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Health & Wellness

Older adults face unique health challenges and life changes. This page highlights senior-focused health and wellness topics, listed below in alphabetical order. Click the health and wellness category below that you are interested in to be taken to that section on the page.

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Always consult a healthcare provider for personalized advice and guidance.

​​​​​ADVANCED DIRECTIVES​

  • Click here for information on advance directives and how to complete them.

​​​​​ALCOHOL / SUBSTANCE / GAMBLING USE DISORDER​

  • Did You Know?

    • Alcohol, substance use, and gambling disorders can affect older adults and are often underrecognized.

    • Changes that come with aging—slower metabolism, lower muscle mass, and greater sensitivity to alcohol and medications—make the effects of substances stronger and increase risks such as falls, medication interactions, memory problems, and worsening of chronic conditions.

    • According to national data, millions of adults 65 and older experience alcohol use disorder or other substance use disorders each year.

    • These conditions are not a normal part of aging.

    • Effective treatment and support are available, and recovery is possible at any age.

    Get Help Now!

    • If you or a loved one is in crisis, call or text 988, which is the Suicide and Crisis Lifeline, for 24/7 support.​

    • Talk with your primary care provider. They can assess your situation, discuss how alcohol or other substances may interact with medications or health conditions, and connect you with specialized treatment or counseling. Your primary care provider can also provide recommended support for a gambling disorder.

    • ALCOHOL & SUBSTANCE USE

  • Other Valuable Resources

​​​​​ALZHEIMER'S & DEMENTIA

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  • Did You Know?

    • Dementia is a general term for loss of memory and other mental abilities severe enough to interfere with daily life. It is caused by physical changes in the brain. Alzheimer's is the most common type of dementia, but there are many kinds.

  • Get Help Now!

    • ​The Alzheimer's Association offers a 24/7/365 Helpline at (800) 272.3900. The Helpline is a free service offering support for people living with dementia, caregivers, families, and the public. Connect with a live person who can provide information, local resources, crisis assistance, and emotional support. 

  • Other Valuable Resources

ANXIETY

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  • Did You Know?

    • The American Association for Geriatric Psychiatry reports that an estimated 10 to 20% of adults 65+ experience clinically significant anxiety. However, it often goes unrecognized in this population. Older adults may not recognize signs of anxiety or seek help, and healthcare providers might misinterpret symptoms as other conditions, like gastrointestinal illness.

    • Life-disrupting anxiety isn't a normal part of aging. Untreated anxiety can lead to cognitive decline and lower quality of life. It's a medically treatable condition. With proper treatment, older adults can find relief.

    • The following activities offered at Brookletts Place have consistent research backing showing positive effects on anxiety, often through reduced stress, increased social connection, endorphin release, mindfulness, and a sense of purpose. 

  • Get Help Now!

    • The National Alliance on Mental Illness (NAMI) offers a FREE HelpLine, a peer-support service that provides information, resources, and support for people with mental health conditions, their families, and caregivers. Staff and volunteers are trained and can guide you based on what you are experiencing. The HelpLine is reachable at (closed on all federal holidays):​​​

    • Your primary care provider is a good place to start if you're seeking help. They can refer you to a qualified mental health professional, such as a psychologist, psychiatrist, or clinical social worker, who can help you determine the next steps.

    • As anxiety directly increases blood pressure, make sure to monitor your blood pressure at Brookletts Place's FREE blood pressure screenings. 

  • Other Valuable Resources

    • Mental Health America has excellent online resources to learn more about anxiety, living with it, treatment options, and the road to recovery.  

    • Mental Health America also outlines how to choose a provider, questions to consider, how to call a potential provider, how to prepare for your first appointment, how to understand your role in treatment, and what to do if you are not satisfied with your care.​

ARTHRITIS & JOINT / MUSCULOSKELETAL HEALTH

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  • Did You Know?

    • "Arthritis" is a broad umbrella term for more than 100 different joint conditions that generally fall into two main categories:

      • degenerative (wear-and-tear) arthritis, aka osteoarthritis, is the single most common type of arthritis, typically caused by the breakdown of cartilage over time

      • inflammatory (autoimmune) arthritis, e.g., rheumatoid arthritis (RA), psoriatic arthritis (PsA), gout. Inflammatory arthritis is often referred to as "rheumatoid arthritis," but inflammatory arthritis is the category, and RA is the disease. 

