Geriatrics Archives - Health BeatHealth Beat

What is RSV?

Posted on November 2, 2022 by Jacob Lobosco

RSV (respiratory syncytial virus) is a respiratory illness that is typically most prevalent during the fall, winter, and early spring seasons. Most children born in the United States will have experienced it at some point before their second birthday.

The virus often presents symptoms similar to those of a cold, including a runny nose, coughing or wheezing, fever, and decreased appetite. These symptoms usually appear approximately four to six days after infection, but may not appear all at once.

While it usually does not lead to hospitalization, RSV can be particularly dangerous to children if it causes bronchiolitis or pneumonia to develop; it’s the most common cause of both of these illnesses in children under the age of one. If an infant develops either of these conditions, becomes dehydrated, or experiences significant difficulty breathing, the situation could become more serious and require hospital care.

RSV can also be especially dangerous for older adults, accounting for approximately 177,000 hospitalizations in adults over the age of 65.

The virus is usually spread through:

Bodily fluids such as mucus, saliva, or droplets
Surfaces that have the virus on them
Direct contact such as kissing an infected person

The best way to decrease the risk of an older adult or infant developing RSV is to prevent as many means of transmission as possible and promptly get them medical care if their symptoms seem to be worsening.

People and children who are at risk of developing severe cases of RSV should:

Avoid close contact with infected people and, if possible, close-contact settings such as daycare centers where RSV can more easily spread
Frequently wash their hands with soap and water for 20 seconds and refrain from touching their face until after they’ve done so

If you are sick with RSV, you should:

Avoid close contact with non-infected people
Frequently clean surfaces you’ve touched with disinfectant
Wear a mask and/or cover coughs and sneezes with a sleeve or tissue
Frequently wash your hands with soap and water for 20 seconds

If you or someone you know has developed RSV symptoms that require medical attention, you can schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center by calling (718) 206-7001 now.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

What is Sundowning?

Posted on September 28, 2022 by Jacob Lobosco

If a friend or loved one is displaying symptoms of confusion that occur or worsen in the late afternoon and evening, they may be experiencing sundowning, also known as sundown syndrome.

Sundowning is typically characterized by problems with memory, thinking, reasoning, and mood regulation which present themselves through behaviors such as pacing, wandering, or closely following someone, in addition to more dramatic outbursts of yelling, crying, or violence. A person experiencing sundowning may suffer from paranoia, delusions, or insomnia, as well. Although these symptoms usually occur in the latter half of the day, they can also appear during the morning.

Over 20% of people diagnosed with Alzheimer’s and other forms of dementia suffer from sundown syndrome. The exact causes of sundowning are unknown, but physical discomfort, infections, sleep cycle disruptions, overstimulation, and low lighting can all worsen its symptoms.

Managing triggers is the best way to prevent or decrease the severity of sundowning episodes. Light therapy, music therapy, and familiar environments can also help. Additionally, antidepressant, anti-anxiety, or antipsychotic medications may provide relief in some cases. For people whose sundowning symptoms are linked to sleep-related triggers, melatonin can be used to help restore a normal sleep cycle.

It’s important to get a loved one suffering from sundown syndrome to a doctor as soon as possible and to advocate for them throughout the treatment process to ensure that any issues they can’t communicate on their own are identified promptly. Schedule an appointment at Jamaica Hospital Medical Center’s Ambulatory Care Center now by calling (718) 206-7001.

Visiting the Mall Can Improve Your Health!

Posted on December 19, 2017 by Joann Ariola

We all know that regular physical activity is important to our overall health, especially for seniors.

Did you know walking is a great way for older adults to remain active?

Seniors who commit to taking a brisk walk each day may be at a lower risk of:

Heart Disease
Stroke
Type 2 diabetes
Breast and colon cancers
Depression
Anxiety
Insomnia

With the onset of colder months upon us, how can older adults continue their walking routine and remain active?

The Centers for Disease Control and Prevention (CDC) suggests that in the colder months, you can utilize indoor malls for your brisk walk. Malls can be pedestrian friendly, they are climate-controlled, are well lit, have benches for resting, fountains for hydrating, restrooms, as well as security guards and cameras for safety.

For more information on mall walking programs and for other walking resources visit the CDC’s Mall Walking: A program Resource Guide at –

So get yourself a comfortable pair of walking shoes, hit the mall and improve your health!

