How to Deal with Overwhelming People

By Rosabel Zohfeld, APRN, MSN-Ed, FNP-C

Dealing with overwhelming people can be challenging, but understanding their behavior and developing effective coping strategies can help you navigate these interactions more smoothly. Here are some common types of overwhelming individuals and tips on how to handle them:

1. The Constant Talker:
1. Characteristics: This person dominates conversations and rarely allows others to speak.
2. Strategy: Gently interrupt and express your desire to contribute to the conversation. Set boundaries by politely asserting your need to express yourself as well.
2. The Energy Vampire:
1. Characteristics: This individual constantly complains, drains your energy, and tends to focus on the negative.
2. Strategy: Practice empathetic listening, but limit how much negativity you can absorb. Encourage positive conversation or suggest solutions to their problems.
3. The Overly Needy Person:
1. Characteristics: This person consistently demands your time and attention, making it difficult for you to focus on your own needs.
2. Strategy: Set clear boundaries and communicate your availability. Please encourage them to seek support from multiple sources and gently redirect them when necessary.
4. The Drama Magnet:
1. Characteristics: This person thrives on drama and tends to exaggerate situations.
2. Strategy: Maintain a calm demeanor and avoid being emotionally entangled in their drama. Encourage a more rational perspective and, when necessary, distance yourself from unnecessary conflicts.
5. The Control Freak:
1. Characteristics: This individual feels the need to control every aspect of a situation and may be resistant to alternative viewpoints.
2. Strategy: Choose your battles wisely and collaborate rather than confront them when possible. Find common ground and offer solutions that address their concerns without compromising your needs.
6. The Boundary Pusher:
1. Characteristics: This person consistently violates personal boundaries, either intentionally or unintentionally.
2. Strategy: Communicate your boundaries and reinforce them consistently. If necessary, be firm in enforcing consequences for repeated boundary violations.
7. The Chronic Complainer:
1. Characteristics: Regardless of the circumstances, this individual always finds something to complain about.
2. Strategy: Acknowledge their feelings without getting drawn into the negativity. Please encourage them to focus on solutions or positive aspects of the situation.
8. The Attention Seeker:
1. Characteristics: This person constantly seeks validation and attention from others.
2. Strategy: Provide positive reinforcement when appropriate, but avoid reinforcing attention-seeking behavior. Please encourage them to develop self-validation strategies and acknowledge their achievements.

In dealing with overwhelming individuals, it's essential to prioritize your well-being and set healthy boundaries. Communication, empathy, and assertiveness are critical tools in managing these interactions effectively. If the overwhelming behavior persists or becomes detrimental to your mental health, consider seeking support from a trusted friend, mentor, or professional counselor.

Breaking Free: The Unseen Chains of Emotional Dependence

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by Rosabel Zohfeld, APRN, MSN-Ed, FNP-C

In the intricate tapestry of human relationships, emotional dependence weaves subtle threads that can fortify the bonds or ensnare the soul. The delicate balance between interdependence and emotional autonomy is a terrain often overlooked, yet its impact on our well-being is profound. Emotional dependence, when unchecked, can transform love into a stifling embrace and cripple personal growth.

At its core, emotional dependence is the reliance on others for one's emotional well-being and self-worth. While interdependence is a healthy aspect of any relationship, an excessive need for validation and support from others can lead to an unhealthy emotional reliance. This reliance manifests as an invisible shackle, subtly undermining the very essence of personal freedom and self-discovery.

One of the primary challenges of emotional dependence lies in its ability to disguise itself as love. The lines between genuine care and the need for constant reassurance can blur, leaving individuals trapped in a cycle of seeking external validation. In romantic relationships, this dependence can breed feelings of suffocation, as one partner may feel burdened by the responsibility of being the sole source of emotional fulfillment for the other.

Furthermore, emotional dependence can impede personal growth. When individuals tether their self-worth to the approval of others, they may find themselves hesitating to pursue their dreams or express their authentic selves. The fear of rejection becomes a formidable barrier, hindering one's true potential exploration.

Breaking free from the chains of emotional dependence requires introspection and a commitment to cultivating emotional resilience. Recognizing the signs of emotional dependency is the first step toward fostering healthier relationships. Honest self-reflection allows individuals to identify patterns of behavior and address the underlying insecurities that fuel emotional dependence.