    • Arthritis impacts more than 50% of seniors, causing pain, stiffness, and reduced mobility. Related issues include osteoporosis, bone density loss, and the need to maintain strength/flexibility to support independence.

    • While there is no cure for arthritis, lifestyle factors can help alleviate symptoms. 

    • The strongest and most consistent research-backed evidence for positive management of arthritis, joint, and musculoskeletal health in seniors is fitness and exercise. Take advantage of the many fitness and exercise programs and classes Brookletts Place offers! 

  • Get Help Now!

    • ​Talk to your primary care provider about joint pain, stiffness, or limited mobility. They can evaluate your symptoms, order imaging or lab tests if needed, recommend treatments (medications, physical therapy, lifestyle changes), and refer you to a rheumatologist or orthopedic specialist when appropriate.

    • The Arthritis Foundation Helpline offers free support and information for people living with arthritis and their caregivers. Trained specialists can answer questions, help locate resources, and connect you with support. Call (800) 283-7800 (Monday–Friday, 9 am –5 pm ET) or visit the Helpline page for more communication options. 

  • Other Valuable Resources

BRAIN HEALTH & COGNITIVE FUNCTION

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  • Did You Know?

    • Concerns around memory, dementia, and mental sharpness are common as we age. While some cognitive changes are normal, a significant decline is not inevitable.

    • Research shows that a combination of physical activity, healthy diet, mental stimulation, social connections, quality sleep, and managing conditions like hypertension and diabetes can help maintain cognitive function and reduce the risk of decline.

    • Of the programs and services offered at Brookletts Place, the strongest and most consistent research-backed evidence for positive effects on brain health and cognitive function in seniors are: 

  • Get Help Now!

    • Talk to your primary care provider if you or a loved one notices changes in memory, thinking, or daily functioning. They can perform initial assessments, rule out treatable causes (like medication side effects or vitamin deficiencies), and refer you to specialists if needed.

    • ​The Alzheimer's Association offers a 24/7/365 Helpline at 800.272.3900. The Helpline is a free service offering support for people living with dementia, caregivers, families, and the public. They provide information, support, and local referrals - even if it’s just for concerns about brain health. 

  • Other Valuable Resources

    • The National Institute on Aging provides excellent guides on cognitive health and older adults, including practical steps for prevention, staying mentally active, and understanding normal vs. concerning changes.

    • The Alzheimer’s Association is a superior resource with tools for brain health, risk reduction, and early detection - even for those without a diagnosis. Includes the 10 early warning signs and symptoms and lifestyle tips.

CANCER SCREENINGS

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CARDIOVASCULAR HEALTH

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  • Did You Know?

    • High blood pressure affects ~61% of older adults, high cholesterol ~55%, and heart disease is the leading cause of death for those 65+. These conditions significantly raise the risk of heart attack, stroke, and other complications, but they are often manageable.

    • Heart disease is not an inevitable part of aging — lifestyle changes, medication, and regular monitoring can greatly reduce risks and support longer, healthier lives.

    • Small steps like regular physical activity, heart-healthy eating, not smoking, and stress management can make a big difference in maintaining your independence and quality of life.

    • Of the programs and services offered at Brookletts Place, the following provide strong research-backed evidence for positive effects on cardiovascular health in seniors:

      • Fitness & Exercise: The strongest evidence by far. Regular aerobic, resistance, and combined exercise improves blood pressure, cholesterol profiles, cardiorespiratory fitness, and endothelial function, and reduces the risk of heart disease, stroke, and cardiovascular mortality.

      • Social Connections: Strong social relationships are associated with substantially lower cardiovascular risk and mortality (comparable in magnitude to some traditional risk factors). Social isolation and loneliness increase cardiovascular disease risk.

      • Congregate Lunch @ Brookletts Place and Meals on Wheels (for homebound seniors): High-quality diets (emphasizing vegetables, fruits, whole grains, healthy fats, and limiting processed foods) are strongly linked to better blood pressure and lipid levels, lower inflammation, and reduced cardiovascular disease incidence and mortality.

  • Get Help Now!

