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MY NAME IS, CAN YOU HEAR ME? NOT UNLESS SHE'S SPEAKING.
WELL TALK, TALK ABOUT APPRECIATE ANN.
UM, I'M DELIGHTED TO BE HERE TODAY.
ANN SAID WE STARTED TO CORRESPOND BACK WHEN THE PROGRAM STARTED IN 2023.
AND LET ME TELL YOU A LITTLE BIT ABOUT THE PROGRAM.
I'LL TELL YOU A LITTLE ABOUT ME.
I'LL TELL A LITTLE BIT ABOUT FAMILY SERVICES OF WESTCHESTER.
MY NAME IS BARBARA STERN AND UM, I'VE BEEN IN THE FIELD OF EDUCATION FOR A LOT OF YEARS AND THEN I NEEDED SOMETHING NEW.
SO I BECAME A SUBSTANCE ABUSE COUNSELOR FOR OLDER ADULTS.
I WAS PART OF A GRANT PROGRAM FOR FIVE YEARS, UH, AND WORKED IN WESTCHESTER TO HELP PEOPLE, OLDER ADULTS, I DON'T LIKE THE WORD.
WE'RE OLDER ADULTS, UH, FIND RESOURCES IN THE COMMUNITY.
AND AFTER FIVE YEARS I WENT BACK TO COUNSELING, UH, PEOPLE WITH SUBSTANCE ISSUES.
AND THEN I GOT A CALL FROM FAMILY SERVICES OF WESTCHESTER.
THEY RECEIVED THIS GRANT TO DO OUTREACH TO SENIOR CENTERS.
AND UM, I'VE GOTTA TELL YOU, IT'S TAKEN OFF LIKE CRAZY.
UH, JUST TO GIVE YOU AN EXAMPLE, THIS SPRING I HAVE OVER 40 PLACES BOOKINGS TO DO.
AND IT'S ALL ABOUT TOPICS THAT WE THINK ABOUT AS OLDER ADULTS.
MAYBE WE DISCUSS IT WITH FRIENDS, MAYBE WE DON'T.
BUT WE ARE IN A FORTUNATE PERIOD OF TIME BECAUSE I DON'T KNOW ABOUT YOU, BUT WHEN I GREW UP, WHEN I THOUGHT OF SOMEONE WHO WAS AN OLDER ADULT, LIKE MY GRANDMOTHERS WHO IDEALLY LOVED, BUT THEY WERE OLD, WE ARE NOT OLD, RIGHT? I'VE GOT A BIG BIRTHDAY COMING UP AND I'LL TELL YOU ABOUT IT AFTERWARDS.
BUT
AND THIS IS REALLY ABOUT LEARNING.
SO AS I PRESENT, IF YOU HAVE QUESTIONS, LET ME KNOW.
IF YOU HAVE INFORMATION YOU WANT SHARE, LET ME KNOW.
OH, HERE WHERE FRIEND, OKAY, SO CAN YOU HEAR ME? OKAY, THEN I HAVE TO STAY IN PLACE, OKAY? AND THEN I HAVE TO STAY IN PLACE.
TODAY WE'RE GONNA CA TALK ABOUT ME MEDICATION MANAGEMENT.
NOW, I DON'T KNOW ABOUT YOU, BUT WHEN I GO TO THE DOCTOR, GUESS WHAT? IF YOU DON'T LEAVE WITH A PRESCRIPTION, SOMETHING'S A MATTER WITH YOUR VISIT, RIGHT? AND SO IT'S ONE MEDICATION, TWO MEDICATIONS.
OH, I USED TO BE ABLE TO HANDLE THAT VERY WELL, BUT YOU KNOW WHAT IT BECAME? UM, OH, I SEE HOW YOU'RE DOING IT.
IT BECAME MORE AND MORE AND THEN THERE WERE SUPPLEMENTS.
SO NOW I DIDN'T BRING IT WITH ME.
AND I OFTEN DO, I HAVE TWO CASES THAT I KEEP.
ONE FOR SUPPLEMENTS, ONE FOR MEDICATION, ONE.
I HAVE TO REMEMBER TAKING THE MORNING THAT AT NIGHT TO TAKE THE OTHER, I ASKED THE DOCTOR THE OTHER DAY WHEN I WENT, WHEN SHOULD I TAKE THIS? WILL YOU TAKE IT WITH FOOD? SOMETHING'S IN THE MORNING, SOME THINGS IN THE EVENING WE'RE LOADED DOWN.
