


Another area PWBD should think about is safety in the home. Arthritic joints that may accompany having a bleeding disorder can affect mobility leading many aging adults to downsize to a smaller, easier-to-maintain home without stairs. Reduce the risk of falling by repairing or removing loose carpets and rugs, installing safety bars and no-slip strips in the bathroom, adding handrails where needed, using nightlights throughout the home, and keeping areas clear of décor or items on the floor to be able to move about more freely.
Planning for the future also includes taking steps to identify and document advance directives related to your health and finances. Take steps to meet with a financial planner to optimize your retirement as you head in that direction. It is important to identify and document a Power of Attorney (POA) for financial and health directives in addition to completing a Living Will. Planning for unforeseeable situations will help you and your loved ones to be better prepared.
As you age with your bleeding disorder, engage in research studies so the data collected can continue to be used to improve your lifestyle as you age. Embrace the opportunity to reach your senior years in the best way possible—something that was elusive to many with bleeding disorders just 30-40 years ago. And most of all, welcome to your senior years!
Reduce Risk of Cancer by:
Not smoking
Eating a healthy diet rich in fruits and vegetables and limiting processed meats
Maintaining optimal weight and exercising regularly
Limiting alcohol
Protecting from ultraviolet (UV) rays by avoiding prolonged, unprotected time in the sun and tanning salons, using sunscreen and covering exposed areas (with clothing, a wide-brimmed hat, etc.)
Engaging in safe sex to avoid HIV and HPV
Avoiding infections that may contribute to cancer by getting vaccinated for hepatitis B and HPV
Having yearly physical exams with appropriate age-related screenings
References
Hansen-Kyle L. A concept analysis of healthy aging. Nursing Forum. 2005. 40(2):45-7.
Leading Causes of Mortality in US. Available at: https://www.cdc.gov/nchs/products/databriefs/db427.htm.
Hay, Nissen, Pipe. Mortality in Hemophilia A: A systematic literature review. J Thromb Haemost. 2021. 19(Suppl. 1):6–20
Risks of Heart Disease. Available at: https://www.cdc.gov/heartdisease/facts.htm
Lim MY & Pruthi RK. Cardiovascular disease risk factors: prevalence & management in adult hemophilia patients. Blood Coagulation & Fibrinolysis. 2011. 22 (5):402-6.
Barnes RFW, Cramer TJ, Hughes TH, von Drygaslki A. The hypertension of hemophilia is associated with vascular remodeling in the joint. Haemophilia. 2017. 24:12387.
Barnes RFW, Cramer TJ, Sait AS, Kruse Jarres R, Quon DV, von Drygalski A. Blood pressure in haemophilia and its relation to clotting factor usage. Journal of Haemophilia Practice. 2019. 6(1).
Pokoski J, Ma A, Kessler CM, Boklage S, Humprhries TJ. Cardiovascular comorbidities are increased in U.S. patients with haemophilia A: a retrospective database analysis. Haemophilia. 2014. 20(4):472-8.
Von Drygalski A, Kolgitis NA, Bettencourt R, Bergstrom J, Kruse-Jarres R, Quon DV, et al. Prevalence and risk factors for hypertension in hemophilia. Hypertension. 2013. 62(1):209-15.
Sood SL, Cheng D, Ragni M, Kessler CM, Quon D,. Shapiro, A et al. A cross-sectional analysis of cardiovascular disease in the hemophilia population. Blood Advances. 2018. 2(11):1325-33.
Leading causes of cancer deaths in US. Available at: https://www.cdc.gov/cancer/dcpc/research/update-on-cancer-deaths/index.htm#:~:text=What%20were%20the%20leading%20causes,intrahepatic%20bile%20duct%20(5%25).
Skin cancer facts and Statistics. Available at: https://www.skincancer.org/skin-cancer-information/skin-cancer-facts/
Preventive health services for healthy aging. Available at: https://betterhealthwhileaging.net/preventive-health-services-for-older-adults-healthy-aging-checklist-part-5/#summary
Prostate Cancer Data. Available at: https://www.cancer.org/cancer/prostate-cancer/about/key-statistics.html#:~:text=About%201%20man%20in%2041,point%20are%20still%20alive%20today.
Prostate Cancer Screening. Available at: https://www.cancer.org/cancer/prostate-cancer/detection-diagnosis-staging/acs-recommendations.html
Hepatitis B and C Care. Available at: https://www.cdc.gov/nchhstp/newsroom/docs/factsheets/viral-hep-liver-cancer.pdf
Metcalf SS, Northridge ME, Lamster IB. A systems perspective for dental health in older adults. American Journal of Public Health. 2011. 101(10); 1820-23.
Li X, Kolltveit KM, Tronstad L, Olsen I. Systemic Diseases Caused by Oral Infection. American Society for Microbiology Clinical Microbiology Reviews. 2000.13(4):547-558.