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There are times when we will use this blog to share a personal story, one we hope will resonate in a universal way even as the details are singular and specific. By sharing experiences, we learn we are not alone. We learn there is healing and hope along the way.

In her own words, here is such a story —  from Ellen Sue Moses, a pharmacist and member of the Health Champion team . . .

My father has Alzheimer’s. In truth, his dementia is probably a mixture of vascular dementia and Alzheimer’s disease. But that doesn’t matter to him. Or to me. Naming his dementia doesn’t change its reality.

I’ve heard that the definition of Alzheimer’s is not when you lose your keys; it’s when you forget what your keys are for. According to the Alzheimer’s Association, as many as 5.3 Americans are living with the disease. It’s the sixth leading cause of death in the U.S.

About my dad: it’s hard to know when it started. By the time my mother died, either his disease had progressed significantly or my siblings and I were noticing it more. Ordinary activities were confusing and complicated. He couldn’t remember how to navigate the streets he had driven his whole life. He started getting frightened and having terrifying nightmares, this rock of a man who never seemed to have fear.

Then one day I noticed blank checks stuffed into his pockets; he couldn’t answer the simplest of questions without overwhelming frustration. Even with 24/7 care, he could no longer live in his apartment. To my joy, we moved Dad closer to me, into a wonderful facility dedicated to memory-impaired adults.

As we go through life, our feeling of safety is based upon lessons learned from past experiences. Dad lives in a world with no memory of the past — of what worked for him and where danger lies. Remarkably, he has adapted to this life where every day, everything is new.

All of the things Dad accumulated as he traveled through life no longer hold any value. What matters most to him is spending time with people. Not long ago he told me that he didn’t know who I was but knew I belonged to him. Caring for Dad has changed my perception of life, aging and death. From him, I am learning to live in the present; I am learning every day what matters most.

Do you have a story you’d like to share? We invite you to post your comments or send us a longer story by private e-mail. And if you need help, we’re here to guide your journey through the health care system.

Imagine this: You’re visiting your parents — maybe for the holidays — maybe it’s a casual, routine visit . . . and you suddenly realize there are a lot of medicines around the house. The first fear that comes to your mind is: how is this being managed and what about drug interactions?

It’s scary stuff. And it’s exactly what happened to a client of ours.

Medication errors are among the most common medical errors, harming at least 15 million people every year. More than one-third of the errors that occur in the U.S. happen in people 65 years of age or older. And, the more medicines a person takes, the higher the risk of having an adverse reaction from a drug interaction

So, what can you do to help your parents manage their meds without actually being there to dole them out?  The answer is education and advocacy. Partner with them and have a clear understanding of what they’re taking and why.

Here are some hints:

  • Help organize their medicines; look at every bottle for the date it was dispensed. A good rule of thumb: don’t keep any medication longer than one year. Generally, if it’s that old, it’s no longer being used.
  • Look for the same medicine in several bottles. Check the strength. Some people take different strengths of a medicine at different times of the day.
  • Ask for permission to speak with doctors on their behalf.
  • When they’re given a new prescription, make sure they ask if it’s in addition to ones they’re already taking, or a replacement med. If there’s any confusion, you should call the doctor directly.
  • Call each doctor’s office and ask what drugs are being prescribed. Be clear that you want only the meds prescribed by that doctor, not just a repeat of an old drug list.
  • Create a comprehensive list of all meds being taken and keep it updated. Their pharmacist is an excellent resource for this task, especially if your folks tend to use a single pharmacy. Make sure each doctor has that list, checking for possible interactions.
  • Your parents should keep a copy of the current drug list in their wallet, in case of emergencies. For tech savvy parents, they should keep the list in the PDAs.
  • Don’t go it alone, especially if you live in different states. Enlist the help of a health care expert to guide you and your parents through the maze of prescriptions drugs.

Finally folks are turning to generic drugs as a way to reduce their overall prescription drug costs. If you have concerns about the questions about  generic drugs check out the following article.

http://www.nytimes.com/2009/12/19/health/19patient.html