Building emotional resilience involves developing a solid sense of self-worth and confidence that isn't solely reliant on external validation. This process may include seeking therapy, practicing self-care, and engaging in activities that nurture personal growth and self-discovery. As individuals become more emotionally self-sufficient, their relationships can evolve into a balanced interdependence, where each partner contributes to the well-being of the other without sacrificing their individuality.

Society must foster a culture that values emotional intelligence and independence. Education about healthy relationships, communication skills, and the importance of self-love can empower individuals to navigate the complexities of emotional dependence. By cultivating emotional resilience, we can create a world where individuals are free to love deeply yet remain unburdened by the weight of emotional reliance.

In conclusion, emotional dependence, though often subtle, can have profound effects on personal well-being and relationships. Recognizing and addressing this dependency is essential to fostering healthier connections and unlocking the door to personal growth and fulfillment. Breaking free from the chains of emotional dependence is a journey toward self-discovery and empowerment, ultimately leading to more authentic and fulfilling relationships.

Embracing Progress: Rising Above the Naysayer

Image courtesy of the VA handbook 2023

by Rosabel Zohfeld, APRN, MSN-Ed, FNP-C 

In the ever-evolving landscape of innovation and progress, a formidable adversary exists – the naysayer. These individuals, armed with skepticism and a penchant for pessimism, can cast a shadow on the brightest of ideas and stifle the spirit of innovation. However, we, as a society and as individuals, must rise above the naysayers and embrace the transformative power of positive thinking and forward momentum.

Naysayers are not inherently detrimental; skepticism can serve as a valuable check on unchecked enthusiasm. Constructive criticism, rooted in a desire for improvement, is the bedrock of successful innovation. The challenge lies in distinguishing between valid concerns and baseless negativity. How do we navigate this delicate balance between healthy skepticism and unproductive naysaying?

Firstly, we must acknowledge that innovation inherently involves risk. Every groundbreaking idea, from the wheel to the internet, faced skepticism in its infancy. Remember the Wright brothers? They were told that humans couldn't fly, and now we traverse the globe in metal birds. History is replete with instances where naysayers were proven wrong, demonstrating that progress often requires a leap of faith.

Moreover, naysayers often emerge from a place of fear.  Fear of the unknown, change, or fear of failure. We humans are naturally inclined to seek comfort in the familiar. However, clinging to the status quo can hinder growth and prevent us from unlocking our full potential. By understanding the root of naysaying as a fear response, we can approach dissenting voices with empathy, addressing concerns and fostering a collaborative environment.

Innovation thrives in an atmosphere that values diverse perspectives. When approached constructively, naysayers can offer alternative viewpoints that strengthen ideas and projects. Encouraging open dialogue and creating spaces for discussion allow for the exploration of potential pitfalls while maintaining a positive and solution-oriented mindset.

Successful individuals and organizations have learned to convert the energy of naysayers into a driving force for improvement. Instead of succumbing to doubt, they use skepticism as a catalyst to refine their ideas, anticipate challenges, and proactively address concerns. By doing so, they not only prove the naysayers wrong but also elevate the quality and resilience of their innovations.

I have found that the path to progress is riddled with naysayers, but their presence should not deter us from pursuing bold ideas and embracing change. By cultivating a mindset that values constructive criticism, understanding the roots of skepticism, and fostering a collaborative environment, we can transform the challenges posed by naysayers into stepping stones for success. Let us rise above the negativity, break free from the shackles of doubt, and usher in an era of innovation and growth.

The Hidden Health Threat of Obstructive Sleep Apnea

by Rosabel Zohfeld, APRN, MSN-Ed, FNP-C

Imagine yourself trying to breathe through a straw while you sleep, gasping for air, and waking up repeatedly throughout the night. Difficulty breathing is a harsh reality for millions of individuals suffering from obstructive sleep apnea (OSA). It is a silent but serious sleep disorder that often goes undiagnosed. OSA is a condition that causes the upper airway to be blocked either partially or completely during sleep, Leading to interruptions in breathing, reduced oxygen levels, and a cascade of health consequences. OSA poses a significant threat to both individual well-being and public health.

