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Common cataract causes and treatmentSTAR NEWS GROUP

Cataracts are the most common cause of vision loss among people age 40 and older. According to All About Vision, cat-aracts also are the princi-pal cause of blindness in the world.

There are more cases of cataracts worldwide than there are glaucoma, macular degeneration and diabetic retinopathy, states Prevent Blindness America. Fortunately, cataracts are easily rec-ognized and treated.

WHAT ARE CATARACTS?What are cataracts?A cataract is a cloud-

ing of the lens in the eye that affects vision. The lens is the clear part of the eye that helps focus light — and images — on the retina. The lens must be clear to receive a sharp image. If the lens is cloudy, vision will be blurred.

Cataracts tend to form slowly. Initially, they only affect a small part of the lens, and they’re not very bothersome as a result. However, over time, cataracts can grow and impair vision. See-ing “halos” around lights, fading of colors, sensitiv-ity to light, glare, and the need for brighter light for reading and handling tasks are common symp-toms.

WHAT CAUSES CATARACTS?

Various things, includ-ing aging or injury to the eye tissue, can cause cat-aracts. Prior eye surgery, diabetes, long-term use of steroid medications, and inherited genetic

disorders also can cause cataracts, says the Mayo Clinic. Smoking and al-cohol use as well as con-sistent exposure to UV sunlight also may con-tribute to the formation of cataracts. With aging, the lenses in the eyes become less flexible, less transparent and thicker. Tissues within the lens can break down and clump together, clouding small areas within the lens of the eye, thereby forming a cataract.

Cataracts may be a subcapsular cataract, which occurs at the back of the lens. A nuclear cat-aract forms in the center of the lens. A cortical cataract starts in the pe-riphery of the lens and works its way inward to the center.

TREATING CATARACTS

Cataracts need only be treated if they are af-fecting vision severely or preventing examination or treatment of another eye problem. An eye care professional will discuss with patients if surgery is needed.

The National Eye Insti-tute says surgery is safe and e�ective. In roughly 90 percent of cases, peo-ple who have undergone cataract surgery have better vision afterward. The surgery involves re-moving the clouded lens and replacing it with a clear, artificial one. The procedure is usually done on an outpatient basis and patients typi-cally stay awake during the surgery.

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Five ways to protect hearing every daySTAR NEWS GROUP

The saying “you don’t know what you’ve got ‘til it’s gone” is never more true than in regard to hearing. It’s easy to take hearing for granted, but even momentary hearing loss can highlight how vital it is to protect hear-ing.

People rely on head-phones or earbuds to listen to music, stream movies or participate in work-related meetings more than ever before. Having the volume too loud can contribute to hearing loss over time.

The Centers for Dis-ease Control and Preven-tion says five in 10 young people listen to their music or other audio too loudly. Overall, 48 mil-lion people in the Unit-ed States have trouble

hearing in one or both of their ears. Johns Hopkins Medical Center reports approximately 15 percent of adults 18 years of age or older report some trouble hearing, and the risk of hearing problems increases with age.

Once it’s gone, hear-ing cannot be restored in many cases. To pro-tect hearing and guard against future hearing loss, consider these rec-ommendations.

1. ASK FOR A BASELINE HEARING TEST

It’s easier to measure hearing loss if there is a baseline by which it can be measured. During your annual physical, ask for a hearing test or a re-ferral to an audiologist. This can set the course for monitoring progres-

sion of any future hear-ing loss.

2. WEAR HEARING PROTECTION

There are various types of hearing protec-tion that can filter out

certain levels of sound. Many earplugs, like the ones musicians wear or those worn when at-tending rock concerts, can reduce the sound by approximately 25 dB. Custom fit ear plugs

provide more noise re-duction, in upwards of 35 to 40 dB. They are optimal for high-noise environments, such as when mowing lawns or operating machinery, ac-cording to the hearing loss resource Hearts for Hearing.

