a.m. Just for Me. A class at the Savage Branch for children who are ready for an independent class that includes creative expression, listening comprehension, and early reading skills. Ages 3-5; 30 min. Tickets available at Children’s Desk 15 minutes before class. Also offered at 2 p.m. at the Miller Branch and 11/5 at 10:15 & 11:15 a.m. at the Elkridge Branch.
Monday, November 3, 2:00-6:00 p.m. HiTech Symposium. Join us at the Savage Branch for a dynamic event for students, parents, and educators, featuring STEM industry leaders and showcasing classes and various projects built by HCLS’ HiTech students (including a hovercraft, catapult, weather balloon, and music in our new sound booth). Learn how middle and high school students can participate in this STEM education initiative that teaches cutting-edge science, technology, engineering, and math via project-based classes. HiTech is funded in part through a federal grant from the John D. and Catherine T. MacArthur Foundation and the Institute of Museum and Library Services.Sponsors include Friends of Howard County Library, Frank and Yolanda Bruno, and M&T Bank. Register online or by calling 410.313.0760.
Monday, November 3, 3:30-5:30 p.m. Blood Pressure Screening. Free, walk-in blood pressure screening and monitoring at the Glenwood Branch offered by Howard County General Hospital: a Member of Johns Hopkins Medicine. No registration required.
Tuesday, November 4, 7:00p.m. Shell Shock: A Study in Medical History from Florence Nightingale to World War I.
Philip Mackowiak, M.D., comes to the Central Branch to discuss the impact of war trauma on Florence Nightingale and the combatants in World War I as he explores shell shock and post-traumatic stress disorder. He is a professor of medicine and the Carolyn Frenkil and Selvin Passen History of Medicine Scholar-in-Residence at the University of Maryland School of Medicine. Register online or by calling 410.313.7800.
Tuesday, November 4, 7:00p.m. Guided Meditation. Enjoy a guided mindfulness meditation designed to impart a feeling of peacefulness and connection at the Miller Branch. Please bring a cushion or meditation pillow. Presented by Star Ferguson, M.Ac., L.Ac. Well & Wise event. Register online or by calling 410.313.1950.
Friday, November 7, 7:00 p.m. Scott Stossel and Brigid Schulte in Conversation. Do you make notes in a book’s margins? Imagine having a conversation with the author about your thoughts. Scott Stossel and Brigid Schulte indulge in the opportunity to discuss their most recent works and ask the pressing questions they’ve penned in the margins of each other’s books. Scott Stossel, editor of The Atlantic, is the author of the 2014 New York Times bestseller, My Age of Anxiety: Fear, Hope, Dread, and the Search for Peace of Mind. An award-winning journalist for The Washington Post, Brigid Schulte wrote the New York Times bestselling Overwhelmed: Work, Love, and Play When No One Has the Time. Register online or by calling 410.313.1950.
Wednesday, Nov. 19, 7 to 9 p.m. Happiest Baby on the Block. Learn successful techniques that can quickly soothe your crying newborn and promote a more restful sleep for your infant in Howard County General Hospital’s Wellness Center. Parent kits are included in the $50 couple fee.
Monday, Oct. 20, 3:30 p.m. – 5:30 p.m. Blood Pressure Screening at Glenwood Branch. Free, walk-in blood pressure screening and monitoring offered by Howard County General Hospital: a Member of Johns Hopkins Medicine. No registration required.
Monday, Oct. 20, 3:30 p.m. Superfoods at Miller. Some foods promote health and longevity better than others. Licensed nutritionist Karen Basinger names these powerhouses and how to best use them. Register online or by calling 410.313.1950.
Tuesday, Oct. 21, 9 to 11:30 a.m. Diabetes Screening & BMI. Free. Held in Howard County General Hospital’s Wellness Center. Meet with an RN for a glucose blood test, BMI measurement and weight management information. Immediate results. Fasting eight hours prior recommended.
Tuesday, Oct. 21, 7 to 8:30 p.m. Choose Your Pediatrician and Promote Your Newborn’s Health. Free. Held in Howard County General Hospital’s Wellness Center. Learn factors to consider and questions to ask when choosing your pediatrician and ways you can promote your newborn’s health. Presented by Dana Wollney, M.D.
Thursday, Oct. 23, 7 to 9 p.m. Get Moving Again: Total Joint Replacement. Held in Howard County General Hospital’s Wellness Center. Free. Learn about total hip and knee surgery from health care professionals, past patients of our Joint Academy and Richard Kinnard, M.D.
Monday, Oct. 27, 5:30 p.m. to 9 p.m. Adult, Child and Infant CPR/AED in Howard County General Hospital’s Wellness Center. Cost is $55. This course will teach the skills needed to clear an airway obstruction, perform cardio-pulmonary resuscitation (CPR), and how to use an automated external defibrillator (AED).
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Johns Hopkins OB/GYN Francisco Rojas, M.D., discusses various types of breast lumps and what you can do about them.
Q: How common are lumps in the breast?
Breast lumps are common, particularly in young women in their late teens and early 20s. Women also may feel a breast lump during pregnancy or breastfeeding. Lumps in older women tend to be less common but more dangerous.
Q: What causes breast lumps?
Most breast lumps are benign or “normal;” however, breast lumps also can be caused by cancer. We cannot always explain what causes benign breast lumps.
Q: What are the different types of breast lumps?
Fibroadenomas are benign masses in the breast. They are not cancer and will not become cancer. They occur most often in younger women but also can happen in later years. Cysts are fluid-filled lumps that may cause pain and are usually benign. Other tumors are less common, can be benign or malignant and should be removed. The important thing to remember is that breast cancer also can present as a lump.
Q: What should you do if you detect a lump?
Any change in the breast should be evaluated by your physician or provider. Your provider will need to know when you noticed the lump and if it has changed in any way; also tell your provider about any changes in the skin or nipple discharge and if you notice any other lumps or changes in the breast or armpit. Tests such as an ultrasound, mammogram or MRI may be ordered.
Q: How are breast lumps treated?
Treatment is determined by the type of breast lump. Most often, a biopsy of the lump will be needed to determine the type. Fibroadenomas can be watched over time for changes. Cysts can be drained with a needle to remove fluid. Other tumors and breast cancer must be removed by a surgeon.
Q: Is there anything you can do to prevent breast lumps?
You may not be able to prevent breast lumps, but for your breast and overall health it is important to eat a healthy diet with fruits and vegetables. Do not smoke, and consume alcohol only in moderation. Exercise and maintain a healthy weight. Perform self-breast exams once a month and have breasts examined annually by a medical provider. Report any changes in your breasts to your provider as soon as you notice them.
Q: Who is at the greatest risk for developing breast lumps?
Anyone can develop a lump, but people who have a prior personal history of breast cancer or family history of breast cancer are at a higher risk of developing a malignant tumor.