While snoring is a common symptom of OSA, it is not the only concern. The hallmark of OSA is the recurrent cessation of breathing, sometimes lasting for several seconds or even minutes at night. These "apnea" episodes lead to fragmented sleep, reduced oxygen intake, and persistent fatigue, impairing one's quality of life. If left untreated, OSA can have far-reaching consequences, affecting physical and mental health, work productivity, and overall life satisfaction.

One of the most immediate dangers of untreated OSA is the increased risk of accidents. Sleep deprivation, a typical result of OSA, can lead to drowsy driving, making individuals more susceptible to road accidents. According to the National Highway Traffic Safety Administration, fatigue-related crashes are responsible for thousands of deaths and injuries each year. Identifying and treating OSA could significantly reduce this risk.

OSA also has a profound impact on cardiovascular health. The recurrent drops in blood oxygen levels and the subsequent surges in adrenaline and other stress hormones can lead to high blood pressure, arrhythmias, heart attacks, and strokes. Moreover, OSA has been linked to obesity as well as a significant risk factor for other chronic diseases. By addressing OSA, we can mitigate some of these risks and improve overall cardiovascular health.

Mental health is another area where OSA's importance becomes evident. Increased risk for depression, anxiety, and cognitive impairment are also associated with OSA. People with OSA often report mood swings, irritability, and difficulty concentrating, which can affect relationships and job performance. Treating OSA can have a positive impact on mental health, making it an essential aspect of holistic healthcare.

In addition to its direct health effects, OSA places a significant burden on healthcare systems. The costs associated with diagnosing and managing OSA, treating its complications, and addressing productivity losses are substantial. In the United States, healthcare expenditures for sleep apnea are estimated to be billions annually. By addressing OSA early, we can reduce the economic strain on healthcare systems and allocate resources more efficiently.

So, what can we do to emphasize the importance of OSA and take action? First and foremost, increased awareness is vital. Public health campaigns and educational initiatives can help individuals recognize the signs and symptoms of OSA, encouraging those affected to seek diagnosis and treatment. Healthcare professionals should also be better equipped to identify and manage OSA, especially at-risk populations.

Innovations in telemedicine and wearable technology are making it easier for individuals to monitor their sleep and screen for OSA in the comfort of their homes. We should embrace the advancements made to expand access to diagnosis and treatment, particularly in underserved areas.

Furthermore, employers can play a pivotal role in promoting healthy sleep habits and recognizing the importance of OSA. Implementing workplace policies that support adequate rest and mental well-being can go a long way in reducing the risk of OSA-related accidents and enhancing job performance.

Obstructive sleep apnea is a hidden health threat that needs to be unmasked and addressed. It affects not only individuals but also their families, workplaces, and societies. Through awareness, improving access to care, and recognizing the importance of OSA, we can improve the quality of life for millions and reduce the burden on healthcare systems. It's time we awaken to the extent of addressing OSA and prioritize a good night's sleep for everyone.

Addressing Suicide, the Silent Epidemic

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by Rosabel Zohfeld, APRN, MSN-Ed, FNP-C

In a world filled with noise and distractions, it's easy to overlook the quiet epidemic that continues to claim countless lives each year: suicide. This profound, troubling issue affects people of all ages, backgrounds, and walks of life. It's high time we recognize suicide for what it is – a profound public health crisis – and come together to address it head-on.

The statistics surrounding suicide are startling. According to the World Health Organization (WHO), over 700,000 people around the world die by suicide each year. Many more attempt suicide. Suicide is a leading cause of death in the United States alone, surpassing car accidents and homicides. It's a crisis that affects individuals, families, communities, and society.

Yet, despite these alarming numbers, suicide remains shrouded in stigma and misunderstanding. Society often tends to blame the victim, viewing suicide as a sign of weakness or selfishness. This perspective not only perpetuates the stigma but also hinders our ability to prevent and address the problem effectively.

To tackle the suicide crisis, we need to shift our attitudes and responses. We must start by recognizing that suicide is the result of complex and multifaceted factors, such as mental illness, substance abuse, social isolation, and life stressors. Suicide ideation or suicide is not a moral failing or character flaw but a symptom of profound suffering.