Parkinson’s Disease

Posted on August 25, 2017 by Joann Ariola

The Mayo Clinic describes Parkinson’s disease as a progressive disease of the nervous system that causes a tremor, muscular rigidity combined with slow and imprecise movement of the body. It is associated with degeneration of the basal ganglia of the brain and a deficiency of the neurotransmitter dopamine. The disease mostly affects people who are middle-aged and elderly people.

Parkinson’s signs and symptoms may include:

Tremor – A tremor, or shaking, usually begins in a limb, often your hand or fingers.
Slowed movement –Over time, Parkinson’s disease may reduce your ability to move and slow your movement, making simple tasks difficult and time-consuming.
Rigid muscles – Muscle stiffness can occur in any part of your body. The stiff muscles can limit your range of motion and cause you pain.
Impaired posture and balance –Your posture may become stooped, or you may have balance problems.
Loss of automatic movements – Decreased ability to perform unconscious movements, including blinking, smiling or swinging your arms when you walk.
Speech changes – You may speak softly, quickly, slur or hesitate before talking. Your speech may be more of a monotone rather than with the usual inflections.
Writing changes – It may become hard to write, and your writing may appear small.

Managing some of the symptoms, such as tremor can be helped with medications. The medications prescribed can act as a substitute for dopamine and send a similar signal to the neurotransmitter in your brain.

Although these medications can become less effective over time, some patients realize significant improvement of their symptoms after starting treatment and continue to do.

To see these and more information regarding Parkinson’s disease visit

Is Social Media Making Me Fat?

Posted on March 29, 2016 by Joann Ariola

Have you ever wondered why when you see postings of food on social media that are pleasing to your eyes, you immediately begin to desire that food or think, “Gee, I’m hungry?

The human mind is divided into two parts, the conscious and subconscious mind. The conscious mind works while we are awake, while the subconscious mind is always activated. The subconscious mind regulates everything in our body, our character, our speech and receives and processes information. The food and beverage postings on social media speak directly to our conscious and subconscious mind.

According to researchers, 70 percent of household meals in America are influenced by digital media. Pictures of food and beverages show up on news feeds 63 percent of the time. One popular social media site noted that a widely used food hashtag marked photos of snacks and meals 54 million times on their site alone.

In addition to subliminally causing you to want to eat more food, studies have shown that people who spent two hours or more using a device with LED display, such as a smart phone or tablet, had a corresponding dip in melatonin levels. Melatonin is the chemical that prepares your body for sleep. When we lose sleep, we can pack on extra pounds because there is a link between sleep loss and weight gain. If you are awake for longer periods of time, you may be more inclined to reach for a late night snack or bag of chips.

Some steps you can take to curb your hunger and promote good health are:

Choose fresh, whole foods like fruits, vegetables, and lean meats.
Prepare your meals at home and limit dining out and processed on-the-go meals.
Try to avoid being distracted by TV, work, driving or surfing on your computer, phone or tablet while eating.
Regulate your social media feed, especially if the pictures of food and beverages make your stomach moan.

Obesity is on the rise because many factors, but keep in mind that you are in control and can make healthy choices to live a healthy life. It’s better to eat with your stomach and not with your eyes.

How “Annual” Is Your Annual Physical?

Posted on November 30, 2015 by Joann Ariola

A. Yearly

B. Bi-Yearly

C. When I don’t feel good

D. I don’t do doctors

An annual exam is a good way of tracking your health progress. Some of the benefits are:

Primary prevention
To identify risk factors for common chronic diseases
To detect disease that has no apparent symptoms (secondary prevention)
A way for the doctor to counsel people to promote healthy behavior
To update clinical data since your last check-up
To enhance the relationship betweenyou and your doctor

If you are interested in scheduling an exam, Jamaica Hospital Medical Center’s Ambulatory Care Center is centrally located and has convenient hours. Call 718-206-7001 for an appointment.