AND IT STARTS OUT SIMPLY ENOUGH.
AND THIS IS HOW IT STARTED WITH ME.
YOU TAKE A STATIN, THAT WAS FOR THE HEART.
AND MY FATHER DIED YOUNG FROM HEART DISEASE.
SO, OKAY, TAKE A STATIN TO MANAGE YOUR CHOLESTEROL OR, OR A CALCIUM BLOCKER.
WELL GUESS WHAT? I'M TAKING A STATIN
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AND A CAL AND A UH, SOMETHING TO LOWER THE BLOOD PRESSURE.THEN YOU MIGHT NEED ANOTHER DRUG TO HELP CONTROL THE SIDE EFFECTS FROM THE MEDICATION.
OVER TIME, YOU MIGHT NEED ADDITIONAL MEDICATION TO TREAT OTHER HEALTH CONDITIONS, OR YOU MIGHT TAKE VITAMINS OR OTHER SUPPLEMENTS.
SO WHAT'S HAPPENING, I, I DON'T KNOW ABOUT YOU, BUT TRIPS TO PICK UP YOUR MEDICATION.
AND I'VE EVEN FOUND THAT I HAVE TO SHOP A BIT FOR SOME DRUGS ARE COVERED FULLY, BUT I HAD ONE ISSUE LAST YEAR WHERE CVS TOLD ME IT WAS A HUNDRED DOLLARS.
WELL, I DIDN'T LIKE THAT UNTIL SOMEONE SAID TO ME, THERE'S AN INDEPENDENT PHARMACY AND IT WAS HALF THE PRICE.
SO I'VE NEVER THOUGHT BEFORE THAT YOU HAVE TO SHOP AROUND.
OKAY? AS I SAID BEFORE, SOME PILLS NEED TO BE TAKEN ONCE A DAY, OTHERS TWICE A DAY.
I HAVE ONE THAT YOU TAKE ONCE A WEEK AND YOU CAN'T EAT FOR A HALF HOUR.
AND I HAVE TO REMEMBER TO TAKE IT ONCE A WEEK EVEN THOUGH IT'S IN MY PILL CONTAINER.
AND OTHERS WORK BEST WITH FOOD OR A FULL GLASS OF WATER.
AND I ALSO, I DON'T KNOW ABOUT YOU, BUT SOME MORNINGS I'M LIKE, I'M NOT THAT HUNGRY.
WELL, YOU BETTER HAVE SOMETHING TO EAT BECAUSE YOU'RE GONNA TAKE YOUR PILLS.
SO WE WE'RE MORE, WE'RE MORE MINDFUL.
SO MANAGING ALL THESE DIFFERENT MEDICATIONS IN THE SKIN,
SO WHAT ARE WE GONNA DO ABOUT IT? WHAT ARE WE GOING TO DO ABOUT IT? AND YOU KNOW, WHEN I PRESENTED THIS TO UH, ANOTHER COMMUNITY, THEY HAD SOMEONE COME FROM AN INDEPENDENT PHARMACY, WHICH WAS INTERESTING, AND TALK ABOUT FROM A PHARMACIST'S POINT OF VIEW WHAT'S HAPPENING.
UH, WE KNOW IT'S IMPORTANT TO KEEP YOUR MEDICATIONS ORGANIZED AND TAKE THEM ON SCHEDULE IN ORDER TO MINIMIZE INTERACTION BETWEEN DRUGS AND REDUCE SIDE EFFECTS.
I RECENTLY QUITE HONESTLY HAD AN INFECTION AND THIS HAS BEEN A RECURRING INFECTION, BUT I ALSO, SOME NIGHTS, I DON'T KNOW ABOUT YOU, I WAKE UP AT THREE O'CLOCK AND I HAVE TROUBLE GOING BACK TO SLEEP.
SO THERE ARE NIGHTS WHEN I WOULD TAKE MELATONIN AND I'M WONDERING, WHY AM I GETTING THESE INFECTIONS? WELL, I LOOKED IT UP AND MELATONIN MAKES YOU GO TO THE BATHROOM, MAKES YOU GO TO THE BATHROOM, CAUSES THE INFECTION.
SO WHAT WAS I DOING? I WAS PING PONGING WITHOUT KNOWING IT.
AND SOMETIMES I FIND IF YOU ASK THE PHARMACIST ABOUT THE INTERACTIONS, THEY CAN BE VERY HELPFUL.
I DON'T KNOW ABOUT YOU, BUT FOR ME, THE MEDICAL GROUP I BEGIN BE BELONG TO HAS GOTTEN BIGGER AND BIGGER.
