Articles written by Karen Casanovas


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  • Ever consider participating in clinical research?

    Karen Casanovas, For Senior Voice|Jul 1, 2024

    Q: My friend in Los Angeles has been approached about being part of a clinical trial for Alzheimer's. Why would their doctor suggest they participate, and how do they work? A: With nearly 67,000 worldwide studies looking for participants, if one has never considered being part of clinical observations or trials, there are several ways to be included in research that helps others. What is clinical research? There are two main types of research that study health and illness: observational studies...

  • More couples are living apart together

    Karen Casanovas, For Senior Voice|Jun 1, 2024

    Q: My neighbor and their spouse reside in separate homes. This is the third couple I have heard of living this way. Why do some people choose to live apart? A: Living Apart Together (LAT) is a modern relationship arrangement where couples choose to remain in separate residences while maintaining a committed romantic relationship. This phenomenon has been gaining popularity, challenging traditional notions of cohabitation and partnership. Let us explore the concept of LAT couples, examine the...

  • Creating a better doctor-patient experience

    Karen Casanovas, For Senior Voice|May 1, 2024

    Q: When I see the doctor, I give them my symptoms over and over, but they are dismissive of my pains and concerns. What can I do? A: As adults age, it is crucial to take control of one’s health and wellness. By being consistent about preventive care, prioritizing medical issues, and actively engaging with healthcare providers to avoid ageism, one can optimize outcomes and quality of life. Prioritize healthcare First, stay informed about age-related health concerns, medications and treatment o...

  • Empowered responses: Dealing with condescending remarks

    Karen Casanovas, For Senior Voice|Apr 1, 2024

    Q: How do I handle rude, hurtful or condescending comments by family members or people who are part of my care team? A: In our daily interactions, we occasionally encounter individuals who seem to thrive on making demeaning and condescending remarks. These remarks can be hurtful, frustrating, and overwhelming, leaving us searching for ways to respond and maintain our dignity. Let us explore some strategies and empowering approaches to handle condescending remarks and regain control over such sit...

  • Caregiving: Is there an app for that?

    Karen Casanovas, For Senior Voice|Mar 1, 2024

    Q: I care for three other people and am having difficulty tracking medical appointments and medication management for each of them. Are there any useful apps for my phone that could help me? A: In this fast-paced world, caregivers often find themselves overwhelmed with various responsibilities and tasks. Fortunately, the advancement of technology has brought forth a plethora of apps that can assist caregivers in managing their duties efficiently. These apps not only provide practical solutions,...

  • Find the music in you

    Karen Casanovas, For Senior Voice|Feb 1, 2024

    Q: Singalongs and musical performances are offered at my community center. I don’t normally participate in group activities, but am thinking about going to an event for something to do. A: Yes! You should go. From prehistoric times, music has served as entertainment, a practical function, or part of religious rituals. Historical sites have uncovered bones or carving implements used to create instruments. Horns and conch shells were some of the first wind instruments. Pipes, whistles and clay d...

  • Planning for memorable vacations when faced with health issues

    Karen Casanovas, For Senior Voice|Jan 1, 2024

    Q: My son has asked me to accompany his family on a vacation. They’ve requested I choose a destination suitable for my chronic illness. This seems like an unsettling task. A: Living with a chronic condition can make a vacation seem daunting, but with proper planning and preparation, it is possible to have an enjoyable trip. After consulting with your healthcare professional, take time to plan your itinerary carefully, considering accessibility, availability of medical facilities, and climate o...

  • Sleuthing to solve your medical mystery

    Karen Casanovas, For Senior Voice|Dec 1, 2023

    Q: I have seen an internist and a gastroenterologist, but still have unexplained chronic ailments. What else can I do? A: With advances in internet searches and artificial intelligence (AI), it is tempting to self-diagnose. Don’t do it. Leave the analysis for professional providers. What you can do while searching for answers is to approach the situation like a mystery—by thoroughly and systematically cataloging your symptoms. Here are a few easy steps to take. Approach each medical mystery wit...

  • Why take aptitude tests at my age?