Mental health awareness and support are crucial aspects of suicide prevention. We must prioritize the destigmatization of mental health issues and make access to mental health services more available and affordable. Trained professionals are essential in recognizing and addressing suicide risk, providing support networks, and investing in research to understand the underlying causes better.

Additionally, communities need to establish programs and initiatives aimed at preventing suicide. Schools, workplaces, and religious institutions can all play a role in identifying at-risk individuals and connecting them with appropriate resources. Suicide hotlines, crisis centers, and counseling services must be widely accessible and well-funded.

Public health campaigns can also contribute significantly to reducing suicide rates. These campaigns should focus on raising awareness, offering support, and emphasizing the importance of reaching out to those in need. It is a fact that the media has a vital role in shaping public opinion, and responsible reporting on suicide can help reduce contagion effects and encourage help-seeking behaviors.

Preventing suicide also involves reducing access to lethal means, particularly firearms and medications. It requires responsible gun ownership and safe storage practices, as well as limiting access to lethal drugs, especially for those at risk.

We need to foster a culture of empathy and support. In our fast-paced, individualistic world, it's easy for people to feel isolated and disconnected. We should prioritize meaningful human connections, actively checking on our friends, family members, and colleagues, and encouraging open conversations about mental health.

It is high time for a paradigm shift regarding suicide. We must see it not as a solitary, selfish act but as the manifestation of deep despair, pain, and suffering. By embracing a more compassionate and proactive approach, we can collectively work to prevent suicide and save lives. Let us not allow this silent epidemic to persist in the shadows any longer. It's time to break the silence, remove the stigma, and, together, create a world where suicide is a rarity rather than a tragic reality.

Do you know anyone who may struggle with suicidal thoughts?

Helping someone who is suicidal requires a compassionate and supportive approach. If you suspect that someone you know is experiencing suicidal thoughts or behaviors, here are some steps you can take:

1. Take it seriously: Do not underestimate the person's feelings or dismiss their statements. Suicidal thoughts are a sign of extreme emotional distress, and it's crucial to take them seriously.
2. Listen without judgment: Create a safe and non-judgmental space for the person to talk about their feelings. Let them express their thoughts and emotions without criticizing or giving unsolicited advice.
3. Ask directly about their thoughts: If it's safe to do so, ask the person directly if they are thinking about suicide. Asking open questions can open a dialogue and allow the person to share their feelings.
4. Keep them safe: If the person is in immediate danger or has a specific plan to harm themselves, do not leave them alone. Stay with them and seek professional help immediately. Remove any access to potentially lethal means, such as firearms or medications.
5. Encourage professional help: Suggest that the person seek help professional help from a therapist, counselor, or psychiatrist. You can assist them in finding appropriate resources and making appointments if needed.
6. Involve their support network: Encourage the person to reach out to friends, family, or other trusted individuals who can provide emotional support. Notify someone in their close network about the situation if the person is comfortable with it.
7. Be patient and understanding: Understand that recovery from suicidal thoughts and feelings is a process, and it may take time. Offer ongoing support and be patient as the person seeks help and begins their journey to healing.
8. Educate yourself: Learn more about suicide and mental health to understand better the challenges the person is facing. Education can help you provide more effective support.
9. Follow up: Continue to check in on the person regularly. Suicidal thoughts may come and go, so maintaining contact and showing that you care can make a significant difference.

If you or someone you know is in immediate danger or experiencing a crisis, please seek help right away by calling emergency services in your country or a suicide prevention hotline. In the U.S., Call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or text "HELLO" to the Crisis Text Line at 741741. These services provide immediate support and can offer guidance on how to help someone in crisis.

Remember that you are not a substitute for professional help, and it's essential to encourage the person to seek assistance from mental health experts. Your role is to be a supportive, caring, and non-judgmental presence in their life during this challenging time.

Unlocking the Power of Human Kindness: A Beacon of Light in a Complex World

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by Rosabel Zohfeld, APRN, MSN-Ed, FNP-C

Kindness is a timeless virtue that transcends boundaries, cultures, and languages. It's a simple yet profound act that can brighten someone's day, mend broken spirits, and create a ripple effect of positivity. In a world often marked by complexity and division, kindness reminds us of our shared humanity and the potential for compassion to heal, connect, and inspire. This open-on kindness explores the significance of this universal language of the heart, reminding us of the countless ways in which it can change the world, one gentle gesture at a time.