BOTH MY HUSBAND AND MY DOCTORS RETIRED THIS YEAR.
YOU'RE LUCKY TO GET A DOCTOR, RIGHT? MY DOCTOR SENT A LIST OF, I THINK IT WAS EIGHT OF WHICH ONLY TWO WERE MDS.
THE REST WERE NURSE PRACTITIONERS.
AND TO GET AN APPOINTMENT IS NOT AN EASY THING.
AND I LOOKED IT UP AND THERE WAS ONE APPOINTMENT, EIGHT 30 IN THE MORNING.
DO YOU THINK I GRABBED IT? YOU BET.
AND WHEN I WENT TO THE DOCTOR, I SAID, WILL YOU TAKE, ARE YOU TAKING NEW PATIENTS? AND SHE SAID, WELL, WE'RE I'M ALL FILLED UP.
I SAID, WELL, COULD YOU PLEASE TAKE ME? AND SHE SAID, OKAY.
THEN SHE SAID, IF YOU NEED YOUR ANNUAL CHECKUP, YOU'LL HAVE TO GO TO A NURSE PRACTITIONER.
SHE SAID, BUT LET ME TELL YOU WHEN YOU, WHEN YOU HAVE THAT APPOINTMENT, IMMEDIATELY AFTER, MAKE AN APPOINTMENT
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WITH ME FOR THE FOLLOWING YEAR.HOW DO I KNOW WHAT'S GONNA BE TWO YEARS OUT? SO WE, I, I DON'T MEAN TO SOUND NEGATIVE, BUT WE HAVE TO MORE AND MORE AND MORE BE IN CHARGE OF OUR OWN HEALTH.
OKAY? UH, AS ONE OF THE, UH, ASSISTANTS SAID TO ME, IT'S NO LONGER A PRACTICE THAT WE WERE USED TO.
SO WE HAVE TO BE ABLE TO ASK THE GOOD QUESTIONS.
OKAY? SO WHAT ARE YOU GONNA DO? REMEMBER TO TAKE THE MEDICATION AT THE RIGHT TIME.
WHAT IS THE RIGHT TIME? WHAT IS THE RIGHT TIME? IT DEPENDS ON THE MEDICATION, RIGHT? SO WHEN YOU GET UP IN THE MORNING AND YOU GO TO THE BATHROOM AND BRUSH YOUR TEETH, SOMETIMES THAT'S THE RIGHT TIME TO TAKE IT.
SOMETIMES YOU MIGHT MAKE YOURSELF A CUP OF COFFEE IN THE MORNING.
AND IF YOU'RE LIKE ME, I LIKE AN ORANGE IN THE MORNING SO I HAVE SOMETHING TO EAT IN MY STOMACH, THEN I CAN TAKE FOR MEDICATION, OKAY? THE OTHER RIGHT TIME IS WHEN I GO TO BED AT NIGHT.
SO I'M BACK, I'M BACK IN THE BATHROOM BRUSHING MY TEETH.
BUT SOMETIMES I'M REALLY TIRED.
OKAY, QUICK TAKE YOUR MEDICATION.
OKAY, SO IF I SAID TO YOU HOW MANY PEOPLE TAKE ONE MEDICATION? YOU, YOU ARE WONDERFUL.
HOW MANY TAKE TWO, MEDICATE TWO PILLS.
AND QUITE HONESTLY, THERE COULD BE CALCIUM, THEN THERE CAN BE VITAMIN C.
AND THEN THERE CAN BE, YOU KNOW, SOMETHING UH, FOR THIS OR FOR THAT.
OKAY, TAKE YOUR MEDICATIONS AT THE RIGHT TIME, BUT YOU ALSO HAVE TO ASK.
SOMETIMES WHEN YOU GO TO THE DOCTOR, THEY GO OVER, OH WAIT A MINUTE, WE CAN REDUCE THIS.
SO THEY'RE GONNA GO OVER IT AND THE SPECIAL INSTRUCTIONS CAN BE CONFUSING.
SO I FIND MORE AND MORE I NEED TO NOT TRUST MY MEMORY, BUT SOMETIMES WRITE IT DOWN WHAT THEY'RE SAYING.
I GOT CONFUSED THE OTHER DAY BECAUSE THE STATIN ALWAYS LOOKED LIKE THIS.
BUT THEN THEY MUST HAVE GIVEN ME A NEW GENERIC THAT LOOKED SMALLER AND LOOKED LIKE THE BLOOD PRESSURE PILL.