3. TURN DOWN THE VOLUMEExperts recommend

adhering to the 60/60 rule when enjoying au-dio through headphones. This suggestion is to lis-ten with the headphones at no more than 60 per-cent volume for no more than 60 minutes a day. Earbuds fit directly next to the eardrum and can be harmful to your hear-ing. If possible, choose over-the-ear headphones instead.

4. HAVE CUSTOM MOLDS MADE

Rather than turning up the volume, people can have custom ear molds made for use with ear-phones, suggests Johns Hopkins. The custom ear molds will block outside noise, allowing for higher quality listening.

5. KEEP YOUR EARS DRYMoisture in the ear can

cause bacteria to grow and potentially lead to infections. Towel-dry ears gently after shower-ing or swimming. Avoid the temptation to use cotton swabs to dry the ears. For the most part, ears are self-cleaning, and using a cotton swab can push wax and cause it to become compacted in the ear canal.


In addition to these tips, discussing hearing health with a doctor is a wise idea.

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How to stay connected with loved ones after moving into

an assisted living facility STAR NEWS GROUP

Start text here Start text hereStart text her-eStart text hereStart text hereDecisions sur-rounding assisted living facilities are not always easy. Men and women may be reluctant to leave their homes while family members may be worried about how their aging loved ones will adjust to life in an assisted living facility. Though modern assisted living facilities cater to residents with an array of needs and inter-ests, the hesitation about whether or not to move into such a facility is un-derstandable.

One of the concerns seniors and their fami-lies may have about as-sisted living facilities is how to remain in touch with loved ones. Thank-fully, staying connected is easier than ever be-fore. That ease of con-nection has been on full display throughout the COVID-19 pandemic, during which aging men and women have been urged to limit contact with people outside their households in an eort to reduce their risk of con-tracting the virus. When the pandemic is in the rearview mirror, seniors can continue to employ various strategies to stay connected with their families after moving into an assisted living fa-cility.

EMBRACE TECHNOLOGYIt’s understandable

that seniors are some-times hesitant to utilize

technology. Having spent much of their lives with-out smartphones and Zoom calls, it may seem like adjusting to a world where such things are now widely utilized will be incredibly difficult. However, modern tech-nology is user-friendly, meaning seniors won’t need much, if any, tech-nical expertise or expe-rience to utilize an as-sortment of devices that can help them stay in touch. Ask a relative to show you the ropes of a new device or request that staff at the facility teach residents the ba-sics of using devices to stay connected with fam-ily. Sta may help set up Zoom calls or help resi-dents learn the ropes of texting.

MAKE A WEEKLY COMMUNICATION COMMITMENT

Work with family members to set up a time each week when you can communicate directly with them. If a family lives nearby, this might take the form of a

weekly family meal at a loved one’s home. If fam-ily lives too far away for routine in-person meals, set up a time each week for a family Zoom call.

CONTINUE TO ENGAGE WITH YOUR INTERESTS

AND FELLOW HOBBYISTSIf you were an avid

reader who loved to dis-cuss and recommend books to your loved ones, then continue to do so after moving into an assisted living facility. Sports fans who bond-ed with their loved ones over a shared passion for a favorite team can keep following their team and discussing the latest big game with their friends and family via email, texts or video calls. Var-ious studies have discov-ered the positive eects that hobbies can have on long-term physical and mental health. Stay-ing engaged with your passions can keep lines of communication open with friends and family and benefit your overall health.


Keeping the lines of communication with loved ones open can help aging men and women as they transition to life in assisted living facilities.

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How to confront the potential onset of memory lossSTAR NEWS GROUP

No two individuals are the same, but many men and women encounter similar changes as they approach their golden years. As adults get clos-er to retirement, their eyeglass prescriptions may need to get a little stronger and their work-outs may need to be a little less intense as their bodies adjust to the phys-ical challenges of aging.

