Diabetes is a disease that prevents the body from producing or properly using insulin. Insulin is an essential hormone that helps the body convert sugar, starches, and other food into energy needed for everyday life.
There are four primary types of diabetes —type 1, type 2, gestational and pre-diabetes. With type 1, the body is unable to produce insulin, whereas with type 2, the body is resistant to insulin and not able to use it properly. Gestational diabetes causes insulin levels to increase in some pregnant women and pre-diabetes is a condition that occurs when the blood glucose levels in a person's body are higher than normal, but not quite so high for a diagnosis of type 2 diabetes.
Hebrew SeniorLife has a new Executive Director of Home and Community-Based Services, Maureen Bannan, RN, MA. I recently spoke with Maureen about her experiences working in health care and her vision for Hebrew SeniorLife.
Can you share a little bit about your experience in home and community health services?
With aging there are many diseases that may impact quality of life and lead to eventual death. The end stages of Alzheimer’s disease, or other advanced illnesses can be challenging for patients and their families. At Hebrew SeniorLife we find that family members are looking to doctors and nurses to help their loved ones in what may be the end-stage of life. Palliative care, while similar to hospice, is offered to patients earlier in the disease process and provides specialized medical treatment to manage symptoms. Often times pneumonia, delirium and eating problems accompany the terminal disease, and palliative care can help cope with those complications and improve quality of life for patients.
Hebrew SeniorLife Hospice Care volunteer Bill Shulman comes from a family with deep roots in Boston’s Jewish Community and a connection to Hebrew SeniorLife that spans generations. I sat down with him recently to learn about his experience as a hospice volunteer.
JD: There are many volunteer opportunities in Boston. What motivated you to become an HSL Hospice Care volunteer?
Yom Kippur is referred to in the book of Leviticus as sabbath of sabbaths, and the double use of the word communicates a completely restful Shabbat, the Shabbat of all Shabbats. Rosh Hashana, the 7 days in between, and Yom Kippur are a time of reflecting on our lives. We literally pause, stop in our tracks, to assess, and recalibrate. The prayers, songs, and time in community are all ways to support our process of deep reflection — and in that time of suspension, we experience what the Torah understands to be a Shabbat shabbaton, a time of complete rest.
Vision loss is a common concern for my patients as they get older, and something that I discuss often with the residents I see at Hebrew Rehabilitation Center in Boston. One of the most common causes of vision loss for those over age 60 is age-related macular degeneration (AMD). It accounts for 90 percent of new cases of legal blindness in the U.S. Here’s what you need to know to recognize, prevent, and treat AMD.
As a newly trained attending physician, I vividly remember several patients who became extremely confused during their stay at the hospital. They were disoriented, and had problems with attention and memory. I realized that something was wrong. What was causing their confusion? They were all older adults and had been admitted for different conditions such as congestive heart failure, pulmonary disease, and cancer.
Did you know that falls are NOT a normal part of aging, and most falls can be prevented? Hebrew SeniorLife works throughout Massachusetts and in our own senior living communities to educate seniors about this fact through our evidenced-based programs department. Our work supporting evidence-based programs helps empower older adults to become more active partners in managing their own health care.
One of the defining moments of my work in aging research was learning how dramatically age affects the deterioration of the skeleton. This realization motivated me to perform research focused on understanding age effects on the skeleton. Thus I have spent my career studying the impact of low bone density and working to characterize the contributors to age-related bone loss (osteoporosis). This is an area of research with the potential to help many individuals as the National Osteoporosis Foundation reports that low bone density and osteoporosis affects 54 million Americans.