A Multifaceted Approach To Adult Acne

Acne is a common human skin condition which is characterized by blemishes. It mainly comes as a result of clogging of hair follicles and inflammation by bacteria. Overproduction of cells called keratinocytes combined with sebum form a plug that blocks the pores. Increased oil production on the skin may increase bacterial growth that can cause inflammation. Other causes may include hormonal changes and side effects from certain medications, some cosmetic products, pregnancy, stress, menopause among others.

Adult acne affects adults of all ages and gender but women are the most affected. Acne mostly affects the skin with dense sebaceous follicles like the face skin. It can also be found on the neck, shoulders, chest, back and upper arms. The blemishes include cysts, blackheads, whiteheads and inflamed red growths.

The appropriate adult acne treatment depends on the individual, the cause of acne, genetics and skin type. An effective acne treatment should aim at controlling abnormal and excessive production of sebum, preventing abnormal epidermal cell growth, killing the bacteria, normalizing and enhancing skin exfoliation at the pores opening and reducing the exaggerated inflammatory response.

Doctors always recommend a multifaceted approach of treatments, diet, lifestyle and behavior when dealing with adult acne. Some of these approaches may include:


It is recommended that you wash your hands regularly lest they become a source of dirt and bacteria that will be transferred to the acne affected area once you touch yourself. If it is the face affected, wash it regularly when you sweat using a face wash or mild soap. You should also ensure that your clothing and bedding are clean by changing them regularly.


Consume a well balanced diet with plenty of fruits and vegetables and drink plenty of water. Avoid junk food and sugar. Some people with acne experience increased skin irritation after consuming certain foods. Sugary foods may cause hormonal imbalance which worsens acne condition. Foods with high saturated fats may cause skin inflammation.


Maintaining good mental health is very important in getting rid of acne because stress is known to aggravate acne. Some types of stress can trigger the body to produce cortisol; this hormone can irritate the existing acne. Limit your exposure to stressful situations by involving in exercise or any workout activities. This will have an added advantage of excellent physical condition and improved skin health. Physical activities increase blood flow to skin cells for nourishment and waste removal leaving you with a healthy skin. You should also have adequate sleep.


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A Typical Day at an Adult Day Care Center

Adult day care as a specialized service for the geriatric population is a relatively recent advancement in health care for the elderly in the United States. It was only in the early 1970’s that the need for this service was recognized by the government and limited funding initially was made available for it through the Older Americans Act. (Goldstone 1989). There has been significant growth in the number of adult day services centers in the US over the past 8 years. There are more than 4,600 Adult Day Services ( ADS) centers nationwide.

Most centers operate Monday through Friday from 6:30 AM to 6:00 PM. The amount of space necessary for a center is usually mandated by the state at 50 sq ft. per client; therefore, one would require 5,000 sq ft. for a one hundred capacity center.

Centers are usually administered by a professional in the health care field, nursing field or social work field. Professional services are provided by a registered nurse or licensed practical nurse and recreational and therapy professionals as well. Generally the direct care worker to program participant ratio is 1:6.

Fees for such services average $61.76 per day and typically come from a public source such as Medicaid waiver, Veterans Administration, state/local social services or directly from a private pay participant not eligible for Medicaid.

Though participants are diverse in age, ethnicity and ability the average participant is a 65 plus year old female who may or may not have dementia, hypertention or a physical disability requiring assistance with one activity of daily living (ADL) and medication management as well. The average length of enrollment in a program for each participant is 24 months.

In recent years adult day care centers have become a staple in communities for older Americans, people with disabilities and family caregivers rely on them for ther services they provide. Because these centers make it possible for people to continue to live in their homes and receive affordable care in a supportive, professionally staffed, community-based setting. Further, they benefit family caregivers by enabling them to remain in the workforce or to receive needed respite and support services


Adult Dance Schools – Getting a Raw Deal?

Wherever you go, whichever town you live in you’ll be able to find a dancing school for children. Not to mention the new ones popping up all the time.

But what about dancing schools for adults? There are nowhere near as many and all the ones available seem to cater exclusively for professional dancers, or are 2 – 3 year college courses.

So where does an adult beginner wanting to learn to dance start? Well naturally it quite depends on your goals. If you just want to learn a couple of dance moves or do it as a hobby your aims are very much different from a late adult beginner wanting to do it professionally as a living.

The college route of doing 2 – 3 years is something that should be looked at by someone looking to do it professionally. But even they have to begin somewhere often learning part-time to begin with in order to audition successfully for a dance college.

So if you’re a beginning adult looking to learn for fun or with professional aspirations, to begin with you should look for either a part-time dancing school for adults or a dance studio. There aren’t many dance schools that operate part-time for adults so you may have to look into dance studios.

You should try to find your nearest dance studio that offers top level instruction and a range of classes that are near to you. The better the quality of instructors, the better prepared you will be for what’s ahead. Even if you’re doing it for fun it makes sense to have a good dance teacher, you’ll learn how to dance properly then!

If you want to dance for a living you should try and do a variety of skills from commercial and hip-hop to the core college subjects such as ballet, jazz and tap as well. If you’re doing it for fun you can do whichever dance classes take your fancy!

The problem for adult beginners is because naturally there are fewer dance schools for adults, they have to go to drop-in classes at studios where the training isn’t so gradual. So it is very hard to begin with when they’re finding their feet which can become discouraging.

So to summarize find a good dancing school or a dance studio with good dance teachers and dance classes that will continue to inspire you even when the going gets tough!

Should Obese Older Adults in Health Care Communities Be Encouraged to Lose Weight?

The obesity epidemic challenges health care professionals who care for older adults.