Many changes associ-ated with aging don’t af-fect seniors’ ability to live independently. However, one common concern for older adults is the poten-tial decline of their cog-nitive health, which can compromise their ability to get through their daily lives without some form of assistance.

According to the Na-tional Institute on Aging, many older adults worry about memory loss as they age. The Alzhei-mer’s Association notes that voicing concerns about memory loss can make those worries seem more real. That fear may compel some aging men and women to write o� memory loss as a minor side e�ect of getting old-er. And in many instanc-es, memory loss is not severe and not indicative of the onset of dementia or Alzheimer’s disease. However, the Alzhei-mer’s Association notes how important it is for aging men and women to seek support if they are concerned about their memory or any changes in the way they’re think-

ing or behaving. Doc-tors can be invaluable resources for aging men and women, offering tips on how to confront memory loss and recom-mending strategies that can improve cognitive function.

The Alzheimer’s As-sociation recommends aging adults take a three-pronged approach to memory loss the mo-ment they notice any changes in their memory or behaviors.

1. ASSESS THE SITUATION

Start making a list of any changes you notice each day. Changes could be related to memory, thought patterns or be-haviors. Note anything

that feels abnormal or is causing you concern.

A good assessment also will involve care-ful consideration of any and all potential factors that may be behind your concerns. Is something other than aging going on? Family stress or a re-cently diagnosed medical condition can lead to the same issues many people associate with dementia or Alzheimer’s.

The Alzheimer’s Asso-ciation lists 10 warning signs for Alzheimer’s at www.alz.org/10signs. Fa-miliarize yourself with these signs to see how they line up with how you’re feeling.

Take note of anyone who has shared concerns about your memory loss, thought patterns or be-

haviors. It’s not always easy to hear loved ones express such concerns, but they should not be ignored.

2. HAVE A CONVERSATION

The Alzheimer’s Asso-ciation notes that many people find it helpful to discuss their concerns with a loved one rather than going it alone. Don’t delay such conversations, but try to figure out how you will approach them in advance.

After discussing your concerns with a trusted loved one, ask this per-son to accompany you when you discuss these concerns with your doc-tor. Having a loved one accompany you when visiting the doctor can

calm your nerves, and this person can serve as a backup who can ask the doctor any questions or share any concerns you may forget to ask or bring up.

If a loved one says your concerns sound like normal aging but you still want to seek more support, don’t hesitate to contact another friend or family member.

3. REACH OUT FOR HELP

The Alzheimer’s As-sociation is a reliable source of information that can be accessed online at www.alz.org and over the phone at 800.272.3900. Individuals also can find local re-sources by visiting www.alz.org/CRF.

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Hobbies for seniors residing in assisted living communities

STAR NEWS GROUP

Assisted living facili-ties are a vital resource for aging individuals. Data from the American Health Care Association® and the National Center for Assisted Living® in-dicates that more than 811,000 people reside in assisted living facilities across the United States.

Assisted living facil-ities have changed dra-matically over the years, making them ideal op-tions for adults who may need varying degrees of help with daily activi-ties. Such facilities can help with activities like bathing and preparing meals, but they also can help residents find and explore new or existing hobbies. As individuals adjust to life in assisted living facilities, finding new hobbies or rediscov-ering old passions can be a great way to connect with fellow residents.

READINGReading is a rewarding

activity that can greatly benefit seniors and pro-vide an engaging pastime for those with limited mobility. Many assisted living facilities o�er ac-tivities that are designed to foster communication between residents and a book club can do just that. What’s more, read-ing every day may be especially valuable for people aged 65 and older. A 2018 study published in the journal JAMA Psychi-atry found that dementia risk was considerably lower among men and

women 65 and older who participated in intellectu-al activities like reading than it was among se-niors who did not engage in such pursuits.

