EYEGLASSES MAKE A FASHION STATEMENT

According to the Vision Council of America, approximately 75 percent of adults wear some sort of vision correction. People wear eyeglasses for different reasons. Some people are nearsighted and cannot see objects far away, while other people are farsighted and cannot see objects close by. Eyeglasses offer corrective vision for people who have difficulty seeing.

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LOCAL SPOTLIGHT - KENTUCKY HEALTH SOLUTIONS

It is that most wonderful time of the year—no, we are not talking about Christmas. It’s Medicare’s Annual Enrollment Season. Yes, it’s the time of the year when we stress and spend hours on the phone or online shopping for health coverage. The pain of having to shop health coverage, spend hours on the phone or online with one company vs another for our health insurance can be a daunting task. It does not matter if you are on Medicare or looking for your personal insurance, this can be one of the most….

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DO YOU HAVE 20/20 VISION

When you consider what defines healthy eyes, among the criteria is good vision. The American Optometric Association says the term 20/20 vision is used to express normal visual acuity (the clarity or sharpness of vision) measured at a distance of 20 feet. If you have 20/20 vision, you can see clearly at 20 feet what should normally be seen at that distance. Visual acuity is usually measured with a Snellen chart. It’s likely everyone has seen the Snellen chart – usually starting with a huge “E,” .....

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Chronic obstructive pulmonary disease (COPD) makes it difficult to empty air out of the lungs. About 64 million people worldwide carry a diagnosis of COPD. In the United States, about 15 million adults have COPD.


There is a growing body of research evidence (Burgess, Kunik, Stanley, 2005) that COPD is a physical condition with significant psychosocial consequences. The stigma arises because individuals’ behavior, such as smoking, is associated with those who have COPD, holding them responsible for their disease. To add to this, persons with COPD are often supplied with oxygen equipment. They experience some bodily changes and sometimes face a disruption in their social interactions.


Having COPD can create for both patient and family an extremely distressing lifestyle. For the patient, CPOD can result in anxiety, panic and, in some cases, functional depression because of breathing difficulties. Anxiety is sometimes displayed in restlessness, muscle tension, loss of concentration and irritability. Physical symptoms such as shortness of breath, chest pains, tingling sensations, trembling, feelings of faintness and choking can perpetuate the patient’s anxiety and lead to panic disorder. Professional care may be necessary if the symptoms persist. Failure to discuss these complications with your primary care physician or health care provider can lead to more serious mental health issues. The symptoms of depression associated with COPD include loss

UNDERSTANDING THE PSYCHOLOGICAL ISSUES OF COPD

of interest or pleasure in every-day activities, sleep disturbances, weight changes, fatigue, poor concentration and, in some rare cases, thoughts of death.


There are effective treatment options that can help you manage COPD. Treatment choices include both drug and non-drug protocols that are suitable for emotional problems. The non-drug treatment options include short-term psychotherapy and cognitive behavioral interventions. It is often beneficial for both patient and caregiver to participate in this level of care. A credentialed psychotherapist can help the patient and caregiver better understand the links between the symptoms of COPD itself, psychological overlying factors and managing COPD.


Sources and Resources:

Berger, P. (2006). Social changes and stigma in chronic obstructive pulmonary disease.

Burgess, K. Kunik, S. and Stanley, B. (2005). Chronic obstructive pulmonary disease: Assessing and treating psychological issues in patients with COPD. Geriatrics, 1818-1821.

DR. THOMAS W. MILLER, PH.D, ABPP

Thomas W. Miller, Ph.D., ABPP, is a professor emeritus and senior research scientist, Center for Health, Intervention and Prevention, University of Connecticut; retired service chief from the VA Medical Center; and tenured professor in the Department of Psychiatry, College of Medicine, University of Kentucky.

more articles by Dr thomas w. miller