SO I SAID TO MYSELF, I'M NOT SURE WHICH IS RICH UNTIL I LOOK CLOSER AT IT, AT THE MARKINGS ON IT TO BE ABLE TO TELL OR LOOK AT THE BOTTLE.
YOUR DIFFERENT COLOR, DIFFERENT SHAPE.
I'VE GONE ON AND GOOGLED IT TOO BECAUSE IT CAN BE CONFUSING.
AND I ALSO LOOK AT THE MARKINGS, WHICH ARE VERY SMALL WILL, WHICH WILL SOMETIMES BE SIMILAR.
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OH NO, WHERE THAT'S GOING FORWARD.KEEP ORGANIZED, CHALLENGING WHAT TO DO.
HERE WE ARE MEDICATION NAMES AND JUST WHAT YOU WERE SAYING, ANNE CAN BE DIFFICULT TO REMEMBER OR PRONOUNCE.
YOU KNOW, YOU GO OUT WITH FRIENDS AND SOMEONE WILL SAY, WELL I TAKE THE STATIN OR WHAT STATIN DO YOU TAKE? WELL, I TAKE CRESTOR.
WELL, YOU TAKE THIS AND IN THE BEGINNING I REMEMBER THERE WERE LEG CRAMPS ASSOCIATED WITH THE STATINS UNTIL THEY GOT IT STRAIGHTENED OUT.
UM, AND THE OTHER IS MEDICATION NAMES CAN BE DIFFICULT TO REMEMBER OR PRONOUNCE.
PRONOUNCE IS TRULY DIFFICULT BECAUSE THE DOCTOR SAYS, WELL WHAT ARE YOU TAKING? OH, I'M TAKING RVAS STATIN.
THAT JUST POPPED INTO MY HEAD NOW.
BUT IF YOU ASK ME AN NOW AN HOUR, AN HOUR FROM NOW, I'D SAY, WAIT A MINUTE, SOMETHING LIKE THAT.
I DO KEEP A LIST AND YOU KNOW, SOMEONE SAID TO ME, AND IT'S TRUE, KEEP IT ON YOUR PHONE.
TAKE A PICTURE OF YOUR MEDICATIONS AND KEEP THAT ON YOUR PHONE BECAUSE IT'S ALWAYS THERE.
LIKE HOPEFULLY YOU TAKE A PICTURE OF YOUR DRIVER'S LICENSE TOO.
AND SOMETIMES THE D THE ME, THE GROUP I GO TO HAS RECENTLY CHANGED THEIR RECORDING HOW THEY CHART EVERYTHING.
AND WHEN I WENT, THEY NEEDED THE CARD.
WELL, I HAD IT AT HOME AND I SAID TO MYSELF, I BETTER START TAKING PICTURES OF EVERYTHING.
AND I DON'T KNOW ABOUT YOU, BUT MY KIDS, THEY TAKE PICTURES OF EVERYTHING.
DO I THINK TO TAKE A PICTURE? NOT NECESSARILY WE'RE GETTING THERE.
PATIENCE, BUT YOU KNOW, UM, WE ALSO WILL GO INTO THAT.
UH, BUT PART OF PAIN MANAGEMENT IS KNOWING WHEN TO TAKE YOUR PILLS.
OKAY? SO YOU, AS I SAID, DON'T LIKE TAKING SO MANY PILLS.
SOMETIMES THE PILLS CAN MAKE YOU FEEL FULL AND YOU'RE SUPPOSED TO BE EATING WITH THE PILLS.
SO THERE'S A YIN AND A YANG THERE.
UM, AND SOMETIMES YOU DON'T SEE THE EFFECT LIKE, OH MY GOD, YOU MENTIONED PAIN.
I DON'T FEEL THAT MUCH BETTER.
I DON'T KNOW WHAT THIS IS, BUT WE'LL GET RID OF THIS.
UH, SO LET US TALK ABOUT TECHNIQUES TO ENSURE THE MEDICATION IS TAKEN ON TIME.
USE MEDICATION BOXES OR PILL ORGANIZERS.
OKAY? KEEP TRACK OF THE MEDICATION.
DEDICATE A SPACE TO MEDICATION MANAGEMENT.
I THINK THAT'S VERY IMPORTANT.
I KEEP IT IN THE BATHROOM NEXT TO THE SINK.
SOME PEOPLE KEEP IT IN THE KITCHEN, SOME PEOPLE KEEP IT BY THEIR BEDSIDE.
