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Living with psoriatic arthritis? How to manage your symptoms

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(BPT) – Sponsored by Janssen

Imagine finding simple tasks, such as getting out of bed, dressing yourself or turning a faucet on and off, difficult to do because they’re too painful.1 That’s what a typical day can feel like for people living with active psoriatic arthritis (PsA). About 1.5 million Americans are living with PsA, and although patients may experience symptoms differently, the condition can often interfere with basic daily activities.1,2

Active PsA is a chronic condition that occurs when your body’s immune system attacks healthy cells and tissue, which causes inflammation in the joints as well as overproduction of skin cells. 3 Common symptoms of active PsA include joint stiffness, pain and swelling.4 Some patients with active PsA can also experience fatigue, which is an underestimated and underreported concern that can interfere with daily life. 4-6

PsA symptoms can vary and differ in severity from patient to patient, so it’s critical for healthcare providers and patients to have an open dialogue to build a personalized management plan together. 4 A PsA management plan may incorporate lifestyle changes as well as medication potentially to help address the disease symptoms.

“The symptoms of active psoriatic arthritis may be hard to describe or feel invisible at times, but that doesn’t make them any less real,” said Soumya D. Chakravarty, MD, PhD, Senior Director, Strategic Lead, Rheumatology Therapeutic Area at Janssen. “PsA can have debilitating effects on the lives of patients. It’s important for patients to speak about symptoms with their rheumatologist because there are strategies they can implement to help see improvement.”

Here are some top tips for managing symptoms of PsA:

Consider a Healthy Diet

While there isn’t a specific diet for PsA, research shows that certain foods can help reduce inflammation in the body, which contributes to the disease.7 Consider incorporating more anti-inflammatory foods, such as fruits, vegetables, beans, whole grains and healthy fats like fish and avocado, while reducing foods like fatty red meats, dairy, refined sugars and processed foods. 7,8

Think About Finding a Workout That Feels Good

Exercise while living with active PsA can feel daunting, but physical activity has many benefits, including helping to maintain a healthy weight, taking extra pressure off painful joints, keeping joints flexible and increasing endorphins, which can provide an energy boost. 8,9 Make sure to speak with your healthcare provider or a physical therapist about a workout routine that is right for you. As a general guide, try to target 30 minutes of movement each day if you’re able and consider lower impact workouts. 8

Lean On a Support System

For people living with PsA, the disease can have an impact beyond just physical symptoms. 10 Connecting with other patients who understand what you’re experiencing, whether in a support group or an online community, can help if you’re feeling overwhelmed, misunderstood or isolated. 10

Start a Dialogue With Your Healthcare Provider About Treatment Options

In addition to physical tests to assess the severity of your PsA, rheumatologists are also building treatment plans based on outcomes that are more personally significant to patients.6 “It’s important to speak openly with your rheumatologist because there are treatments that may help improve PsA symptoms,” said Dr. Chakravarty.

Be sure to describe your symptoms — such as joint pain, stiffness and swelling — with specific details about how they impact your daily activities. Also, let your rheumatologist know if you are experiencing fatigue from your active PsA. This information will help them develop an individualized treatment plan that is right for you, which may include a biologic therapy, such as TREMFYA® (guselkumab) — a prescription medicine used to treat adults with active PsA. Talk to your doctor to see if TREMFYA® is appropriate for you. TREMFYA® is the first FDA-approved medication of its kind to selectively block interleukin 23 (IL-23), one of the key proteins thought to be responsible for symptoms of PsA. TREMFYA® can help reduce the joint pain, stiffness, and swelling that make everyday tasks harder to do. In two medical studies, more than half of patients treated with TREMFYA® had at least a 20% improvement in joint pain, stiffness, and swelling at 24 weeks. Furthermore, at 24 weeks, people taking TREMFYA® showed an overall improvement in their ability to perform daily activities such as getting dressed, eating and walking. Some patients also reported improvement in fatigue as measured by the Functional Assessment of Chronic Illness Therapy – Fatigue (FACIT-F), a questionnaire to measure self-reported tiredness, weakness, and difficulty conducting usual activities due to fatigue.

TREMFYA® is not for everyone; only your doctor can decide if it’s right for you. Do not use if you are allergic to TREMFYA®. TREMFYA® is a prescription medicine that may cause serious side effects, including serious allergic reactions and infections. It affects your immune system and may increase your risk of infections and lower your ability to fight them. Patients should be instructed to seek medical advice if signs and symptoms of clinically important chronic or acute infection occur. Patients should also be evaluated for tuberculosis before being treated with TREMFYA®. Please read the Important Safety Information and the Medication Guide for TREMFYA® available at www.tremfya.com to learn more about these and other risks for TREMFYA®. Discuss any questions you have with your doctor.

