Category: Self-Care Corner

  • A Burning Issue: How To Handle Household Burns

    SELF-CARE CORNER

    Image of a mother helping daughter with a burn on the arm.

    Accidental burns can happen just about anywhere in your home, and they’re not always caused by fire. Hot objects or liquids, friction, the sun, electricity, or certain chemicals can also cause burns.

    Each year, about a half-million people nationwide seek medical attention for burns. Household burns lead to nearly 7 of 10 admissions to burn centers. The good news is that the number of deaths from severe burns has dropped by more than half over the past 4 decades, in large part because of treatments developed through NIH-funded research.

    Burns result in skin or tissue damage. The severity of a burn depends on the area it covers and how deep the damage goes. First-degree burns affect only the thin top layer of skin. Second-degree burns include the thick lower layer of skin. A third-degree burn is the most serious; it penetrates the entire thickness of the skin, permanently destroying it and the tissue that’s underneath.

    You can care for most minor burns at home. If the burn is red and painful with mild swelling or little blistering, then it’s a first-degree or minor second-degree burn.

    See a doctor if the burn is dark red and looks glossy with a lot of blistering. These are signs of a deep second-degree burn. Get immediate treatment if the burned skin is dry and leathery, perhaps with white, brown, or black patches. These are signs of a third-degree burn.

    Burns can become infected with bacteria or other germs if protective layers of skin are lost. Burns can also lead to painful inflammation, as your immune system shifts into gear.

    First aid for burns

    For minor burns:

    *  Immerse in fresh, cool water or apply cool compresses for 10 to 15 minutes.

    *  Dry the area with a clean cloth. Cover with sterile gauze or a non-adhesive bandage.

    *  Don’t apply ointments or butter; these may cause infection.

    *  Don’t break blisters.

    *  Over-the-counter pain medications may help reduce inflammation and pain.

    Call emergency services (911) if:

    *  Burns cover a large area of the body

    *  Burns affect the entire thickness of skin

    *  The victim is an infant or elderly

    *  The burn was caused by electricity, which can lead to “invisible” burns

    © American Institute for Preventive Medicine

  • Bites On The Hand That Feeds It

    SELF-CARE CORNER

    Image of different pets, including dogs, cats, rabbits and hamsters.

    More than 4 million people are bitten by dogs and cats each year. And orthopedic surgeon Dr. Stephen Kennedy said all bites to the hand should receive medical care, although he says most people are reluctant to see a doctor.

    Animal saliva contains a broad range of bacteria. Adult dog jaws, especially among larger breeds, can bite with a force of more than 300 pounds, and when combined with the variety and sharpness of their teeth can cause significant injuries to hand and finger ligaments, tendons, and bones.

    Cats do not have the jaw strength of dogs, but their sharp, narrow teeth also can cause serious injury. Up to half of cat bites get infected.

    Signs of infection:

    *  Redness

    *  Swelling

    *  Pain that worsens

    *  Fever

    If a bite occurs:

    *  Inspect the hand carefully for any puncture wounds. Even a small wound can inject lethal bacteria under the skin.

    *  If there is a puncture wound of any size, wash it as soon as possible with soap and water. Then seek medical advice.

    *  Get immediate medical attention if you see redness, feel increasing pain over time, or see red streaking up the hand or arm (or along a tendon). These are signs of a serious infection.

    Antibiotics are often given to reduce the chance of infection. More serious bites may need surgery to clean the wound.

    © American Institute for Preventive Medicine

  • Don’t Let The Bed Bugs Bite

    SELF-CARE CORNER

    Image of women making bed.

    Bed bugs have become more common in the U.S. in recent years. Common pesticides used to kill bed bugs may not work as well as they once did. The bugs may be getting “resistant,” which means they can survive pesticides used on them. This resistance, along with increased travel by people and lack of knowledge about how to get rid of them, are likely to blame for the rise in these pests.

    Bed bugs feed on blood so they are attracted to people and animals. They also come out at night, so the bed is the best place for them to find their meal.

