How to choose and guide your health care proxy

A health care proxy is a person designated to make health care decisions for someone who becomes unable to make them. The best candidate for the job is someone who knows the patient well, such as a family member or friend. The proxy needs the emotional and mental ability to make decisions based on what the patient wants, no matter the health scenario or environment, such as a hospital or long-term care facility. At the time of proxy selection, the patient should communicate his or her beliefs, values, and wishes for care.

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What’s keeping you from getting a good night’s sleep?

Sleep is the body’s time for restoration and recuperation. It’s when toxins are flushed out of the brain, tissue is repaired, muscles grow, memories are consolidated, and hormones are released. Over time, getting too little sleep or fragmented sleep impairs concentration and mood and increases the risks for many chronic diseases. It helps to try to identify and address factors that may be interrupting sleep, such as snoring bed partners, alcohol, heartburn, underlying health conditions, an uncomfortable sleeping environment, or medication side effects.

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Bring a fuzzy memory back into focus

Keeping the brain as healthy as possible might help slow the fuzzy thinking that develops with age-related brain changes. The best way to stay sharp is by living a healthy lifestyle: exercising regularly (at least 150 minutes per week of moderate-intensity exercise, like brisk walking), sleeping for seven to nine hours per night, eating a Mediterranean-style diet, managing stress, socializing, and learning new things. Doing crossword puzzles may also help sharpen cognition. So might treatment for underlying health conditions, such as depression or thyroid disease.

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Reduce or avoid back pain during these everyday activities

A number of strategies can help when back pain strikes suddenly. When driving, for example, a person can turn on heated seats if a vehicle has them, or use a lumbar pillow. Someone who has pain when sitting at a desk can get up, walk around, and do some stretches. If back pain lasts more than a week, the person should see a doctor for an evaluation. The first line of defense will most likely be exercise and strengthening regimens—two keys to staving off an aching back.

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Easy ways to keep inflammation in check

Certain healthy habits can fight chronic inflammation, such as eating a healthy diet, exercising regularly, getting enough sleep, maintaining good oral health, and reducing stress. If adopting all those habits seems daunting, taking little steps in their direction can help. For example, a person might eat fatty fish twice a week, since it contains omega-3 fatty acids known to reduce inflammation; or go for a quick daily walk, since exercise may increase the production of hormones that help keep inflammation in check. The combined effects of many little habits can eventually add up to keep people healthier.

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What’s the minimum amount of exercise I need each week?

A 2022 study involving 72,000 people suggested that those who did even 15 minutes of vigorous activity per week had a 17% lower risk of death from any cause and death from cancer, compared with people who were inactive. With about 50 minutes per week, death from any cause was reduced by 36%. The reduction in risk of death from all causes, and death from cancer, was greatest in the first 40 minutes of vigorous physical activity per week.

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