OKAY, WATCH OUT FOR PRESCRIBING CASCADES.
AND REMEMBER THAT OUR BODIES ARE CHANGING SO THE DOSES MAY CHANGE AND WE HOW YOU FELT WITH ONE.
MAYBE YOU'RE NOT GETTING THE FULL IN UH, EFFECT OF IT OR MAYBE IT'S TOO MUCH.
SO DECIDE WHAT YOUR OPTIONS ARE FOR TREATING AND WHAT YOU WANNA DO ABOUT IT.
WHAT ARE COMMON MEDICATION ERRORS? TAKING THE MEDICATION TWICE.
USING THE INCORRECT DOSING ROUTE.
TAKING SOMEONE ELSE'S MEDICATION.
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MEDICATION TO SAY, OH, I HAVE THIS.IS ANYBODY TAKING IT? NO, NO, NO.
I WILL TAKE IT TO THE, USUALLY THE POLICE HAVE A DISPOSAL.
OKAY? AND WE USED TO HAVE IN MOUNT KISCO, PIL GIVE BACK BAY AND SOMETIMES TAKING THE MEDICATION TOO CLOSE TO EACH OTHER.
SO WHAT ARE THE MISTAKES? I DON'T KNOW IF YOU CAN READ IT.
THE DOCTOR TOLD ME TO TAKE IT, SO I'M TAKING IT.
WHAT IS IT FOR? UH, CALL BEFORE YOU POINT, UH, YOU POISON YOURSELF AND ADD YOUR OWN LABELING.
SOMETIMES YOU DO HAVE TO ADD YOUR OWN LABELING TO REMIND YOU WHAT IT'S FOR.
SO THE OLDER WE GET, THE MORE LIKELY WE ARE TO USE MORE PRESCRIPTION AND NON-PRESCRIPTION MEDICATION.
DO WE AGREE AS WE AGE? PHYSICAL CHANGES CAN AFFECT THE WAY OUR BODY HANDLES MEDICATIONS AND HOW THE MEDICATION WORKS IN OUR BODY.
EVEN IF THEY'VE WORKED WELL OVER THE YEARS.
MAKE SURE YOU, WHEN YOU GO AND SEE THE DOCTOR, AND USUALLY THEY DO GO OVER ALL THE MEDICATIONS AND, AND THE DOSAGE AND BE IN CHARGE OF YOUR BODY.
AND YOU CAN ALWAYS, ALWAYS ASK QUESTIONS.
NOW I WANNA GET TO THE PAIN, UH, MEDICATION, UH, BECAUSE THAT IS A DIFFERENT AND WHY CAN'T I CLOSE THAT? THANK YOU.
YOU KNOW, THEY HAVE THESE POPUPS THAT YOU DIDN'T, UH, OKAY, PAIN MEDICATION, WHO HAS PAIN, RIGHT? AND THIS IS FUNNY, THIS WEEKEND THERE WAS A BIG FAMILY AFFAIR AND A LOT OF YOUNG KIDS AND THEY HAD MUSIC AND A DJ AND DANCING.
NOW I'VE HAD PAIN IN MY LOWER BACK AND I'VE BEEN VERY CAREFUL OF WHAT I'M MOVING.
BUT WHEN I HEARD THE MUSIC, I STARTED GOING LIKE THIS AND I HAD A REALLY GOOD TIME.
AND GUESS WHAT I DISCOVERED? I FELT BETTER THE NEXT DAY BY MOVING, I FELT BETTER.
AND HERE I'VE BEEN SAYING, BE CAREFUL.
AND MY BODY JUST NORMALLY WENT LIKE THAT.
'CAUSE I LIKE TO DANCE AND IT DID HELP.
OKAY, SO LET'S LOOK OVER HERE.
PAIN MANAGEMENT FOR OLDER ADULTS CAN INCLUDE MEDICATION, PHYSICAL THERAPY AND NON-PHARMACOLOGICAL TREATMENTS.
OKAY, WHO HAS GONE TO PHYSICAL THERAPY? DID I GO YESTERDAY? YES.
DID I SAY TO THEM YESTERDAY? I'M FEELING MUCH BETTER AND I'M CONCERNED ABOUT USING UP MY NUMBER OF VISITS THAT YOU CAN GET A YEAR.
AND UM, ACTUALLY MY HUSBAND'S GONNA HAVE HIS HIP REPLACED AND THE DOCTOR SAID TO HIM WHEN HE SAW HIM SAVE YOUR VISITS FOR AFTER THE SURGERY.