Our next great challenge in working with the nutritional needs of older adults in health care communities will be one that we have not worried about in many years: obesity. In the U.S., the prevalence of obesity in the general adult population is now at 67% (1); among adults over the age of 75 this rate was 26% for men and 27% for women in 2007-8. This may not sound alarming until you realize that this is an increase of 100% and 42% respectively since 1988-1994 (2). It is clear that in the coming years we’ll see more obese residents enter health care facilities for both short-term rehabilitation and long-term stays.

Obesity and Disease Risk in Older Adults

Along with higher rates of obesity, older Americans are experiencing higher rates of obesity-related diseases. This includes coronary heart disease, type II diabetes, stroke, and several types of cancer. In addition, obese older adults report more limits to activity levels which can lead to further increases in obesity and contribute to metabolic syndrome and/or sarcopenic obesity – age related loss of skeletal muscle mass coupled with obesity which can lead to weakness, frailty and falls.

Benefits of Weight Loss for Obese Adults

At first glance, it is easy to think that weight loss should be the prescribed course of action for all obese older adults. After all, it has been shown that weight loss can help reduce the risk of chronic disease or – for those who already have chronic disease – help control those diseases that tend to be worsened by obesity. Plus, there is some evidence that weight reduction in obese people over the age of 65 has similar health benefits to those at younger ages, primarily related to the reduction of cardiovascular disease risk factors.

The National Health, Lung and Blood Institute summarizes the advantages of weight loss well in their review of the evidence-based research and recommendations (3). In general, weight loss is recommended to:

• Lower elevated blood pressure

• Lower elevated levels of total cholesterol, LDL-cholesterol and triglycerides

• Raise low levels of HDL-cholesterol

• Lower elevated blood glucose in obese persons with type 2 diabetes

Is Weight Loss Always the Best Course of Action?

While the benefits of weight loss for healthier older adults may include reduced risk of cardiovascular episodes, reduction in blood cholesterol, blood lipids and blood glucose levels, for more fragile older adults the health risks can outweigh the benefits. For obese older adults, a number of questions must be answered to determine if weight loss is appropriate:

• Will weight loss reduce risk factors for other complications?

• Will weight loss prolong life for the individual?

• What are the risks associated with obesity treatment? (3)

• Will a restricted diet reduce the individual’s ability to consume adequate nutrients to maintain health?

For individuals who are appropriate for a planned weight loss program, the program must be carefully planned and supervised by trained health care professionals. Proper nutritional counseling and close monitoring of body weight and other nutritional parameters are essential.

For more fragile obese older adults health risks of weight loss include the potential for protein-energy malnutrition, vitamin/mineral deficiencies, and other complications that may follow (such as pressure ulcers, bone loss, weakness, and falls). For these patients a weight loss program may not be appropriate at all.

“A clinical decision to forgo obesity treatment in older adults should be guided by an evaluation of the potential benefits of weight reduction for day-to-day functioning and reduction of the risk of future cardiovascular events, as well as the patient’s motivation for weight reduction. Care must be taken to ensure that any weight reduction program minimizes the likelihood of adverse effects on bone health or other aspects of nutritional status” (3).

This information was excerpted from the book The Obesity Challenge: Weight Management in Health Care Communities, authored by Becky Dorner, RD, LD.


1. F as in Fat 2010: How Obesity Threatens America’s Future 2010. Trust for America’s Health and Robert Wood Johnson Foundation.

2. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report. National Heart Lung and Blood Institute, National Institutes of Health.

3. Federal Interagency Forum on Aging-Related Statistics. Older Americans 2010: Key Indicators of Well-Being. Federal Interagency Forum on Aging-Related Statistics. Washington, DC: U.S. Government Printing Office. July 2010.

The Benefits of Using Professional Adults As Babysitters

As more and more members of the middle class find themselves being thrown out of work and unable to find a new job, on average, for more than 18 months, options for babysitters have never been greater. It might not normally occur to you to ask that professional-looking woman you see sitting at Starbucks if she would be interested in babysitting, but she just might be sitting there, day after day, sending out resumes and getting no response.

Rather than babysitters being solely the domain of teenage girls and “granny” types, hiring an adult from the professional world has lots of advantages. First, they are used to getting paid for doing a specific job, and are used to performance standards and taking direction. Second, they realize that while it is ideal to love one’s job, it’s also OK that there are parts of it that they don’t have to particularly be crazy about in order to do a good job. This type of perspective and maturity is not often found in teenagers, for example, who might be likely to quit if things get too difficult or occasionally unpleasant.

Third, adults who have recently left the workplace are often lonely for the company of other people, and also miss the structure of needing to be at a particular place at a particular time. In other words, they miss having positions of responsibility and authority, that they used to have in their jobs. Babysitting, even though it is in a home environment, means that they are responsible for the “childcare department” of your “company” (family), and as such will enjoy working hard and doing a terrific job. They are also usually comfortable discussing money and business arrangements, and can communicate with you in a business-like manner, including by email, text message, and social media platforms. This is a boon for the busy working parent who doesn’t have time to play “phone tag” with a sitter who spends too much time yakking on the phone.

Fourth, professional adults can be a wealth of information to your children about their careers and their experience in the workplace. They might direct your children to a particular course of study, or continue to act as a kind of mentor when they inevitably return to the working world. These people may be influential in the communities, and have a wealth of connections that even you, the parent, may not have. Who knows, since they’ve been spending so much time job-hunting, they might even know of a great job opening that would suit you better than them!

Babysitting may not have a glamorous title or offer a corner office and a fancy country-club membership. But adult professionals may welcome that informality and change of pace in looking after your children. They may even be so inspired by babysitting your children that they end up launching their own daycare center, or even train to become a nanny! So the next time you see a lonely professional forlornly emailing out resumes at your local library or coffee shop, ask them if they’d be interested in a new direction for their career: by looking after your children.