    Check for bed bugs

    If you want to keep bed bugs out, you’ll need to check your home, as well as hotels while traveling. Look for small, reddish brown bugs about the size of an apple seed. Use a flashlight to get a good look. Check:

    *  Under and all around the mattress, box spring and bed frame

    *  Seams and small crevices where they like to hide –  bed bugs can get into cracks as thin as a credit card

    *  Nightstands and other furniture near beds

    Do I have bed bugs?

    Even if you don’t see any bugs, watch for signs that they are hiding in your home and biting people. The most common signs of bed bugs include:

    *  Small, reddish spots on bed sheets or mattresses

    *  Small round, dark spots on the bed  (may look like ink spots)

    *  Tiny eggs, egg shells or light yellow skins

    How to prevent them

    Bed bugs have been found in clean homes that are well cared for. They can be hard to keep out. These tips can help you keep them away:

    *  Check for bed bugs when you travel and don’t put your suitcase on the bed.

    *  When you get home from a trip, immediately wash your travel clothes in hot water.

    *  Keep luggage outside when you get home and vacuum it thoroughly. Empty the vacuum contents into a plastic bag, seal it and throw it in the garbage outside.

    If you find a bug that might be a bed bug, tape it to a piece of paper so you can show it to a pest control expert. Call a pest control company right away. If you live in an apartment or rental home, contact your landlord about what to do.

    The Environmental Protection Agency has information about getting rid of them on their website. Visitwww.epa.gov/bedbugs.

    Sources: National Institutes of Health, Environmental Protection Agency

    © American Institute for Preventive Medicine

  • Is Your Desk Dining Making You Sick?

    SELF-CARE CORNER

    Image of business man eating lunch at his desk.

    A whopping 83% of Americans typically eat in their office or cubicle in an effort to save time and money. But you’re “out to lunch” if you don’t practice safe food handling.

    According to a new survey by the American Dietetic Association* and ConAgra Foods’ Home Food Safety program, many working Americans eat breakfast and lunch and snack throughout the day at their desks. Best defense:

    *  Wash your hands and clean the desktop. Only half of all Americans say they always wash their hands before eating lunch. In order to reduce the risk of foodborne illness, wash your hands with soap and warm water before and after handling food and keep your desk stocked with moist towelettes or a hand sanitizer for those times you can’t get to the sink. A University of Arizona study found that the average desktop has 100 times more bacteria than a kitchen table and 400 times more than the average toilet seat.

    *  Clean the office fridge. Even though virtually all workplaces now have a refrigerator, is it ever cleaned? Take turns and have a sign-up sheet. And stick a refrigerator thermometer in it to ensure food is safely stored below 40ºF. (Don’t let perishable foods sit out for more than 2 hours.)

    *  And that office microwave? Leftovers and frozen meals are easy, quick, and inexpensive lunch options. But make sure you zap them long enough to kill harmful bacteria. Reheat leftovers to 165ºF.

    *The American Dietetic Association* is now known as the National Academy of Nutrition and Dietetics.

    © American Institute for Preventive Medicine

  • Prevent Vision Loss

    SELF-CARE CORNER

    Image of older man getting an eye exam.

    Glaucoma is a leading cause of irreversible blindness. When glaucoma is treated in its early stages, vision loss can be prevented. Yet studies show that more than half of people with glaucoma don’t use their medications properly.

    The American Academy of Ophthalmology offers this advice:

    *Be honest with your eye doctor about your medication difficulties.Missed a dose? It may not seem to matter much, but research shows that skipping doses can cause your glaucoma to become more severe. Ask about the best way to make up for a missed dose and how to manage your medications.

    *Use memory aids.The most common reason for not taking eye drops is forgetfulness. Try simple memory aids like linking your eye drop schedule to other things you do routinely such as brushing your teeth. Mark times you take your medication on a calendar. Set an alarm on your smartphone.

    *Perfect the “pocket.”Giving yourself eye drops can be challenging. In fact, research has shown that nearly 30% of people taking glaucoma medication are not properly applying their eye drops. Gently pull and pinch the lower lid to make a pocket to catch your drops. Once the drops are in, close your eyes (do not blink) and apply pressure to the point where the lids meet the nose for 2 to 3 minutes. Maybe a loved one can help you apply the drops at home.