    Karen Casanovas, For Senior Voice|Nov 1, 2023

    Q: I am feeling stuck in life. A counselor recommends I complete aptitude testing to help gauge my interests, preferences, etc. I’m skeptical since I’m in my 60s. How would it benefit me? A: When people find themselves at a career crossroads, entering retirement, or perhaps yearning to make a life transition, often it is difficult to determine what future possibilities exist. In order to make choices that fit your personality, your skill set, or do what makes you happy, think of ways to tur...

  • Home modifications for wheelchair users

    Karen Casanovas, For Senior Voice|Oct 1, 2023

    Q: My mother will soon be using a wheelchair in her home. What should we be considering as she makes this transition? A: This is a really great question because there are several adjustments to be made, not only by your mother, but for others who may be visiting her home. I will only address a few potential retrofits one may take into account when getting her home ready to accommodate a wheelchair. One broad option is to undergo a full assessment of her living environment to understand where...

  • I'm divorcing at age 77. What can I do?

    Karen Casanovas, For Senior Voice|Sep 1, 2023

    Q: My wife recently moved out, and I am unsure how to begin life over at age 77. She wants a divorce and I cannot imagine my life without her. A: While not knowing the details of your situation, I acknowledge your predicament. Life transitions pose difficulties for many reasons. First, the emotional havoc of that news is tough to digest. It creates pain, anxiety or possibly guilt, then drains a person’s vitality. And people often see change as a problem rather than an opportunity. Further, it w...

  • Finding steady answers to trembling uncertainties

    Karen Casanovas, For Senior Voice|Aug 1, 2023

    Q: Lately, I’ve been experiencing hand tremors and it’s been quite puzzling for me. Would you have any insights? A: Hand tremors can be a concerning and disruptive condition, causing uncontrollable shaking or trembling in one or both hands. While a slight tremor is normal, an excessive and persistent tremor can significantly impact activities of daily living. Let’s explore a few causes, treatment, and management of hand tremors, for you and other individuals seeking relief from this condi...

  • Feed Jake: A best friend until the end

    Karen Casanovas, For Senior Voice|Jul 1, 2023

    Q: I will be moving to a smaller apartment soon and am not sure if I should take my dog with me. What do you think? A: Our relationship with animals is an interchangeable one, as they can provide a source of comfort and support for us, and we give love and attention in return. They create opportunities for exercise and outdoor activities, better cognitive function in older adults, and more occasions to socialize with others. Research has found that animals reduce our stress and anxiety, and the...

  • How I met my life (while writing it down)

    Karen Casanovas, For Senior Voice|Jun 1, 2023

    Q: When I was younger, my uncle gave me a copy of his manuscript detailing his life. Now in my advanced years, I am thinking about writing my own life summary. Where do I start? A: Chronicling your story can be a way to leave memories for your family, record information for historical purposes, or just be remembered. It can be a way to capture your lifetime of experiences, lessons learned, failures, triumphs, and share memorable moments with others. While a written legacy may seem daunting, it...

  • Grandparents raising their grandchildren

    Karen Casanovas, For Senior Voice|May 1, 2023

    Q: My daughter has recently gotten divorced and previous occasional visits with grandchildren has now turned into full-time care, due to an absent father and a daughter who cannot afford to care for them on her own. How do I handle the ambivalence towards this situation? A: These days with circumstances of divorce, incarceration of a parent, death of the children’s parents, or when a family situation changes, it becomes a new beginning for older adults when they start caring for their g...

  • Too old to learn something new?

    Karen Casanovas, For Senior Voice|Apr 1, 2023

    Q: Getting older makes me feel less sharp. Why don’t I catch on to things as quickly as I used to? A: Faster. Better. Younger. Smarter. Not necessarily. By definition “latent learning” can occur at any age. This means you can learn or observe something subconsciously. Then, you can repeat that behavior at a later time. While it is true that concept formation, abstract thinking and mental flexibility declines with age (especially after age 70), it does not mean you lack capacity to learn. Some...

  • 'Overtreatment': Avoiding unnecessary care

    Karen Casanovas, For Senior Voice|Mar 1, 2023

    Q: My grandfather went in to get one tooth repaired and came away with several thousand dollars of dental work performed. Is there anything I can do? What actions can prevent this from happening again? A: Overtreatment is the term used to describe unnecessary or extensive therapies. A patient may refuse treatment as long as they can understand their decision, the implications of that decision, and can act in their own best interest. Advocacy on behalf of those harmed due to excessive procedures...

