5 vaccines to get when you’re 50 and up

 

Vaccines like flu, RSV, Pneumococcal and Tdap not only protect the elderly; these also prevent the spread of contagious and bacterial infections

While vaccinations are usually associated with babies and children, adults need them just as much. This is especially true for those who are already in their golden years as their immune systems naturally weaken over time. That’s where vaccines come in to support their health.

“Vaccines were created to help you build resistance against illnesses that could land you in the hospital, render you disabled, or threaten your life,” says Ryan Raymond Y. Bautista, MD of top hospital in the Philippines, Makati Medical Center (MakatiMed). “As we grow older, our immune system weakens, whether due to age or diseases like cancer, autoimmune disorders, and HIV. Vaccinations not only protect us; they protect others too by preventing the spread of contagious viral and bacterial infections.”

MakatiMed recommends these five shots for those in their 50s and above.

Flu vaccine. While news of a fast spreading “super flu” at the beginning of the year had everyone scrambling to have themselves vaccinated, adults are encouraged to get their influenza shot annually, particularly between February and June, the months right before flu season, which in the Philippines happens from June to November. Constantly mutating viruses coupled with older adults’ declining immune system make the flu vaccine a necessity for seniors and the immunocompromised.

Marked by a high fever, chills, aching bones, a sore throat, and runny nose, influenza is transmitted through respiratory droplets (when one coughs, sneezes, or talks) and by touching contaminated surfaces then touching the eyes, nose, or mouth. “Though you can expect to get better in about a week, the flu can progress to pneumonia, bronchitis, and the worsening of pre-existing conditions like asthma and heart disease,” reminds Dr. Bautista.

RSV vaccine. If respiratory syncytial virus (RSV) is often mistaken for the common cold, that’s because they share similar symptoms—runny nose or nasal congestion and persistent cough. The difference lies in RSV’s two telltale signs: rapid or difficulty breathing (note how the chest pulls inward with every breath and how a patient finds comfort in sitting rather than lying down) and wheezing. Complications include pneumonia, asthma, and middle ear infections. 

“The RSV vaccine is available locally through hospitals and private clinics,” reveals Dr. Bautista. “Because it’s not considered an annual vaccine, at-risk adults aged 50-74 years old and the elderly aged 75 and up can do with a single dose.”

Pneumococcal vaccine. Streptococcus pneumoniae bacteria does not only cause pneumonia; it can lead to other fatal diseases like meningitis and sepsis. To protect yourself, get two types of pneumococcal vaccines: Pneumococcal Conjugate Vaccines (or PCVs, which include PCV13, PCV15, and PCV20) and Pneumococcal Polysaccharide Vaccine (or PPSV23, which prevents you from getting 23 types of pneumococcal bacteria). “The pneumococcal vaccine is recommended for adults aged 50 years old and above,” says Dr. Bautista.

“I advise those who are immunocompromised to receive shots for these vaccines, and those aged 65 and up who are in relatively good health to get one dose of PVC20, or one dose of PCV15 followed by one dose of PPSV23.”

Shingles vaccine. The risk of getting shingles increases with age, but overcoming its trademark burning, pus-filled rashes on the torso or face doesn’t guarantee permanent immunity. Though rare, a second bout of shingles is possible.

“Given in two doses, the shingles vaccine protects you from the varicella-zoster virus by nearly 100 percent, and by about 85 percent four years after your shots,” explains Dr. Bautista. “In case you get shingles again despite the vaccines, expect to experience less severe symptoms.”

Tdap vaccine. Short for Tetanus, Diphtheria, and Pertussis (or whooping cough), Tdap is a booster shot first administered to kids from ages 7 to 18, then every 10 years to adults.

All three are serious diseases. Tetanus, which affects the nervous system, comes from a bacteria found in soil, dirt, and animal manure. Once in the respiratory system, the bacteria of diphtheria make breathing and swallowing a challenge and destroy the heart, kidneys, and nerves. And the bacteria of pertussis triggers coughing that pose a serious health threat to the elderly.

“The Tdap vaccine can protect you against tetanus and diphtheria by 95 percent, and pertussis by 70 percent,” says Dr. Bautista. “Best of all, it is convenient. You do not need to have the shot annually, just every decade after one shot.”

For more information, please contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow MakatiMed’s social media pages for more health-related content and for the latest updates: https://www.makatimed.net.ph/social-media- pages/

How to Prepare for the Late Stages of Dementia

 

Dementia is a progressive condition that affects millions of individuals and their families worldwide. While the early and middle stages of dementia can be managed with strategies for maintaining independence, the late stages require additional preparation to ensure comfort, safety, and dignity. Here’s how you can prepare for the late stages of dementia, whether for yourself or a loved one.

1. Understand the Progression of Dementia

The late stages of dementia are characterized by severe cognitive decline, loss of physical abilities, and increased dependency on caregivers. During this stage, individuals may lose the ability to communicate effectively, recognize loved ones, or perform basic tasks like eating and walking. Understanding these changes can help you anticipate needs and prepare for challenges. For example, swallowing difficulties are common in late-stage dementia, so consulting a speech therapist or dietitian for recommendations on food textures and feeding techniques is essential for proper nutrition and hydration.