    Who’s at risk for developing glaucoma?

    Risk factors include age, family history of glaucoma, African-American and Hispanic-American ancestry, diabetes, and past eye injuries. The American Academy of Ophthalmology recommends that all people get an eye exam by age 40, especially those who have a higher risk of glaucoma.

    © American Institute for Preventive Medicine

  • Sun Sense

    SELF-CARE CORNER

    Image of sunscreen being applied to a kid's face.

    Did you know … the term “sunblock” is no longer used on sunscreen labels because no sunscreen can block all of the sun’s rays? You’ll now see the term “broad spectrum” that indicates a level of protection offered from both UVA and UVB rays.

    Sunscreens really aren’t waterproof either. Apply and reapply at least every 2 hours, but question why you’re out in the sun for that long a period of time anyway.

    Remember, only broad spectrum sunscreens with an SPF value of 15 or higher can claim to reduce the risk of skin cancer and early skin aging, and that’s only if they’re used correctly and with other sun protection measures such as wide-brimmed hats (not baseball caps) and sunglasses.

    Nobody ever applies enough sunscreen. And many people forget about ears, backs of necks, nose, lips, and tops of feet (avoid wearing flip-flops).

    Source: University of Michigan Health System, Loyola University Medical Center

    © American Institute for Preventive Medicine

  • Vitamin D-What You Need To Know

    SELF-CARE CORNER

    Image of sun rising behind green hills.

    Without vitamin D, your bones may not grow strong at any age. Why? Because for your bones to make the best use of calcium, they need  vitamin D, says Robert P. Heaney, MD, researcher and professor in the Osteoporosis Research Center at Creighton University.

    But did you know that even mild shortages of vitamin D can contribute to diabetes, some cancers, high blood pressure, heart disease, and pregnancy problems? “Asking the body to deal with these disorders without adequate vitamin D is like asking a fighter to enter battle with one hand tied behind his back,” said Dr. Heaney. Vitamin D is a chemical that our body’s tissues use to produce biochemical products required for daily life. It’s less important to understand the process. It’s more important to know where to get vitamin D and how much you need.

    Some Facts

    *  Your skin produces vitamin D when you are exposed to certain rays of the sun. If you never get sunshine on your skin, you will not get enough ultraviolet radiation for your skin to make vitamin D.

    *  Sunlight in winter in most of the U.S. is so weak, it does not allow you to produce enough vitamin D, even if you’re outside in winter during midday.

    *  During summer months, a light-skinned person wearing a bathing suit will make about 15,000 IU of vitamin D in 15 to 20 minutes. Darker-skinned people can do the same, but it will take twice as long.

    *  Sunscreen blocks the radiation and prevents your skin from making vitamin D. Brief sun exposure, said Dr. Heaney, is not enough to cause skin cancer. He suggested you apply sunscreen after the first 15 minutes in the sun.

    *  Some food has vitamin D but not much. Vitamin D is added to many foods such as milk, some yogurts and orange juices, cheese, and breakfast cereals. Read the labels to see how much.

    *  Because most of us do not get enough sun exposure (or choose not to) or enough vitamin D in food, Dr. Heaney suggests taking supplements of vitamin D3, the natural form. The label should say cholecalciferol (vitamin D3) or ask the pharmacist which supplement is best.

    *  Vitamin D is safe to take. You may take supplements daily, weekly, or monthly. The important point is that you need to maintain a high enough blood level of vitamin D. This is measured by a blood test.

    *  Dr. Heaney recommends, based on his research, that adults take supplements providing from 1,000 to 3,000 IU per day. This number is higher than the 600 to 800 IU Recommended Dietary Allowance per day. Follow your doctor’s advice for vitamin D.

    *  Talk with your doctor about testing your blood level and discussing how much supplementation you may need in both summer and winter.

    © American Institute for Preventive Medicine

  • Age Successfully

    SELF-CARE CORNER

    Image of older couple.