    • For immediate concerns like chest pain, shortness of breath, or stroke symptoms, call 911 right away.

    • Your primary care provider is the best place to start. They can check your blood pressure, cholesterol, and overall heart health, prescribe medications if needed, and refer you to specialists such as a cardiologist.

    • Monitor your blood pressure at Brookletts Place's FREE blood pressure screenings​. 

    • If you face barriers such as limited mobility, transportation challenges, or lack of regular medical care, take advantage of the Talbot County Mobile Integrated Health (MIH) program, where healthcare providers visit you in your home to monitor your cardiovascular health. Click here to learn more about the MIH program.

  • Other Valuable Resources

    • The American Heart Association is a leading resource for "all things" heart health, including blood pressure and cholesterol management, lifestyle tips, recipes, CPR training, and survivor/caregiver support. Explore their Healthy for Good initiative for practical steps.

    • The CDC offers heart disease resources to learn about prevention, signs of heart attack/stroke, and data on senior cardiovascular health 

    • The Maryland Department of Health offers local statistics and programs focused on cardiovascular disease prevention.

DEPRESSION

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  • Did You Know?

    • The American Association for Geriatric Psychiatry reports that depression in older adults is a treatable medical condition, not a normal part of aging.

    • In older adults, it often presents with prominent physical aches, memory problems, or apathy rather than overt sadness. Effective treatment combines psychotherapy, lifestyle adjustments, and medications such as SSRIs, which are well tolerated by older adults.

    • Of the programs and services offered at Brookletts Place, the following have the strongest research-backed evidence for positive management of depression in seniors: 

      • Group Fitness & Exercise: Strong evidence across many studies. Exercise (including group classes, resistance training, dance, and mind-body activities) reliably reduces depressive symptoms in older adults and is often ranked among the most effective non-pharmacological approaches.

      • Singing in a Group / Playing an Instrument: Group music-making and singing consistently improve mood and reduce depressive symptoms; music-based interventions rank highly in comparative analyses.

      • Social Connections: Robust evidence that strong social relationships protect against and help reduce depression; isolation is a major risk factor.

      • Congregate Lunch @ Brookletts Place: Eating with a group increases social participation and reduces isolation, both strongly linked to lower depression rates.

      • Day Trips / Field Trips / Outings & Going Away on Trips with Peers: These increase social participation and reduce isolation, both strongly linked to lower depression rates.

  • Get Help Now!

    • If you or someone you know is struggling or in crisis right now, contact the Suicide & Crisis Lifeline! Call or text 988 or chat with the 988 Lifeline.

    • The National Alliance on Mental Illness (NAMI) offers a FREE HelpLine, a peer-support service that provides information, resources, and support for people with mental health conditions, their families, and caregivers. Staff and volunteers are trained and can guide you based on what you are experiencing. The HelpLine is reachable at (closed on all federal holidays):​​​

    • ​Your primary care provider is a good place to start if you're seeking help. They can refer you to a qualified mental health professional, such as a psychologist, psychiatrist, or clinical social worker, who can help you determine the next steps.

  • Other Valuable Resources

DIABETES MANAGEMENT & METABOLIC HEALTH

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  • Did You Know?

    • Metabolic health encompasses blood sugar, weight, cholesterol, and blood pressure, which play a key role in overall wellness and independence as we age.

    • The Endocrine Society reports that an estimated 33% of adults aged 65 or older have diabetes, with many more having prediabetes.

    • Older adults often have one or more co-existing conditions like cognitive impairment, cardiovascular disease, and others that impact diabetes education and management. 

    • It is closely linked to obesity, heart disease, and other complications, but it is highly manageable. With proper education, lifestyle adjustments, medication (when needed), and regular monitoring, older adults can maintain good blood sugar control, prevent complications, and enjoy a high quality of life.

    • Of the programs and services offered at Brookletts Place, the following have the strongest research-backed evidence for positive management of diabetes and metabolic health in seniors: 

      • Fitness & Exercise: The strongest evidence. Aerobic exercise, resistance/strength training, and combined programs improve insulin sensitivity, glycemic control (A1C), body composition, weight management, and cardiovascular risk factors in older adults with or at risk for type 2 diabetes. Resistance training is particularly valuable for preserving muscle mass.