  • Bring art into your life, and so much more

    Karen Casanovas, For Senior Voice|Feb 1, 2023

    Q: As my health declines it is harder to have good days. How can I adapt to my changing life? A: The American Psychological Association (APA) defines resilience as “the process of adapting well in the face of adversity, trauma, tragedy, threats or significant sources of stress”. Successful aging is a process. Studies have shown that art can help people with depression, anxiety, and stress, and art has also been linked to improved memory, reasoning and resilience. There’s something quite beaut...

  • New year, new mentor opportunities

    Karen Casanovas, For Senior Voice|Jan 1, 2023

    Q: In the new year I am looking for volunteer opportunities. Any ideas? A: Mentoring can be an incredibly rewarding experience, both for the mentor and the mentee. If being mentored, it is one of the most important investments a person can make in themselves. Whether needing a mentor to develop professionally, grow business, increase personal agency, or to become a better leader – mentorship is an invaluable asset. Not only does it provide perspective on the journey as a mentee, but also gives t...

  • What to do if your health prevents travel

    Karen Casanovas, For Senior Voice|Dec 1, 2022

    Q: It’s the time of year when many people take trips to see their loved ones. What could I do over the holidays if I can’t travel to visit family because of my health? A: Health prevents travel for many people. If unable to visit loved ones because of an illness, injury or other health-related issue, it may be difficult to be away from family. There are a few things you can do, though, to make the situation a little easier. Here are some ways to stay connected even when you can’t travel. 1. St...

  • What to do with your unneeded items

    Karen Casanovas, For Senior Voice|Nov 1, 2022

    Q: I own too much stuff, and it is daunting when deciding what to do with everything. None of my children nor grandchildren want my memorabilia, collections, furniture, or vintage kitchenware. Any suggestions? A: For many of us, our homes are full of things we do not need or use anymore. As we get older, it’s not uncommon for our living spaces to start feeling a bit cluttered. From clothes to trinkets to outdated electronics, it can be tough to let go of things we once held dear. We hang onto t...

  • What you need to know about paying for long-term care

    Karen Casanovas, For Senior Voice|Oct 1, 2022

    Q: Why aren’t assisted living costs covered by my health insurance program? A: When people think about assisted living, they often presume costs are covered by their medical plan. However, as a general rule, traditional employer-based health insurance will not cover daily care over a long period of time. A common misconception is that Medicare extends to long-term care stays. However, Medicare is strictly a health insurance program that covers costs related to illnesses and injuries and, to s...

  • You are not hearing what I am saying

    Karen Casanovas, For Senior Voice|Sep 1, 2022

    Q: When I am with others, I occasionally feel dismissed and that my point of view doesn’t matter. How do I get others to listen to what I have to say? A: When we are with others that are of different life experiences, disparate thought, clashing opinions, or diverse age groups, our voice can feel marginalized. We can feel powerless or relegated to an unimportant position. If an individual or group identifies that they are not accepted, due to unequal status, privilege, opportunity, gender, sexua...

  • Managing pain and fatigue from injuries

    Karen Casanovas, For Senior Voice|Aug 1, 2022

    Q: I was recently treated in the emergency room for falling when stepping out of a boat. One week later, my ankle is still painful to touch and I am tired. A: Thankfully you were treated by medical professionals in the ER soon after your fall. Rest, ice, compression and elevation should be applied up to 48 hours after an injury such as yours. An acute injury is defined as a sudden, sharp, traumatic injury that causes pain. Impact or trauma from a fall, strain, sprain or collision can cause an...

  • Adapting to transition is an ongoing process

    Karen Casanovas, For Senior Voice|Jul 1, 2022

    Q: Due to a change in my health and physical capabilities, I moved to assisted living away from close friends. I’m not happy about this new situation. I feel lost and alone. A: Starting a new phase of life can be stressful. I understand and empathize. Coping with changes big or small, planned or unplanned, takes adjustment time. At first, we yearn for the ‘way our life was before’. We pine for friends and identifiable faces. There’s a sense of security, safety and confidence with recogni...

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