AND IT MADE ME THINK ONE YEAR I RAN OUT OF VISITS.
HOW MANY VISITS DO YOU HAVE THAT YOU HAVE ENOUGH TO LAST YOU? PAIN IS ONE OF THE MOST WIDELY SYMPTOMS, UH, CITED SYMPTOMS UNDERLYING DISABILITY.
WHEN YOU GET TOGETHER WITH YOUR FRIENDS, DO YOU TALK ABOUT PAIN? SOMETIMES I HAVE A FRIEND WHO, AND I HATE THAT QUESTION.
HOW ARE YOU FEELING TODAY? EVERY TIME YOU GET, SHE CALLS.
HOW ARE YOU FEELING TODAY? DON'T ASK ME.
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ME BECAUSE I DON'T WANT THIS TO BE A CONVERSATION OF THIS HURTS, THAT HURTS, THIS HURTS.THAT'S, IS THAT A DOWNER? YES.
PAIN IS, WE KNOW IS AN UNPLEASANT SENSORY EMOTIONAL EXPERIENCE AND IT MIGHT BE ASSOCIATED WITH ACTUAL OR POTENTIAL TISSUE DAMAGE.
OKAY? OR IT CAN BE, AND WE'LL GET INTO THAT MUSCULAR AS WELL.
THERE ARE FOUR MAJOR TYPES OF PAIN, ACUTE PAIN THAT CAN BE CURED IN MINUTES OR MONTHS.
OKAY? CHRONIC PAIN, I BET IF I SAID WHO'S HAD CHRONIC PAIN THAT LASTS MORE THAN SIX MONTHS AND VARIES FROM SEVERE TO MILD ON A DAILY BASIS, YES, WE'RE IN THAT GROUP.
NEUROPATHIC PAIN, WHICH IS ASSOCIATED WITH NERVE DAMAGE OR, AND I HAVE TROUBLE PRONOUNCING THIS, NO SUSCEPTIVE PAIN, TISSUE DAMAGE.
SO IT'S IMPORTANT TO KNOW WHAT TYPE OF PAIN YOU ARE EXPERIENCING.
OKAY? UH, AS I SAID BEFORE, LET ME MOVE THIS UP.
ACUTE PAIN CAN BE CURED IN MINUTES OR MONTHS.
IT'S OFTEN ASSOCIATED WITH SURGERY, BONES, ET CETERA.
AND I BET A LOT OF OF US ARE TALKING ABOUT THE CHRONIC PAIN THAT IS LONGER AND DURATION.
IT'S THE KIND OF PAIN THAT WHEN YOU WAKE UP IN THE MORNING, YOU SAY, HOW AM I FEELING TODAY? THEN YOU PUSH ON WITH THE DAY.
IT CAN BE CONSTANT OR INTERMITTENT.
IT'S OFTEN DUE TO HEALTH CONDITIONS.
IT CAN GO OVER MANY MONTHS OR YEARS.
BUT WHAT ARE THE MAJOR TYPES OF PAIN? THE TWO MAJOR TYPES OF PAIN IS THE NEUROPATHIC PAIN DUE TO NERVES OR OTHER PART OF THE NERVOUS SYSTEM.
THAT'S THE SHOOTING, STABBING, BURNING, PAIN.
IT FEELS LIKE PINS AND NEEDLES.
IT IS A COMMON TYPE OF CHRONIC PAIN.
YOU COULD HAVE GOOD DAYS AND NOT SO GOOD DAYS.
YOU COULD HAVE DAYS RELATED TO THE WEATHER, RAINY, OH, I DON'T FEEL SO GOOD.
OR YOU CAN HAVE SUNNY DAYS WHERE, HEY, I'VE GOT A BURST OF ENERGY, I'M FEELING MUCH BETTER.
THE NOCICEPTIVE PAIN IS DAMAGED TO THE BODY TISSUE AND THAT'S OFTEN YOUR SHARP ACHING, A THROBBING PAIN AND IT'S CAUSED BY AN EXTERNAL INJURY TO THE JOINTS, MUSCLES, ET CETERA.
HOW DO YOU MANAGE PAIN? HOW DO YOU MANAGE PAIN? WHAT? TAKE YOUR MEDICATION? DOES IT MAKE YOU FEEL BETTER ALL THE TIME.