Kindness is essential for several reasons:

1. Human Connection: Kindness fosters a sense of connection and empathy among people. It reminds us that we are all part of a more prominent human family, capable of understanding and supporting one another.

2. Mental Health: Acts of kindness, both receiving and giving, have been shown to boost mental well-being. Giving and receiving kindness reduces stress, anxiety, and depression while increasing happiness and satisfaction.

3. Positive Impact: Kindness can have a significant positive impact on both givers and the receivers. It can improve relationships, build trust, and create a harmonious and supportive environment.

4. Ripple Effect: Kindness often sets off a ripple effect. When someone experiences an act of kindness, they are more likely to pay it forward, leading to a chain reaction of goodwill and positivity.

5. Alleviating Suffering: Kindness can provide relief to those who are suffering, whether it's through acts of charity, comfort, or simple compassion. It can make the world a better place by reducing pain and hardship.

6. Moral and Ethical Values: Kindness is a fundamental aspect of moral and ethical values in many cultures and religions. It guides individuals and communities in making ethical choices and promoting a just and compassionate society.

In essence, kindness is a cornerstone of our shared humanity, contributing to individual well-being and the betterment of society.

Being kind is a beautiful and straightforward way to make a positive impact on the world. 

Here are some ways to practice kindness:

1. Start with Yourself: Be kind to yourself by practicing self-compassion and self-care. You can't effectively extend kindness to others if you're not kind to yourself.

2. Empathize: Try to understand others' feelings and perspectives. Put yourself in their shoes to connect with their emotions and experiences.

3. Smile and Be Polite: Small gestures like smiling, using polite language, and showing respect can go a long way in making people feel valued and appreciated.

4. Offer Help: When you see someone in need, offer assistance. It could be as simple as holding a door open or helping someone carry a heavy load.

5. Listen Actively: Be a good listener when someone needs to talk. Show genuine interest in what they say and provide emotional support.

6. Random Acts of Kindness: Surprise someone with a random act of kindness, like leaving a kind note, buying someone a coffee, or giving a small gift.

7. Volunteer: Offer your time and skills to help those less fortunate. Volunteering for a cause you care about is a meaningful way to be kind.

8. Practice Patience: In a world that can be fast-paced and stressful, patience is a valuable form of kindness. Try to be patient with others and their shortcomings.

9. Avoid Negative Judgments: Be mindful of your judgments and stereotypes about others. Try to see the good in people and give them the benefit of the doubt.

10. Forgiveness: Forgiving others for their mistakes or transgressions is an act of kindness that can lead to personal growth and healing.

11. Be Inclusive: Embrace diversity and be inclusive of people from all walks of life. Celebrate differences and promote a sense of belonging for everyone.

12. Encourage and Support: Offer encouragement and support to others in their goals and challenges. A kind word can be a source of inspiration.

13. Gratitude: Express gratitude and appreciation for the kindness you receive from others. Acknowledging their kindness can reinforce the cycle of goodwill.

Remember that kindness is a choice. You can practice kindness in both small, everyday actions and more significant, more intentional gestures. The more you cultivate kindness in your life, the more it will become a natural part of who you are.

Primary Care The Cornerstone of Healthcare: Why is it Important

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by Rosabel Zohfeld, APRN, MSN-Ed, FNP-C

Primary care serves as the foundation of healthcare systems around the world. It is often the first point of contact for individuals seeking medical attention, encompassing various services, from preventive care to managing chronic conditions. Primary care and its importance cannot be overstated. Primary care is crucial in improving health outcomes, reducing healthcare costs, and ensuring equitable access to medical services.

At the forefront of preventing illnesses and promoting good health is primary care. Regular check-ups and health screenings enable healthcare providers to detect potential health issues early, allowing timely interventions. Vaccinations, lifestyle advice, and health education are integral components of primary care, helping individuals make informed choices to lead healthier lives. Through primary care, communities can reduce the burden of preventable diseases and maintain their overall well-being.