GARDENINGAARP notes that gar-

dening provides a host of health benefits that go beyond ensuring fresh fruits and vegetables will be on the dinner table. For example, vitamin D is vital to bone health, which is important for aging men and wom-en who are vulnerable to osteoporosis. A 2014 study from researchers in Italy found that ex-posure to sunlight can help older adults get ad-equate amounts of vita-min D. Signing up for a gardening club can be a great way for seniors to get some exercise, enjoy time outside the assisted living facility and pro-mote strong bones.

ART THERAPYAccording to the Chi-

cago Methodist Senior Services, art therapy is a creative form of therapy designed to help older adults with memory loss or those experiencing mental or physical stress. The Harvard Medical School notes that recent research has indicated that engaging in creative activities may be more e�ective at delaying cog-nitive decline than mere-ly appreciating creative works. A 2014 study from researchers in Germany found that retirees who painted and sculpted had greater improvements in spatial reasoning and emotional resilience than a similar group who at-tended art appreciation classes. Many assisted living facilities o�er art therapy or similar pro-grams to residents, and enrolling in such pro-grams can promote so-


Assisted living facilities offer an array of programs designed to help residents develop rewarding hobbies that can bene-fit their long-term health.

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Exploring hospice and palliative care

STAR NEWS GROUP

The opportunity to live independently is a goal for many people as they plan for retirement. While there’s much peo-ple can do to plan for fi-nancial independence in their golden years, health issues may arise that can make it hard for aging adults to get through the day without a little help.

Palliative care and hos-pice are sometimes mis-taken as the same thing, even though they’re quite di�erent. Learning about each option can help adults identify which

option is best for them should they one day re-quire daily assistance.

PALLIATIVE CAREPalliative care may

be available at any time for individuals with se-rious and potentially life-threatening con-ditions. According to Healthline, palliative care is focused on im-proving the overall well-ness of individuals with serious illnesses, such as Alzheimer’s disease, cancer, COPD, and other chronic illnesses. Since it is based on individuals’ needs, palliative care can

di�er from one person to the next.

WebMD says a palli-ative care program fre-quently aims to ease pain and help with other prob-lems, including improv-ing comfort. It is used in addition to other treat-ments. Palliative care also can help patients and their families if an illness makes it more dif-ficult to get around, leads to depression or adverse-ly a�ects the family, in-cluding caregivers.


Palliative care and hospice are sometimes mistaken as the same thing, even though they’re quite different.

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Exercise ideas for people with mobility issues

STAR NEWS GROUP

Physical activity is vi-tal to overall health. The World Health Organiza-tion says limiting time spent being idle and tak-ing advantage of oppor-tunities to get moving — even if it’s just a little bit of exercise — can go a long way toward improv-ing overall health.

In November 2020, the WHO released new exercise guidelines for people of all ages. Adults should get between 150 and 300 minutes a week of moderate to vigorous aerobic activity, and that includes older adults and those with chronic con-ditions or disabilities.

Individuals with limit-ed mobility due to age or preexisting medical con-ditions may wonder how they can meet the guide-lines for exercise. Those with chronic pain or ill-ness sometimes find that exercising for more than a few minutes can be challenging. Even brief periods of exercise can pay dividends, and there

are various approaches people can take to work around mobility and oth-er issues.

EXPLORE CHAIR EXERCISESJust because you are

seated doesn’t mean you can’t get a workout in. Seated chair exercises can work various muscle groups. Seated arm rows, tummy twists, overhead arm raises, hand squeez-es with a tennis ball, in-ner thigh squeezes, leg lifts and extensions, and many other exercises can be customized to be per-formed in a chair.

WORK OUT IN THE WATER

Exercising in the water can assist with movement and reduce strain on the body. The Arthritis Foun-dation says the water’s buoyancy supports body weight, which minimizes stress on joints and can alleviate pain. Water pro-vides gentle resistance as well — up to 12 times the resistance of air. That means it’s possible to build strength and mus-

cle even just walking or swimming around a pool.