      • Eating Healthy: Congregate Lunch @ Brookletts Place and Meals on Wheels (for homebound seniors) are core parts of diabetes management. Structured dietary approaches (calorie control, higher protein for older adults, reduced refined carbohydrates) improve blood glucose, lipids, weight, and overall metabolic health. Access to healthy food support also shows benefits.

  • Get Help Now!

    • Your primary care provider is an excellent starting point. They can screen for diabetes/prediabetes, help create a personalized management plan, and refer you to specialists such as an endocrinologist, diabetes educator, or registered dietitian.

    • You can also find an endocrinologist through the Endocrine Society's physician referral directory, which comprises over 6,500 members. The Endocrine Society is the largest and most influential organization of endocrinologists in the world.

    • As diabetes can impact blood pressure, make sure to monitor your blood pressure at Brookletts Place's FREE blood pressure screenings.  ​

    • If you face barriers such as limited mobility, transportation challenges, or lack of regular medical care, take advantage of the Talbot County Mobile Integrated Health (MIH) program where healthcare providers visit you in your home to monitor your diabetes. Click here to learn more about the MIH program.

  • Other Valuable Resources

    • University of Maryland Shore Regional Health's Center for Diabetes and Endocrinology offers classes, support groups, and other patient education services that help you achieve optimal health with the latest, most effective self-care skills. You can also call (410) 822-1000, ext. 5757, for a schedule of upcoming classes and support groups, as well as information on how to register.

    • The Maryland Living Well Center of Excellence offers a community-based workshop to help people manage their diabetes. The Diabetes Self-Management Program is based on the Chronic Disease Self-Management Program (CDSMP) developed at the Stanford University Patient Education Research Center.

    • The American Diabetes Association is the premier resource for all aspects of diabetes, offering education programs, self-management tools, recipes, risk tests, and caregiver support. Find recognized local/virtual programs and search for Maryland resources.

    • The Maryland Department of Health offers diabetes resources, prevention programs, and local classes.

    • Click here to read the Endocrine Society's article, Diabetes and Older Adults.

DURABLE MEDICAL EQUIPMENT (DME)

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  • The Maryland DME Program offers free DME to Marylanders with any illness, injury, or disability, regardless of age or insurance coverage. All equipment is donated, sanitized, repaired, and redistributed to locations throughout Maryland for pickup.

  • Click here to learn more about the program, types of equipment offered, ways to request DME, and how to pick up the DME.

FALLS PREVENTION, MOBILITY & BALANCE

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  • Did You Know?

    • Falls are the leading cause of injury among adults 65 and older. More than 1 in 4 older adults falls each year, yet fewer than half tell their doctor. Falling once doubles the chance of falling again. 

    • Living in a home that needs repairs or modifications increases home hazards.

    • A home hazard assessment and modifications (grab bars, improved lighting, removing trip hazards, ramps, railings, etc.), especially when guided by occupational therapists, reduce falls.

    • Low blood pressure (hypotension) increases the risk of falls and balance issues in seniors because of symptoms like dizziness, lightheadedness, blurred vision, and fainting. These sudden sensations cause unsteadiness and greatly increase fall risks. Monitor your blood pressure at Brookletts Place's FREE blood pressure screenings.  ​

    • The strongest research-backed evidence for positive effects on falls prevention, mobility, and balance in seniors is fitness and exercise. Take advantage of the many fitness and exercise programs and classes Brookletts Place offers!​​

  • Get Help Now!

    • Talk to your primary care provider about fall risk screening and personalized recommendations (exercise, medications, vision, or home assessment).

    • Join evidence-based programs at Brookletts Place, including S.A.I.L. (Stay Active and Independent for Life) — a free strength, balance, and fitness class designed specifically for fall prevention.

  • Other Valuable Resources

    • Click here to learn more about home repairs and modifications and related labor and financial assistance that can help you stay safely at home.

    • Learn more here about medications that put you at risk for falls, help keep track of your medications, and help guide your conversation with a doctor or pharmacist.

    • Take a free falls risk assessment online at the National Council on Aging's Falls Free CheckUp.​​

    • The National Institute on Aging provides guidance on exercise, balance, and fall prevention.