Primary care serves as a patient's medical "home." It fosters continuity of care, enabling healthcare providers to build strong and quality patient relationships. This continuity is essential for managing chronic conditions, as primary care physicians can track a patient's progress, adjust treatment plans, and provide consistent support. This personalized approach results in more effective and efficient healthcare management, ultimately improving the quality of life for those with chronic illnesses.

Timely manner treatments and diagnosis are often the keys to successful outcomes for many medical conditions. Primary care providers are equipped to identify symptoms and risk factors, leading to the early detection of diseases such as hypertension, diabetes, and certain cancers. By addressing these issues promptly, primary care contributes to improved prognosis and a reduction in the long-term impact of these conditions.

The importance of primary care extends to its cost-saving potential. Research consistently shows that robust primary care systems are associated with lower healthcare expenditures. By emphasizing prevention and early intervention, primary care reduces the need for expensive specialist and hospital services. Moreover, primary care providers help patients navigate the complex healthcare system, ensuring they receive the appropriate care in the right setting, further optimizing healthcare costs.

Primary care is vital in addressing health disparities and promoting health equity. It serves as a bridge to healthcare for underserved and vulnerable populations. By offering accessible and affordable care, primary care providers can help reduce disparities in health outcomes, improving the overall health of communities. They are often the first point of contact for individuals who lack regular access to medical services, making primary care an essential component of social and public health efforts.

Diabetes, hypertension, and mental health conditions, among other non-communicable diseases (NCDs), are increasing. Primary care is well-suited to manage the challenge of NCDs through preventive measures, early diagnosis, and comprehensive management. The ongoing relationships between primary care providers and their patients are precious in addressing the long-term nature of many NCDs.

While Primary care is the cornerstone of healthcare systems, It faces several significant challenges in the modern healthcare landscape. These issues impact both patients and healthcare providers. Here are some current problems with primary care:

1. Shortage of Primary Care Providers: Many regions, both rural and urban, need more primary care providers, including family physicians and nurse practitioners. This shortage reduces the accessibility and availability of direct care services, leading to long appointment wait times and, in some cases, forcing patients to seek care in emergency departments.
2. Burnout and Workforce Stress: Primary care providers face high levels of stress levels and burnout due to heavy workloads, administrative burdens, and the emotional toll of dealing with complex and sometimes tricky patient cases. Burnout can lead to reduced job satisfaction, early retirement, and, ultimately, a decline in the number of healthcare professionals choosing primary care as a career.
3. Financial Pressures: Primary care practices may struggle financially due to low reimbursement rates, especially for Medicaid patients. The financial strain can hinder the ability to invest in resources, such as electronic health records or extended office hours, which could improve patient care and access.
4. Fragmented Healthcare Systems: Healthcare systems are often fragmented, making it challenging for primary care providers to coordinate care effectively with specialists, hospitals, and other healthcare entities. A fragmented healthcare system can lead to inefficient care delivery, duplicated tests, and a lack of continuity in the patient's medical journey.
5. Inequitable Access: Disparities in access to primary care services persist, leading to inequities in healthcare outcomes. Underserved populations and vulnerable such as racial and ethnic minorities, the uninsured, and those in poverty may have limited access to primary care, contributing to health disparities.
6. Aging Population and Multimorbidity: The aging population is increasing demands on primary care providers. Older patients often have multiple chronic conditions, leading to complex care management and coordination. Primary care must adapt to meet the unique needs of this demographic.
7. Technological Challenges: While technology can improve healthcare, integrating electronic health records and other technologies can be challenging for primary care practices. These systems can be cumbersome and time-consuming, reducing face-to-face time with patients.
8. Patient Demand and Expectations: Patients' healthcare expectations are changing, and they often demand more immediate access and convenient options like telehealth. Meeting these evolving expectations while maintaining quality and personalized care can be a balancing act for primary care providers.
9. Preventive Care and Health Promotion: While primary care is vital for preventive care, some patients still prioritize acute care over preventive measures. Encouraging a more proactive role in the patient's health can be challenging.
10. Regulatory Burdens: Primary care providers often face complex and time-consuming administrative tasks, such as prior authorizations, billing, and quality reporting. These regulatory burdens can detract from patient care and contribute to provider burnout.