USE RESISTANCE BANDSResistance bands are

like giant rubber bands that can be used to build up strength and flexibil-ity. Resistance bands are effective, low-cost gear that can offer high-im-pact results for building muscle, staying fit and in-creasing mobility. Resis-tance bands can be used in lieu of hand weights for many exercises and be ideal for those who find barbells and dumb-bells are challenging to maneuver.

MIND-BODY EXERCISES ARE AN OPTION

Elder Gym®, a fitness from home service for se-niors, suggests exercises like Tai Chi and yoga for those with limited mobil-ity. These exercises inte-grate awareness of body movement with the exer-cise through coordinated breathing. The exercises encourage people to focus on slow, fluid movements and deep stretching.


Seniors and others with limited mobility are advised to first discuss fitness regimens with a physician to get a green light to proceed. Then exercise regimens can be started grad-ually and altered to become more vigorous as the body acclimates to exercise. Increase duration and frequency as strength and endurance builds.

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Latest treatments for Parkinson’s diseaseSTAR NEWS GROUP

Researchers still have much to learn about Parkinson’s disease. As researchers continue to work hard in the fight against this disease, the lessons they learn may lead to new, innovative treatments.

Parkinson’s disease is a neurodegenerative disorder that a�ects do-paminergic neurons in the substantia nigra area of the brain, according to the Parkinson’s Foun-dation. Even though the disease itself is not fa-tal, Parkinson’s Disease is a serious condition — one which the Cen-ters for Disease Control and Prevention rates as the 14th most common cause of death in the United States due to the disease’s related com-

plications. Parkinson’s Disease symptoms a�ect autonomous functions and the ability to move limbs. The Mayo Clinic notes that most people with Parkinson’s may show little or no expres-sion, speech may become slurred, arms may not swing when one walks, and sti�ness and gait is-sues may become appar-ent. Parkinson’s Disease can affect balance and posture as well.

There is no cure for Parkinson’s Disease, but there are many differ-ent treatments that can slow its progress and reduce symptoms. Web-MD says new treatments for Parkinson’s Disease give individuals contin-ued hope. Here’s a look at some of the potential options.

STEM CELL USAGEStem cells can turn

into any type of cell, and there is hope that they can transform into the dopamine-producing

neurons used to treat Parkinson’s Disease. But there is increased risk of involuntary movement from too much dopa-mine with this treatment.

Stem cell therapy also may present ethical and moral issues with some patients.

GLIAL CELL LINE-DERIVED NEUROTROPHIC FACTOR

TREATMENTResearchers at the

University of Bristol have used robot-assisted neurosurgery to implant a special delivery system that releases a new drug called glial cell line-de-rived neurotrophic fac-tor into the brain cells of Parkinson’s patients. The researchers found that, after 18 months of treatment, all partici-pants showed “moderate to large improvements in symptoms compared to before they started the study.”

PTB PROTEIN THERAPYSenior researcher

Xiang-Dong Fu, a pro-fessor at the University of California, San Diego, studies a protein known as PTB, which influences which genes in a cell are turned on or o�. It also tells the genes within a cell whether they should become neurons or not. Fu found that silencing PTB might produce new neurons in a diseased brain.

DRUG TREATMENTSResearchers are inves-

tigating drugs that block the action of glutamate, an amino acid that de-stroys nerve cells, in ad-dition to the role coen-zyme Q-10 may play in slowing the progression of Parkinson’s Disease.


Parkinson’s disease affects millions of people and may gradually steal movement and expression from a person’s life. New treatment possibilities are continually being explored to improve quality of life and slow down the disease.

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How exercise can help you live longerSTAR NEWS GROUP

There are many rea-sons to get in shape. Weight loss is a prime motivator, as is reversing a negative health eect, such as high cholester-ol or increased diabetes risk. Routine exercise also can improve life ex-pectancy.

