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welloneconnection 5 "The treatment for one illness may interfere with treatment for another," says Akash Taggarse, MD, board- certified internist and gerontologist with Tschetter & Hohm Clinic. "It can be difficult to keep track of different prescriptions and instructions, as well as appointments with multiple providers. However, seniors can take steps to make their disease management easier and more effective." Knowledge Is Power "Patients should take an active role in their care," says Dr. Taggarse. "Knowing all the different treatment options – including nonmedical alternatives that may be available – is important in deciding what form of treatment a patient wants." Ask your healthcare provider how long treatments take to start working and what complications could occur from each medication. Learn which nonmedical treatments, such as exercise or massage therapy, are available to improve your health and overall wellness. Set Priorities "Some treatments may have side effects that can worsen a second condition or reduce a senior's quality of life," Dr. Taggarse says. "If symptoms are reduced but the patient feels weaker, that might not be a good trade-off." Talk with your physician about aspects of your life that are most important, which may include: • Remaining independent as long as possible • Building stamina • Reducing pain as much as possible Speak Up "The only way your physician knows you are not happy with your treatment plan is if you say so," Dr. Taggarse explains. "If your treatment plan is too complicated for you to follow or doesn't seem to be working, your physician can help you adjust it according to your needs." If you need help managing multiple illnesses, contact your healthcare provider. More information about Dr. Taggarse, Huron's only gerontologist, is online at www.huronregional.org, select "Physician Finder." w w w . h u r o n r e g i o n a l . o r g If you are one of the 50 percent of older adults with three or more chronic diseases, treating each one is just the first step in achieving wellness. Akash Taggarse, MD Caregivers of seniors with more than one chronic condition may also face special concerns and stresses. Keep these tips from the American Geriatrics Society in mind: • Ask. Talk with your loved one about their wants and needs. Discuss possible end-of-life concerns, and consider writing down their wishes. • Reflect. Consider all the options available for treatment, including nonmedical choices. • Rest. Give yourself a break when caring for a loved one. Take time for yourself every day. Special Care Multiple Diseases, Multiple Concerns