GERONTOLOGY VS. GERIATRICS 

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  • As our population ages, gerontology and geriatrics are becoming more prominent in healthcare and the social sciences. Although similar, they are distinct fields with different goals, focuses, and careers. Concordia University, Chicago explores their differences and similarities, emphasizing their importance in meeting the needs of our aging population.

LONELINESS & SOCIAL ISOLATION

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  • Loneliness is feeling like you do not have meaningful or close relationships or a sense of belonging.

    • ​You might feel disconnected or isolated from others. Maybe you haven’t seen your loved ones or friends in a while. You might feel as if nobody understands you and there is no one to turn to.

    • Here are four things you can do right now to address your loneliness:

      1. Read the valuable and relevant information on our Social Connections page.​​

      2. Make an appointment to talk to your health care provider about how you are feeling.

      3. Make an appointment with a mental health provider. 

      4. If you or someone you know is struggling or in crisis right now, contact the Suicide & Crisis Lifeline! Call or text 988 or chat the 988 Lifeline.

  • Social Isolation is more than feeling lonely. It has a negative impact on our emotional and physical health. 

MEDICARE

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MEDICAL GRANTS 

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  • The Patient Advocate Foundation offers financial aid programs designed to assist patients with out-of-pocket expenses for medications, health insurance premiums, and transportation costs related to over 80 specific chronic, rare, and cancer-related conditions.

MEDICATIONS, PRESCRIPTIONS & SUPPLEMENTS

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  • Medications & Older Adults

  • Medication Management

    • You can reduce your risk of medication-related issues by following these tips and consulting your healthcare provider or pharmacist with any questions.

    • Take advantage of the Talbot County Mobile Integrated Health (MIH) program where healthcare providers visit you in your home to support your medication management and ensure your proper use of prescriptions. Click here to learn more about the MIH program.

  • Cost-Savings

    • Using generic drugs is one way to save money. Generics have the same active ingredients as the brand-name drugs they’re based on. But they typically cost 80-85% less, according to Food and Drug Administration estimates.

    • If you want to make sure you’re getting generics when possible, talk to your doctor and pharmacist.

    • Click here to learn how to get generic drugs and low-cost prescriptions.

    • Good Pill is a licensed non-profit pharmacy dedicated to getting you the medicine you need at a price you can afford, regardless of your insurance status.

  • Fall Risk as Side Effect

    • Prescription medicines, over-the-counter medicines (OTC), dietary supplements, and even some herbal products can cause side effects that increase your risk of a fall.

    • Learn more here about medications that put you at risk for falls, how to keep track of your medications, and how to guide your conversation with a doctor or pharmacist.​​

  • Opiods

    • ​Opioids may be prescribed to treat moderate-to-severe pain following surgery, an injury, or other health conditions. Prescription opioids carry considerable risk of side effects and can lead to misuse, addiction, or overdose.

    • Click here to learn more about prescription opioids.

  • Change in Blood Pressure as a Side Effect

  • Supplements

    • ​Over-the-counter (OTC) supplements lack the same FDA oversight as prescription drugs, making it difficult to select quality products. Meanwhile, fraudulent supplements are increasingly common. Click here to learn six tips for choosing quality vitamins and supplements. 

  • ​Safe Disposal

    • The following are options for disposing of your unused, unwanted, or expired prescription medication, OTC medication, and supplements safely:​

      • Medication Disposal Kiosk @ Walgreens in Easton: The kiosk is located next to the pharmacy in the back of the store and is available during pharmacy hours. Drop your medication in the drop box like you would a mailbox. ​

      • ​Pre-Paid ‘Seal and Send’ Mail Back Envelopes @ Walgreens: Patients can place unused or unwanted medications in the pre-paid and unmarked envelope prior to dropping it in the nearest mailbox for shipment via the United States Postal Service to an approved destruction site. Each pre-paid drug mail-back envelope will include instructions for use and a Patient Education Sheet. To get a free pre-paid mail-back envelope, just ask at any Walgreens pharmacy.

      • DisposeRx Packets: DisposeRx packets help make it safe to throw medication in your home trash. The packets have a powder that you mix with water right in the medication bottle so that the medication becomes unusable and safe for the environment. To get FREE DisposeRx packets for your unwanted, unused, or expired medications:

        • Request one from any Walgreens pharmacy​

        • ​Contact the Talbot County Health Department at (410) 819-5600 to learn if they have any available in their "Health Resources on the Go" vending machines or distribution boxes. 

