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New international consensus on cardiopulmonary resuscitation

American Heart Association emergency cardiovascular care guidelines 2005 are now available here, offering lay rescuers and healthcare providers recommendations for treating cardiovascular emergencies. The importance of effective chest compressions also is stressed.

The European guidelines have been adopted by the Resuscitation Council (UK) without modification (www.resus.org.uk).

The Resuscitation Council (UK) now recommends:

For adults:

* CPR with a chest compression to ventilation ratio of 30:2
* no initial ventilations before starting compressions
* when professional help is delayed for more than 4-5 minutes, one option is to give compressions for up to three minutes before attempting defibrillation
* compressions for two minutes after defibrillation
* if coordinated rhythm is not restored by defibrillation, second and further shocks should be given only after additional cycles of chest compressions

For children:

* solo lay rescuers should give CPR with a compression to ventilation ratio of 30:2
* two rescuers (usually healthcare professionals) should use a ratio of 15:2

For neonates:

? will almost certainly be anoxic, so still need a ratio of 3:1″

Living on cruise ships is cost effective for elderly people

BMJ 2004;329:1065 (6 November), doi:10.1136/bmj.329.7474.1065-b

Janice Hopkins Tanne New York

Living on a cruise ship provides a better quality of life and is cost effective for elderly people who need help to live independently, according to a study published in the Journal of the American Geriatrics Society ( 2004;52: 1-4)[CrossRef][ISI][Medline].

…. says Lee Lindquist, instructor of medicine at Northwestern University’s Feinberg School of Medicine in Chicago, and a geriatrician at Northwestern Memorial Hospital. People older than 65 who enjoy travel, have good cognitive function, but need some help in daily living are ideal candidates for care on a cruise ship.

The typical resident in a US assisted living facility is an 80 year old (age range 66 to 94) widowed, white, ambulatory woman who needs help with about two activities of daily living, such as walking, bathing, toileting, feeding, dressing, and transfers (for example, from bed to chair).

Such people might do better on a cruise ship, at a similar cost, even for many years.
….
In the United States, an assisted living facility costs about $2360 (&#A3;1290; {euro}1850) a month or $28 689 a year. In the northeast and the west of the United States, costs are higher.

A one month cruise in November in the Caribbean would cost $2651. Living on board for the entire year would cost $33 260. The authors calculate that the long term cost for a person to live on a cruise ship from the age of 80 until his or her death would be $230 497 compared with $228 075 for an assisted living facility.


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Legal help for seniors and their families

Elder-law attorneys specialize in issues from estate planning to health care to abuse.
By Jennifer Haupt http://www.csmonitor.com/2005/0112/p14s01-lifp.html?s=hns

….
Understanding older people as well as the law

That’s where elder-law attorneys can be particularly effective, because they have a knowledge of older people that allows them to ignore the myths about aging and competence while empathizing with the challenges seniors face. They also tend to have networks of other professionals – such as social workers – that they can call on.
….
“The most appropriate time to find an elder-care attorney is really before a crisis,” says Ginny Rice, an elder-law attorney in Webster Groves, Mo. “We see lots of children of elderly parents who have had a health or financial crisis and don’t know where to turn. By completing a durable power of attorney, naming someone else to take care of your health and financial issues when you’re unable to do it, you can avoid a lot of headaches. Otherwise, you may need to go to court to have a guardian appointed – which is expensive.”
….
If networking doesn’t produce results, experts suggest asking a family physician, an organization such as one of the local volunteer groups that deal extensively with the elderly, or the local or state bar association for a list of elder-law attorneys.

Online resources are also available. The National Academy of Elder Law Attorneys’ website (www.naela.org) provides a list of members who have passed the stringent Elder Law Association Certification test (CELA), accepted by the American Bar Association as the gold standard of expertise, as well as links to other organizations that focus on senior issues.
FindLaw.com (www.findlaw.com) offers a state-by-state locator of elder-law attorneys.

Once a potential lawyer has been identified, ask plenty of questions, experts advise. People need to see if they think they will be comfortable working with that person.
….

Anti-tremor mouse stops PC shakes


BBC NEWS http://news.bbc.co.uk/go/pr/fr/-/2/hi/technology/4340561.stm

A special adaptor that helps people with hand tremors control a computer mouse more easily has been developed.

The device uses similar “steady cam” technology found in camcorders to filter out shaking hand movements.

People with hand tremors find it hard to use conventional mice for simple computer tasks because of the erratic movements of the cursor on the screen.
….
The Assistive Mouse Adapter (AMA) is the brainchild of IBM researcher Jim Levine who developed the prototype after seeing his uncle, who has Parkinson’s disease, struggle with mouse control.

“I knew that there must be way to improve the situation for him and the millions of other tremor sufferers around the world, including the elderly.

Internet Resources to Teach about Aging

Updated June 2002 by Martha W. Bonney.
http://www-cpr.maxwell.syr.edu/gero_ed/sitelist.htm


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RSS Nonagenarian news

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    Co-founder of Pensacola Christian College passes away at age 90  WEAR
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