I'M GLAD YOU SAID THAT BECAUSE I AM A YOGA PERSON AND I'VE DONE YOGA FOR MANY, MANY, MANY, MANY YEARS AND I SAY IT'S THE BEST THING THAT I CAN DO FOR MY MIND AND MY BODY SOMETIMES JUST LYING THERE WHEN I FINISH, LIKE I WENT YESTERDAY,
ALL THAT TENSION I WALKED IN WITH WENT AWAY BODY WISE, YOU KNOW THAT ACHE OVER HERE, I'M NOT FEELING THAT AS MUCH.
SO I TOTALLY, TOTALLY AGREE WITH YOU.
UM, CHRONIC PAIN SOMETIMES CAN AFFECT EVERY ASPECT OF YOUR LIFE.
IT CAN MAKE YOUR DAY HARDER AND HARDER TO LIVE WITH.
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AFFECT MENTAL AND EMOTIONAL HEALTH.YOUR ATTITUDE, HOW YOU FEEL IF YOU ARE IN PAIN.
DO YOU WANNA BE WITH SOMEBODY ALL THE TIME? NOT NECESSARILY.
I WANT, AND THAT'S SOMETIMES THE WORST THING BECAUSE THE PAIN STAYS WITH YOU LONGER AND LONGER.
LET'S MOVE ON AND TALK ABOUT THAT.
MOST PAIN IS A NORMAL RESPONSE TO INJURY OR ILLNESS AND DOESN'T REQUIRE A TRIP TO THE DOCTOR.
BUT HOW WILL YOU KNOW IF YOUR PAIN IS A SIGN OF SOMETHING SERIOUS? YOU KNOW, AN EXAMPLE JUST COMES TO MY MIND.
WE HAD DINNER WITH OUR DAUGHTER LAST NIGHT AND SHE WAS TALKING TO ME EARLIER ABOUT SHE FLEW UH, AND HER EAR WAS ALL CLOGGED UP AND I SAID, OH, I HAVE SOMETHING FOR THAT.
AND SHE WASN'T HELPING AND SHE FINALLY WENT TO THE DOCTOR AND HE SAID, YOU'VE GOT QUITE AN INFECTION GOING THERE.
SO YOU HAVE TO KNOW WHEN TO GO TO THE DOCTOR, WHEN NOT MY KIDS ALSO LAUGH AT ME BECAUSE IN THE WINTER WE SPEND TIME, OUR TWO BOYS LIVE IN CALIFORNIA OUT THERE AND THEY SAY THERE'S NO TRIP TO CALIFORNIA WITHOUT MOM GOING TO URGENT CARE.
AND I REMEMBER WHEN URGENT CARE FIRST STARTED, IT WAS UNIQUE.
AND I'LL ALSO SHARE WITH YOU A STORY.
NOT THIS YEAR, THE YEAR BEFORE I HAD SOMETHING GOING ON AND I WENT TO URGENT CARE AND I, THEY DID SOME TESTS AND I WAITED FOR A CALL BACK AND I CALLED THEM UP AND I SAID, YOU KNOW, WHAT ARE THE RESULTS? OH YOU CAN GO TO THE PORTAL.
AND I SAID, I'M A SENIOR AND I DON'T DO PORTALS.
WILL YOU PLEASE HAVE SOMEONE CALL ME? VERY NICELY, NEVER HEARD CALL BACK, CALL.
FINALLY THE THIRD DAY SOMEONE DID CALL.
BUT THE PORTALS NOW THAT I'M SURE ON SOME LEVEL THEY'RE WONDERFUL, BUT THE PORTAL THAT I USE NOW IS A TWO STEP PROCESS.
SO YOU HAVE TO LOG IN, THEN YOU GET A CODE BACK, THEN YOU PUT THE CODE IN, THEN YOU HAVE TO FIGURE WHAT THE MESSAGE WAS AND WHERE TO GO AND GET IT.
AND I USED TO BE PRETTY GOOD AT IT TO MAKE AN APPOINTMENT IN THE PORTAL OR GET THE RESULTS.
BUT NOW I DON'T KNOW WHERE TO NAVIGATE THE PORTAL.
OKAY? IF YOU FALL ASLEEP IN AN AWKWARD POSITION, NECK OR BACK PAIN, I THINK WHAT I'M SAYING IS DISCRIMINATING BETWEEN NORMAL PAIN AT THIS AGE OR SEVERE PAIN WHERE DON'T WAIT TOO LONG TO GIVE A CALL OR GO TO URGENT CARE TREATMENT.
OKAY? MOST UH, RECOMMENDATIONS ARE FOR TYLENOL OVER AGILE.