Coping with PsA can be overwhelming at times, but as difficult as it may be, don’t get discouraged. There’s no one-size-fits-all approach to PsA management and it’s important to remember you have options. There are various steps you can take with your rheumatologist to help alleviate symptoms and better manage the disease.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

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How to safely dispose of used medical sharps during holiday travel

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((Family Features) It doesn’t matter if you are traveling by plane, train, car or staying home this holiday season, it’s important to know how to safely dispose of used medical sharps. Millions of people in the United States use needles, lancets and syringes – otherwise known as sharps – to puncture the skin and dispense medication to help manage short- or long-term chronic conditions like diabetes, arthritis, cancer or auto-immune diseases.

For both existing sharps users and people using sharps for the first time, disposal can be confusing, especially while traveling.

An easy-to-use online tool can help sharps users navigate safe disposal rules wherever they are. An option like SafetyIsThePoint.org helps people learn how to safely discard their used sharps and find disposal locations across the United States.

People who use sharps can often dispose of them at home or on the road. It’s as simple as 1-2-3:

  • Place used sharps in a strong, plastic container like a laundry detergent or bleach bottle.
  • When the container is 75% full, seal it tightly with duct tape and label it “do not recycle.”
  • Place the sealed container in regular household trash.

Disposal rules are different in every state, so it’s important to confirm local disposal regulations. To help travelers comply with local regulations, SafetyIsThePoint.org includes a clickable map and ZIP code finder that explains disposal rules by location, as some states legally prohibit disposing of sharps in the trash or recycling containers and require sharps to be transported to a collection center in an approved sharps container.

Free printable resources and a step-by-step guide for at-home sharps disposal are available on the website for sharps users, health care providers, patient educators and advocates. The resources can also be downloaded and sent to family members and friends ahead of travel, so they know what to expect.

Learn more about the rules of safe sharps disposal this holiday season at SafetyIsThePoint.org.

Commonly Used Medical Sharps

  • Needles – fine, slender, hollow pieces of metal, typically attached to syringes, used to inject medication under the skin or withdraw fluid from the body
  • Lancets, also called “fingersticks” – often used by people with diabetes to get drops of blood for testing
  • Auto injectors, including epinephrine pens – syringes pre-filled with fluid medication designed to be self-injected into the body
  • Infusion sets – tubing systems with needles used to deliver drugs to the body
  • Connection needles – needles that connect to a tube used to transfer fluids in and out of the body

Photo courtesy of Getty Images


SOURCE:
Safety Is The Point

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Medicare open enrollment ends Dec. 7: Comparing coverage options

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(Family Features) If you’re enrolled in Medicare, it’s important to remember Medicare Open Enrollment is open through Dec. 7 each year. It is the time for people with Medicare to compare their prescription drug and health coverage options for the upcoming year.

It is important to compare your options because plans can change every year – even your current choice may be changing. Your health needs can change, too. By comparing all your options, you could save money, find a coverage option better tailored to your needs or both.

How to Compare Prescription Drug and Health Coverage Options
Medicare.gov is the official source for information about Medicare and Open Enrollment. You may see enrollment information from various insurance companies and other sources. Start at Medicare.gov to get unbiased information to find the type of coverage that best meets your needs.

Comparing prescription drug and health coverage options is easy at Medicare.gov. You can input the list of medications you are taking and conduct a side-by-side comparison of plan coverage, costs and quality ratings. If you are happy with your current choice, you don’t have to do anything. If you choose a new option for 2024, you can enroll right there.

Before you enroll in a plan, consider the following:

  • Check if your health care providers are in a plan’s network.
  • Check if your prescriptions are included on a plan’s formulary and if the plan works with your pharmacy.
  • Check the plan’s Star Rating on Medicare.gov to see how it performs on quality, customer service and more.
  • Remember low monthly premiums may not always be the best overall value for your specific needs.
  • Review a plan’s estimated total costs to you, including deductible and other out-of-pocket costs.
  • Check if Medicare Advantage plans offer extra benefits, like vision, hearing or dental coverage, if you need these services.
  • Remember that you may need a referral or prior authorization for some services under Medicare Advantage plans.

Vaccine, Insulin and Drug Cost Savings
Improvements to the Medicare program are adding up to savings and improved access to affordable treatments because of the Inflation Reduction Act.

  • Insulin: If you have Medicare and take insulin, you’ll pay no more than $35 for a month’s supply of each covered insulin. This includes people who have Medicare drug coverage (Part D) and all Part B covered insulins.
  • Vaccines: People with Medicare drug coverage will pay nothing out of pocket for adult vaccines, including the shingles vaccine, that are recommended by Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices.
  • Drug Cost Savings: In 2024, people enrolled in Part D who have very high drug costs will get some relief. Once they reach a certain threshold on paying out-of-pocket costs – what we call the catastrophic phase – they will no longer have additional cost sharing or copays at the pharmacy.

Medicare Can Help
To compare options and find the best coverage to fit your needs:

  • Visit Medicare.gov and conduct side-by-side comparisons of costs and coverage.
  • Call 1-800-MEDICARE. Help is available 24 hours a day, including weekends.
  • Access personalized health insurance counseling in your community at no cost, available from your State Health Insurance Assistance Program (SHIP). Visit shiphelp.org or call 1-800-MEDICARE for locations near you.