Addressing these challenges in primary care requires a multifaceted approach that includes policy changes, workforce development, improved reimbursement, increased use of technology, and a focus on health equity. It is essential to recognize and address these issues to maintain the integrity and effectiveness of primary care.  Primary care is the linchpin of healthcare systems, ensuring that individuals receive accessible, comprehensive, and cost-effective medical services. It is crucial in preventing illness, promoting health, reducing healthcare costs, and addressing health disparities. The importance of primary care extends to individuals, communities, and nations, contributing to better health outcomes and a higher quality of life for all. As healthcare systems evolve, it is imperative to continue supporting and investing in primary care to ensure the well-being of present and future generations.

Empowering Parkinson's Care: Harnessing Smart Watches for Patient Management

Image: Getty images 2023

by Rosabel Zohfeld, APRN, MSN-Ed, FNP-C

I recently came across an article about how Apple Watch is making progress in identifying and helping the medical community understand if the treatments for Parkinson's are working. 

According to new studies, data from a smartwatch could also help predict Parkinson's disease up to seven years before symptoms begin occurring. Researchers believe that Artificial intelligence (AI)

could help screen for the disease earlier than current methods allow. An earlier diagnosis of Parkinson's' disease can be crucial. Early symptoms of Parkinson's include tremors, loss of smell, and trouble walking or moving.

Through Apple's open-source ResearchKit APIs and Research app for iOS, these tools, when used in conjunction with Apple Watch, can help doctors and researchers detect and treat Parkinson's and other diseases.

StrivePD, in Integration with HealthKit and the use of Apple Watch, provides passive metrics that augment self-reported logs for a holistic view and daily healthcare journey.

It helps to visualize tremors and dyskinesia detected by the Apple Watch. 

Browse interactive charts to review symptom data over time and in the context of your medications and physical activities.

Track daily physical activities to help reach weekly fitness goals

Explore logged medications, symptoms, activities, and influences together over the day in an easy-to-read chart view

Activity Tracking: Apple Watch and other smartwatches can monitor physical activity, such as steps taken and distance covered. Individuals with Parkinson's can benefit from tracking their activity levels to ensure they stay active, essential for maintaining mobility and overall health.

Fall Detection: Apple Watch has a fall detection feature that automatically calls for help if it detects a fall—people with Parkinson's may have an increased risk of falls.

Heart Rate Monitoring: Smartwatches like the Apple Watch can continuously monitor heart rate. Changes in heart rate may provide insights into the progression of Parkinson's disease or the effectiveness of medications.

Voice and Speech Analysis: Parkinson's disease can affect speech and vocal patterns. Some researchers have explored using smartwatches to analyze voice data for early signs of the illness or monitor its progression.

Medication Reminders: 

Smartwatches can be programmed to provide medication reminders for individuals with Parkinson's disease. Particularly help to manage medication schedule and establish good logging habits to review changes over time. Patients with Parkinson's require precise timing for the medication. 

Gait and Balance Analysis: Some studies have explored using accelerometers in smartwatches to analyze gait and balance, which are affected in Parkinson's patients. Changes in parameters can be indicative of the disease's progression.

Tremor Monitoring: While not as accurate as clinical assessments, smartwatches with motion sensors can track hand tremors to a certain extent, providing a tool for self-monitoring and sharing data with healthcare providers.

Sleep Tracking: Sleep disturbances are common in Parkinson's disease. Smartwatches can track sleep patterns, helping individuals and their doctors understand and address sleep issues.

Continuous health monitoring throughout the day is crucial for Parkinson's. Parkinson's symptoms don't always manifest in clinical settings. 

While the Apple Watch and other smartwatches continue to be explored for their potential to assist in the early diagnosis and monitoring of Parkinson's disease, they are not intended as a diagnostic tools. 

It's important to note that while these features can be helpful for individuals with Parkinson's disease, they are not a substitute for professional medical evaluation and diagnosis. Suppose you or someone you know is exhibiting symptoms of Parkinson's disease. In that case, it's crucial to consult with a neurologist or a healthcare professional for a thorough assessment and an accurate diagnosis. Smartwatches and other wearable devices can complement traditional medical care by providing additional data and insights, but they should not be relied upon for a definitive diagnosis of Parkinson's disease.