      • Drop-Off @ a Talbot County-Based Law Enforcement Facility: 

      • U.S. Drug Enforcement Administration (DEA) Year-Round Drop-Off Location: Use the DEA's directory to learn of year-round drop-off locations based on zip code.

MENTAL HEALTH & EMOTIONAL WELLNESS

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  • Did You Know?

    • Mental health and emotional wellness include managing depression (common but underdiagnosed), stress reduction, mindfulness, and combating social isolation, which has major health impacts equivalent to other risks.

    • ​Effective treatment options are available to help older adults manage their mental health and improve their quality of life. Recognizing the signs and seeing your primary health care provider are the first steps to getting treatment.

    • The following programs at Brookletts Place have strong research-backed evidence for positive effects on mental health and emotional wellness in seniors:​​

  • Get Help Now!

    • If you or someone you know is struggling or in crisis right now, contact the Suicide & Crisis Lifeline! Call or text 988 or chat the 988 Lifeline.

    • The Santé Group Eastern Shore has a 24/7 crisis hotline at (888) 407-8018 for anyone suffering a behavioral or mental health challenge.

    • The National Alliance on Mental Illness (NAMI) offers a FREE HelpLine, a peer-support service that provides information, resources, and support for people with mental health conditions, their families, and caregivers. Staff and volunteers are trained and can guide you based on what you are experiencing. The HelpLine is reachable at (closed on all federal holidays):​​​

  • Other Valuable Resources

MOBILE INTEGRATED HEALTH

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  • Talbot County’s Mobile Integrated Health (MIH) program is a collaborative initiative between the Department of Emergency Services (TCDES) and the Talbot County Health Department designed to bring healthcare services directly to residents in need. The program focuses on preventative care, chronic disease management, and reducing unnecessary emergency room visits and hospital readmissions by providing personalized, in-home healthcare solutions.

  • The program primarily serves seniors, individuals with complex medical conditions, and those at risk of frequent hospital visits. By offering personalized care and intervention, MIH helps improve quality of life and allows individuals to remain safely in their homes rather than relying on emergency medical services for routine healthcare needs.​

  • The MIH team, which includes paramedics, nurses, and community health professionals, visits individuals in their homes to assess their health needs and provide essential medical support. These services include:

    • Medication management to ensure proper use of prescriptions

    • Chronic disease monitoring for conditions such as diabetes, heart disease, and respiratory illnesses

    • Health education and self-care guidance to empower patients

    • Coordination of social services and referrals to connect individuals with community resources

    • Preventative screenings and wellness checks to address concerns before they become emergencies

  • Contact TCDES to coordinate an at-home visit at (443) 239-6999 or mihreferrals@talbotdes.org.

NUTRITION & HEALTHY EATING

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  • Did You Know?

    • Nutrient-dense diets are essential for weight management, bone health, chronic disease prevention (including heart disease and diabetes), and maintaining energy and independence in older adults.

    • Many seniors face challenges like reduced appetite, chewing difficulties, or limited access to fresh foods, but small, practical changes can make a big difference. Trends include personalized nutrition, anti-inflammatory foods, adequate protein intake, and addressing malnutrition risks, which affect a significant portion of older adults.

    • Focus on enjoyable, sustainable habits—like eating colorful fruits and vegetables, staying hydrated, and sharing meals with others—to support vitality and independence. Brookletts Place programs in nutrition, physical activity, and social connections are excellent ways to put these principles into practice!

    • Nutrition is a key driver of blood pressure in seniors. Diets high in sodium, saturated fats, and added sugars cause fluid retention and arterial inflammation, increasing hypertension risk. Monitor your blood pressure at Brookletts Place's FREE blood pressure screenings.  ​

    • The following programs at Brookletts Place have strong research-backed evidence for positive effects on nutrition and healthy eating in seniors:​​

      • Congregate Lunch @ Brookletts Place: Communal (shared) meals have strong evidence that they are associated with higher energy and nutrient intake, better diet quality, reduced risk of malnutrition, and improved nutritional status compared with eating alone. Social facilitation of eating is a well-documented effect in older adults.