Medicare Options
There are two main ways to get Medicare coverage: Original Medicare and Medicare Advantage (Medicare-approved plans from private companies). There are differences between the two that are important to understand when reviewing your coverage options.

  • With Original Medicare, you get your health care through Medicare Parts A and B. You can join a separate drug plan to get Medicare drug coverage (also called Part D). And you can see any doctor that takes Medicare anywhere in the U.S.
  • Medicare Advantage is an alternative that usually bundles your health and drug coverage all in one plan. Some plans may offer extra benefits that Original Medicare doesn’t cover – like certain vision, hearing and dental services. In many cases, you can only use doctors who are in the plan’s network.

If you are new to Medicare or need to review the ways you can get your Medicare coverage, visit Medicare.gov and click “Get Started with Medicare.”

Extra Help with Prescription Drug Costs
If you are struggling with prescription drug costs, Extra Help is a Medicare program that can help pay for your drug coverage (Part D) premiums, deductibles, coinsurance and other costs. If you make less than $22,000 a year ($30,000 for married couples), it’s worth it to apply. Visit ssa.gov/extrahelp or call the Social Security Administration at 1-800-772-1213 to apply. The program will expand to cover more drug costs for people with limited resources in 2024. People who qualify for Extra Help generally will pay no more than $4.50 for each generic drug and $11.20 for each brand-name drug.

Information provided by the U.S. Department of Health & Human Services.

Photos courtesy of Getty Images
SOURCE:
Centers for Medicare & Medicaid Services

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Be ready to save a life: Understanding the two steps of hands-only CPR

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(Family Features) Every year, 350,000 people die from cardiac arrest in the United States. However, hands-on emergency intervention like cardiopulmonary resuscitation – or CPR – from a bystander can make the difference between life and death in sudden cardiac arrest emergencies.

In fact, immediate CPR can double or triple a cardiac arrest victim’s chance of survival, according to the American Heart Association. During the first few minutes an individual is suffering from cardiac arrest, chest compressions can help keep blood flow active and push remaining oxygen through the body to keep vital organs alive, which extends the opportunity for a successful resuscitation once trained medical staff arrive.

Because 88% of cardiac arrests – electrical malfunctions in the heart that cause an irregular heartbeat (arrhythmia) and disrupt the flow of blood to the brain, lungs and other organs – occur at home, it is often a friend or family member who witnesses a child, spouse, parent or friend going into cardiac arrest. As survival can depend on how quickly CPR is started, compression-only CPR, or Hands-Only CPR, is recommended for use by people who see a teen or adult suddenly collapse in an out-of-hospital setting such as at home, work or in a park.

“By equipping people with Hands-Only CPR training, we are empowering them to spring into action if a loved one needs help, as the majority of cardiac arrests occur at home,” said Dr. Anezi Uzendu, M.D., interventional cardiologist and American Heart Association volunteer.

As part of the World Restart a Heart Day initiative, the American Heart Association aims to increase awareness about the importance of bystander CPR through its Hands-Only CPR campaign, nationally supported by the Elevance Health Foundation, and offers these two simple steps:

  • Call 911 (or send someone to do that).
  • Push hard and fast in the center of the chest of the individual experiencing cardiac arrest.

Using the beat of a familiar song with 100-120 beats per minute, such as “Stayin’ Alive” by the Bee Gees, can help you stay on pace with the necessary compressions.

“Being able to efficiently perform Hands-Only CPR in the moment can mean the difference between life and death, and by following these two simple steps we can increase someone’s chance of survival from cardiac arrest,” said Shantanu Agrawal, M.D., board certified emergency medicine doctor and chief health officer at Elevance Health. “As a longstanding supporter of the American Heart Association, we remain focused on working together to improve health inequities in our communities by expanding access to training and increasing the number of people who learn and feel confident performing Hands-Only CPR to save lives.”

To find more information and resources, visit heart.org/CPR.

6 Links in the Adult Out-of-Hospital Chain of Survival
When properly executed, a strong chain of survival – or series of actions – can improve the chances of survival and recovery for victims of sudden cardiac arrest. Hands-Only CPR is a critical step in the American Heart Association’s Chain of Survival, which also includes:

  • Activation of Emergency Response: Recognize symptoms of cardiac arrest and call 911.
  • High-Quality CPR: Push hard and fast in the center of the victim’s chest until emergency personnel arrive.
  • Defibrillation: Use an automated external defibrillator (AED) to restart the victim’s heart and reset it to a healthy rhythm.
  • Advanced Resuscitation: Medical professionals provide additional life-saving medical services.
  • Post-Cardiac Arrest Care: Transport victim to an appropriate hospital or treatment facility to optimize survival, organ function and neurological recovery.
  • Recovery: Survivors receive additional treatment, observation, rehabilitation and psychological support to aid in recovery and help prevent recurrent cardiac arrest.

Photo courtesy of Getty Images


SOURCE:
American Heart Association

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