2. Plan for Advanced Care Needs

Late-stage dementia often requires comprehensive care. Creating a care plan in collaboration with healthcare professionals ensures medical, emotional, and physical needs are addressed. It is important to decide whether care will be provided at home, in a specialized care facility, or through hospice services, as each option has unique benefits and considerations. If you choose to move into a care home, select one like the East Street Care Home serving South Molton, as they specialize in dementia care, meaning you will get the best possible experts helping day to day. 

3. Ensure Comfort and Safety

Creating a comfortable and safe environment is essential. If you choose to stay at home, adapting the living space by removing tripping hazards, adding padding to furniture edges, and ensuring wheelchair accessibility can reduce risks. However, if you don’t want to do this, your best option is to move into accommodation that already caters to this.

4. Communicate with Compassion

While verbal communication may decline, emotional connections remain important. Non-verbal communication methods, such as gentle touches, eye contact, and a soothing tone, can convey love and reassurance. Patience is key when engaging with individuals, allowing time for responses and avoiding overwhelming them with too much information, so if you are helping a loved one through this, this is the one thing you should remember. 

5. Address Legal and Financial Matters

It is crucial to address legal and financial issues early to avoid complications later. Establishing power of attorney sooner rather than later ensures a trusted individual is authorized to make healthcare and financial decisions on behalf of the person with dementia. Reviewing advance directives and confirming that documents like living wills and do-not-resuscitate (DNR) orders reflect the individual’s wishes is essential. Researching available benefits, such as Medicaid, long-term care insurance, or veteran’s assistance programs, can help cover care expenses.

6. Support Caregivers

Caring for someone in the late stages of dementia is emotionally and physically demanding. Caregivers should seek respite care to take breaks and recharge through services or family support. Connecting with others through support groups can provide emotional relief and practical advice. 

7. Consider End-of-Life Care

As dementia progresses, end-of-life care becomes an important consideration. Hospice or palliative care services provide comfort-focused care, emphasizing dignity and quality of life during the final stages. Discussing these options with the healthcare team ensures the individual’s needs are met and their wishes respected.

Conclusion

Preparing for the late stages of dementia requires a combination of practical planning, emotional resilience, and compassionate care. By understanding the progression of the condition, addressing advanced care needs, and supporting both the individual and caregivers, navigating this challenging journey can be done with grace and empathy. While the path may be difficult, prioritizing comfort and dignity ensures that the final stages of life are met with respect and love.

Choosing a Care Home: A Comprehensive Guide

 

Making the decision to move yourself or a loved one into a care home is never easy. It's a significant step that involves careful consideration of various factors to ensure the best possible quality of life. With numerous options available, navigating the selection process can be daunting.

This article will explore essential considerations when choosing a care home to help you make an informed decision.

1. Location

The location of the care home is crucial for maintaining connections with family and friends. Consider proximity to loved ones, amenities, and community resources. A location that offers easy access to hospitals, parks, and shops can enhance quality of life and social interaction. When evaluating potential care homes, it's crucial to thoroughly assess facilities such as Vale View Heights Care Home to determine if it aligns with your specific requirements and standards of care.

2. Services and Facilities

Evaluate the range of services and facilities offered by the care home. From medical assistance to recreational activities, ensure that the home can meet your or your loved one's needs. Look for amenities such as 24-hour nursing care, physical therapy, meal options, and transportation services.

3. Staffing and Training

The competence and compassion of the staff play a significant role in the well-being of residents. Inquire about staff-to-resident ratios, qualifications, and training programs. A well- trained and dedicated team can provide personalized care and foster a supportive environment.

4. Safety and Security

Safety is paramount in a care home environment. Assess the safety measures in place, including emergency response systems, secure entrances, and surveillance cameras. Ensure that the facility complies with safety regulations and undergoes regular inspections.

5. Quality of Care

Research the reputation and accreditation of the care home. Look for reviews, testimonials, and ratings from residents, families, and regulatory agencies. Accreditation from organizations such as the Occupational Safety and Health Administration (OSHA) indicates adherence to high standards of care.

6. Cost and Affordability

Financial considerations are an important aspect of choosing a care home. Understand the cost structure, including fees for accommodation, meals, and additional services. Explore payment options such as private funding, insurance coverage, and government assistance programs.

7. Resident Community

A sense of community can greatly enrich the care home experience. Visit the facility to observe interactions among residents and staff. Look for opportunities for socialization, group activities, and outings. A supportive and inclusive community fosters companionship and emotional well-being.

8. Personal Preferences

Consider individual preferences and lifestyle choices when selecting a care home. Whether it's cultural activities, religious services, or dietary preferences, ensure that the home can accommodate specific needs. Personalized care plans that respect autonomy and dignity are essential for a fulfilling experience.

9. Future Planning

Anticipate future needs and changes in health status when choosing a care home. Select a facility that offers a continuum of care, with options for assisted living, memory care, and palliative services if necessary. Flexibility and adaptability are key to ensuring long-term suitability.

10. Gut Feeling

Trust your instincts when visiting potential care homes. Pay attention to the atmosphere, cleanliness, and overall vibe of the facility. Engage with staff, residents, and family members to gauge the sense of warmth and hospitality. Ultimately, choose a care home where you or your loved one feels comfortable, respected, and valued.

In conclusion, selecting a care home requires careful deliberation and research. By considering factors such as location, services, staffing, safety, quality of care, cost, community, personal preferences, future planning, and intuition, you can make an informed decision that promotes well-being and peace of mind. Remember, finding the right care home is about creating a supportive and enriching environment where individuals can thrive and enjoy a fulfilling lifestyle.