WebMD says exercise keeps the body and brain healthy. That’s why exer-cise should be an import-ant component of daily life no matter one’s age.

Research published in the journal Immune Ag-ing found that how peo-ple age is 75 percent life-style and only 25 percent genetics, which under-scores the importance of the lifestyle choices peo-ple make.

CARDIORESPIRATORY FITNESS

Many health experts say that cardiorespira-tory fitness may be just as valuable a metric to determine overall health as blood pressure and lipid levels. People with a high aerobic capacity can deliver oxygen to tis-sues and cells e�ciently to fuel exercise, accord-ing to data published in 2014 in the journal Ag-ing & Disease. In a study involving 11,335 women, researchers compared V02 max, also known as aerobic capacity, in women with mortality data. Women who were fit from a cardiovascular perspective had a lower death rate from all caus-es, irrespective of the women’s weight.

MANAGE STRESS AND MOOD

Exercise has direct stress-busting benefits that can promote lon-gevity. The Mayo Clinic says physical activity can increase the production of endorphins, which are the body’s feel-good neu-

rotransmitters. In addi-tion, exercise can imitate the eects of stress, help-ing the body adjust its flight or fight response accordingly, and help them cope with mild-ly stressful situations. While engaged in exer-cise, people may forget

about their problems as they are focused on the activity at hand.

IMPROVE BONE HEALTHStrength training and

physical activity can stave off the effects of frailty and osteoporo-sis, which affects bone strength. A study pub-lished in the Journal of Internal Medicine in 2017 found that hip fractures are associated with di-minished quality of life and survival among the elderly. One in three adults aged 50 and over dies within 12 months of suffering a hip fracture, and older adults have a five- to eight-times great-er risk of dying within three months following a hip fracture. Building muscle strength, balance and bone density through

exercise can reduce falls and frailty, helping to prevent fracture-related health risks.

ADDRESSES SARCOPENIA

The health and well-ness resource Health-line defines sarcopenia as the loss of muscle mass specifically related to aging. Doctors once considered this muscle loss inevitable, and it can affect stamina and lead to weakness. However, new indications suggest that exercise is the main treatment regimen for sarcopenia, particularly resistance training. This is designed to improve muscle strength and help balance hormone levels by turning protein into energy for older adults.


Exercise keeps the body and brain healthy. That’s why exercise should be an important component of daily life no matter one’s age.

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HOSPICE CAREThe National Insti-

tute on Aging notes that hospice care may be rec-ommended when it is no longer possible to cure a serious illness or when a patient opts out of certain treatments. Like palliative care, hospice provides comprehensive comfort care and family support. However, at-tempts to cure the per-son’s illness are stopped in hospice. Hospice is typically recommended when a person with a ter-minal illness has around six months or less to live.

When people hear “go-ing into hospice” they may think this means en-tering a facility. However, hospice can take place in

many different settings, including at home, in a nursing home, in a hospi-tal, or even a facility that specializes in hospice care.

Both palliative and hospice care bring to-gether a team of health-care professionals with special skills. This team can include doctors, nurses, social workers, therapists, spiritual ad-visors, and trained vol-unteers. Everyone works together to address pa-tients’ emotional, medi-cal and spiritual needs.

The main difference between palliative and hospice care is when each is offered to a pa-tient. Palliative care can be available at any time, regardless of illness stage, prognosis or life expectancy. Hospice care is only available when an

illness is no longer re-sponding to treatment. It is sometimes known as end-of-life care. Howev-er, a person can come out of hospice care should his or her condition be-gin to improve.

Patients and their families can discuss the options of palliative and hospice care with their health care teams. While these types of care have become much more ac-cessible in recent years, they may not be avail-able everywhere. It also pays to ask questions about health insurance coverage to determine if the costs of palliative or hospice care will be covered by a provider. A long-term care policy also may be an option to cover palliative services.

Care options availableCAREFROM PAGE 13

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