DID YOU KNOW THAT? OKAY, WANNA MAKE SURE YOU KNOW IT.
ADVIL CAN BE TOUGH ON YOUR STOMACH.
PAIN MANAGEMENT TIPS FOR US INCLUDE EXERCISE, WHICH YOU MENTIONED OR STRETCHING OR WHATEVER YOU DO.
AND SOMETIMES YOU CAN WORK IT IN IN THE MORNING WHEN YOU GET UP, DO YOUR STRETCHES.
HEATING, COLD THERAPY, HEATING PAD OR AN ICE PACK.
I LOVE EXERCISE AND I'M GLAD TO HEAR YOU OFFER IT HERE.
WALKING, SWIMMING, RIDING, UH, STATIONARY BIKE.
AND GUESS WHAT? OOPS, IT'S GOING TO BE BEAUTIFUL OUT.
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AREA.TAKE A WALK ALONG THE HUDSON, TAKE A WALK UP AND DOWN THE STREET.
SOMETIMES TAKE A WALK IN THE NEIGHBORHOOD AND YOU KNOW WHAT? THE DAYS ARE LASTING LONGER SO WE'LL BE EVEN ABLE TO TAKE A WALK AFTER DINNER.
STRENGTH TRAINING IMPORTANT, BUT BE CAREFUL.
I THINK PART OF MY BACK PROBLEM WAS I WAS IN A CLASS, THE GUY IS VERY MILITARISTIC AND HE'S ALWAYS YELLING AND I WAS DOING IT AND IT WASN'T GOOD FOR ME.
TAI CHI IS WONDERFUL FOR VALANCE.
IT'S NOT REALLY THAT AVAILABLE.
OH MY GOD, ARE YOU LUCKY? WOW.
WE STARTED, WENT TO THE Y, MY HUSBAND AND I FOR IT YEARS AGO WHEN WE GOT HOME, WE LOOKED FOR A PLACE THAT HAD TAI CHI.
WOW, ARE YOU LUCKY? THAT'S A WONDERFUL, WONDERFUL EXERCISE.
NOT ONLY FOR THE BODY BUT FOR THE MIND.
OOH, IT MIGHT BE WORTH A TRIP HERE.
HEAT PACKS HELP WITH CHRONIC MUSCLE.
COLD PACKS HELP REDUCE THE SWELLING.
SOMETIMES YOU GOTTA JUST SIT THERE, LET IT OUT.
THAT'S A MACHINE THAT TELLS YOU HOW YOU'RE FUNCTIONING.
OKAY, SO YOU ASKED ME BEFORE ABOUT PAIN MANAGEMENT TIPS.
IS THAT YOUR GOALS, USE YOUR RESOURCES FOR SAFE MEDICATION USE.
THE PHARMACIST KNOWS THE MEDICATION AND THEY KNOW THE INTERACTION.
SOMETIMES IF YOU HAVE AN ILLNESS IT'S SOMETIMES IT CAN BE VERY HELPFUL TO BE PART OF A SUPPORT GROUP FOR THAT.
SO WHAT'S THE THREE PS OF PAIN MANAGEMENT CASE? YES.
YOU KNOW, THAT'S A GOOD QUESTION BUT I'M NOT AWARE OF IT.
UH, I KNOW BECAUSE I WAS IN CALIFORNIA FOR THE WINTER, YOU KNOW, YOU SEE A LOT OF THESE ALTERNATIVE THINGS.
DOES IT HELP? DOES IT HELP YOU RELAX? IT CAN.
OH BOY, I DON'T WANNA GO THERE.
MEDICAL MARIJUANA CONSULTS YOUR DOCTOR, YOU NEED A PRESCRIPTION FOR IT.
BUT I DO KNOW PEOPLE, SOME PEOPLE SAY, HEY, IT'S VERY, VERY HELPFUL.
I'M NOT GOING TO
I'M NOT THE KNOWLEDGEABLE PERSON ABOUT IT, BUT, AND IT COMES IN DIFFERENT FORMS THESE DAYS.
UH, BUT I WOULD CONSULT WITH SOMEBODY AT, NOT NECESSARILY GO INTO A CANNABIS SHOP, BUT TALK WITH YOUR DOCTOR ABOUT IT.
SO THE THREE PS OF PAIN MANAGEMENT, PACING PREVENTION AND PR PRACTITIONERS, YOU KNOW, THAT GO SLOW.
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HAVE ONE BODY KIND TO.