    Successful aging means more than good health. It means taking charge of your personal well-being so that you can continue to live a vibrant, independent life, regardless of your age, according to Dr. Terri Ginsberg of the Institute for Successful Aging at the University of Medicine and Dentistry of New Jersey.

    “Successful aging isn’t difficult, but it does require a personal commitment to active living,” says Ginsberg. To help them age successfully, Ginsberg recommends that adults of all ages follow these “10 Resolutions for Healthy Aging:”

    1.Sleep at night.Avoid frequent daytime naps, late night snacks or watching television in bed.

    2.Eat lots of colors.Vibrantly colored fruits and vegetables on your plate mean a healthy diet that keeps your body moving.

    3.Get checked out.Catch up on any health screenings your doctor has recommended and don’t forget eye and dental check-ups.

    4.Worry less.It really is possible to “worry yourself sick.” Excessive worrying can lead to high blood pressure, digestive problems, chronic headaches and unhealthy weight gain.

    5.Stay in touch.Living alone doesn’t mean being alone. Reach out to friends, neighbors and relatives.

    6.Move more.Exercise improves heart health, and good heart health helps prevent a range of related disorders, including blood clots and depression.

    7.Read more.You can “exercise your brain” with newspapers, books, magazines or puzzles.

    8.Laugh and sing.Is there a better way to enjoy life? And both will help you to worry less.

    9.Take control.Be proactive about your own health. Ask your doctor questions about your health and for advice on positive lifestyle changes.

    10.Get involved.Local organizations of all types need volunteers. Helping others is the best tonic for feeling good about yourself.

    © American Institute for Preventive Medicine

  • Do’s And Don’ts For The Itch Of Eczema

    SELF-CARE CORNER

    Image of man itching arm.

    Most people have itchy skin at one time or another. A bug bite, dryness or another everyday irritation can make skin itchy. Usually, you apply some lotion or an anti-itch cream and it goes away.

    But, it’s different for people who have eczema. Eczema, also known as atopic dermatitis, can be so itchy that it affects daily life. It can also make it difficult for you to sleep at night. Other signs of eczema include:

    *  Very dry skin that doesn’t get better, even after applying lotion

    *  Red or brown patches of skin

    *  Itchy raised bumps

    *  Cracked skin

    *  Scaly patches

    Common locations for eczema are the hands, feet, face, inside the elbows, and behind the knees. Sometimes, eczema gets worse and then better. When it gets worse, this is known as an eczema flare.

    Many people with eczema find that using just a lotion is not enough. They may need to talk with their doctor about special or prescription-strength products. Eczema can affect babies and young children, too. Ask a pediatrician before you put any creams or other products on a baby or child.

    Eczema can’t be cured, but you can manage it. Talk to a doctor or dermatologist about your options.

    Eczema do’s

    People with eczema may find relief when they do the following:

    *  Keep a journal to find out what triggers your eczema. Young children may get eczema flares after eating certain foods. Older children and adults may get flares from high stress levels, sweating, soaps, detergents, pollen and dust.

    *  Use products that are eczema-friendly. Soaps and lotions without fragrance, dyes or common irritants are best. Products with the National Eczema Association seal on them are a good place to start.

    *  Use a thick moisturizer such as petroleum jelly (Vaseline) twice a day. The best time to apply moisturizer is right after bathing, before skin has completely dried.

    Eczema don’ts

    If you or your child has eczema, these are some “don’ts” to keep in mind:

    *  Don’t use harsh soaps and body washes, especially those that are antibacterial or highly scented.

    *  Don’t take long, hot showers or baths. Taking a bath with an oatmeal soak may be soothing, but keep the temperature warm, not hot. It’s best to take short, warm showers.

    *  Don’t use laundry detergent or fabric softener with dyes or perfumes.

    *  Don’t scrub the skin with washcloths, scrubbing sponges or products with scrubbers or “beads.”

    *  Don’t rub your skin with a towel after bathing. Instead, gently pat it dry and begin applying your moisturizer.

    © American Institute for Preventive Medicine