Cataract Surgery

Posted on May 28, 2015 by Andrew Rubin

A cataract is defined as the clouding of the lens of the eye. The lens of the eye is made up of water and protein. When the lens is healthy, the proteins are arranged in a very precise pattern allowing light to pass through to the retina in a clear manner. As we age, these proteins may begin to clump together and cause the lens to become cloudy which leads to blurry and dim vision. They are commonly found in people as they get older, and can start when people are in their forties but become noticeable after the age of sixty. Besides aging other factors that can contribute to cataract formation are diabetes, smoking and alcohol abuse.
Some of the symptoms of cataracts include:
• Cloudy or blurred vision
• Colors that appear faded
• Glare from headlights, lamps
• Diminished night vision
Cataracts can be corrected by performing surgery to replace the lens of the eye with an artificial lens. There are two types of procedures that can be performed:
Phacoemulsification – a procedure where a small incision is made to the side of the cornea. The lens is broken up by ultrasound and removed by suction.
Extracapsular surgery – a procedure where a bigger incision is made in the side of the cornea and the lens is removed in one piece.
After both types of surgery a new plastic lens is inserted and allowed to heal. Most people see immediate improvement in their vision. Cataract surgery is one of the most commonly performed procedures done today. Ninety percent of patients who undergo this procedure have their vision restored completely.
From annual eye examinations to surgical procedures, Jamaica Hospital Medical Center’s board certified and fellowship trained ophthalmologists are dedicated to the prevention, diagnosis, and treatment of eye disorders and ophthalmic conditions.
To schedule an appointment with an ophthalmologist at Jamaica Hospital please call 718-206-7001.

Palliative Care vs Hospice Care

Posted on February 3, 2015 by Joann Ariola

When you are faced with the decision of choosing whether palliative care or hospice care better suites the needs of you, or your loved ones; it is best to know the definition and relationship between the two before deciding.

Palliative care focuses on relieving symptoms that are related to a chronic illness, such as cancer, cardiac disease, respiratory disease, kidney failure, Alzheimer’s and other dementias, AIDS, Amyotrophic Lateral Sclerosis (ALS) and other neurological diseases. Palliative care can be used at any stage of illness –not just advanced stages.

Hospice care is palliative by nature, but is only offered when the patient has progress to a point where curative treatment is no longer desired. Hospice care supports the patient, and their families, on the journey to end of life focusing on relieving symptoms and offering comfort from pain, shortness of breath, fatigue, nausea, anxiety and insomnia.

Although there are differences between palliative care and hospice care, there is a relationship between the two. Knowing the treatment differences and similarities may be helpful when making your decision, including:

Treatments are not limited with palliative care and can range from conservative to aggressive or curative.
Hospice care treatments are limited and focus on the palliation of symptoms. The goal is no longer to cure, but to promote comfort.
Palliative care can be considered at any time during the course of a chronic illness.
With hospice care, Medicare requires that a physician certify that a patient’s condition is terminal. The physician must certify that a patient’s life expectancy is six months or less.
Both palliative and hospice care can be delivered at any location.
Palliative care services are typically provided through regular physician and nursing visits.
Hospice care services are more inclusive than palliative care services. Hospice care includes physician services, nursing services, social worker, spiritual care, bereavement care and volunteers. In some cases physical, occupational, speech and dietary therapy services, as well as other counseling services are deemed necessary as part of the hospice holistic care plan to manage terminal symptoms and provide support for the individual and their family.

It is important to know that choosing palliative care or hospice care is about comfort, control, dignity and quality of life and not about giving up. If you, or a loved one should need information on palliative or hospice care, Jamaica Hospital Medical Center’s Palliative Care and Hospice Care services can help. To schedule an appointment for an evaluation, or to just talk, call 718-206-6914.

The NERVE of Diabetes

Posted on January 9, 2015 by Joann Ariola

According to the Centers for Disease Control and Prevention, 25.8 million people in the United States have diabetes. Typically, 60 to 70 percent of people with diabetes have some sort of nerve problems, know as neuropathy.

Neuropathy is a shorter term for peripheral neuropathy, meaning nerve damage in the peripheral nervous system. Neuropathy from diabetes can damage the nerves in your hands, arms, feet and legs. This condition can cause pain, numbness and weakness. Depending on the degree of neuropathy, and how long you have been a diabetic, nerve problems can occur in every organ system, including the digestive tract, heart and reproductive organs.

The highest rates of neuropathy are among people who have had diabetes for at least 25 years. Diabetic neuropathy also appears to be more common in people who have issues with controlling their blood glucose, have high blood pressure and are overweight.

Symptoms of diabetic neuropathy vary depending on the nerves affected and develop gradually over the years. Symptoms may include:

Trouble with balance
Numbness and tingling of extremities
Abnormal sensation to a body part (Dysesthesia)
Diarrhea
Erectile dysfunction
Urinary incontinence
Vision changes
Burning or electric pain in extremities

When treating diabetic neuropathy, a nutritionist may recommend healthier food choices and exercise to help lower your glucose and glycohemoglobin levels. Additionally, analgesics and low doses of antidepressants can be prescribed for pain relief, burning and tingling.

If you are a diabetic and have been experiencing symptoms of neuropathy, Jamaica Hospital Medical Center’s Ambulatory Care Center and Department of Nutrition can help. Call 718-206-7001 to get the process started.