      • Meals on Wheels: Offers nutritionally balanced meals to eligible seniors aged 60 and older who are homebound.

      • Social Connections: Social isolation and solitary eating are linked to poorer diet quality, lower fruit/vegetable intake, and higher risk of inadequate nutrition. Staying socially connected helps maintain healthier eating patterns, especially for older women.

  • Get Help Now!

  • Other Valuable Resources

    • National Institute on Aging: Comprehensive information on Healthy Eating, Nutrition, and Diet for older adults, including sample menus, shopping tips, and guidance on managing changes in appetite or taste.

    • MyPlate.Gov for Older Adults: Visual guide tailored to senior nutrition needs—emphasizing nutrient-dense foods, hydration, and variety. Available at myplate.gov.

    • Academy of Nutrition and Dietetics: Resources for healthy eating as you age, including recipes and handling common challenges.

    • Talbot County Department of Health: Manages the food protection program, which enforces safety regulations related to food sold in Talbot County. Click here to learn how to file a complaint about a licensed food facility in Talbot County and for additional food safety resources.

PHYSICAL ACTIVITY & FUNCTIONAL FITNESS

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  • Did You Know?

    Regular physical activity is one of the most powerful ways for older adults to maintain strength, balance, mobility, and independence while reducing the risk of falls, chronic diseases, and cognitive decline.

    • ​The term "physical fitness" is a general, understood, mainstream term. But functional fitness involves exercises that train your body to perform everyday real-life activities safely and efficiently.

    • The CDC recommends that adults 65+ get at least 150 minutes of moderate aerobic activity per week, plus muscle-strengthening activities on 2+ days, and balance training.

    • "Longevity training," functional movements, and low-impact options like walking, water aerobics, or chair exercises can support daily activities and healthspan.

    • Starting small and staying consistent can help you remain strong, mobile, and independent longer. ​

    • Physical activity and functional fitness have a direct correlation to your cardiovascular health. Make sure to monitor your blood pressure at Brookletts Place's FREE blood pressure screenings​. 

    • The following programs at Brookletts Place have strong research-backed evidence for positive physical activity and functional fitness in seniors:​​

      • Group Fitness & Exercise: The strongest and most direct evidence. Structured group programs (aerobic, resistance/strength training, balance, mind-body, multimodal) improve physical function, strength, mobility, balance, aerobic capacity, and reduce functional decline. Group settings also boost adherence.

      • Social Connections: Social support (especially companionship and group cohesion) is a major facilitator of physical activity adherence and sustained participation in exercise programs. Older adults with stronger social support are more likely to stay active.

      • Day Trips / Field Trips / Outings & Going Away on Trips with Peers: These provide incidental physical activity (walking, transferring, navigating environments) and can improve confidence, mobility, and functional capacity over time through real-world movement practice.

  • Get Help Now!

    • Talk to your primary care provider before starting a new exercise routine, especially if you have health conditions or concerns about safety. They can provide clearance and tailored recommendations.

    • SilverSneakers is a health and fitness program designed for adults 65+ that’s included with many Medicare Advantage plans. Click here to check your eligibility to participate in the program.​

    • Brookletts Place has several physical and functional fitness classes and programs for members of all abilities. Click here to review current classes and schedules.

  • Other Valuable Resources

    • CDC Physical Activity Guidelines for Older Adults: The CDC provides clear recommendations, sample schedules, and information on the benefits of staying active.

    • National Institute on Aging (NIA): NIA's Go4Life program has exercises, videos, and tips for strength, balance, and endurance.

PREVENTATIVE CARE

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RESPIRATORY HEALTH

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  • Did You Know?

    • Aging changes the lungs and immune system, making older adults more susceptible to respiratory infections such as flu, pneumonia, COVID-19, and RSV, as well as chronic conditions such as COPD and asthma.

    • These can lead to serious complications, hospitalization, or worsened heart/lung issues, but many are preventable through vaccinations, avoiding smoke, good hygiene, and managing chronic conditions. Staying up to date on vaccines and prompt treatment can protect health and independence.​

    • Home environmental factors (good ventilation, absence of mold/dampness, proper heating/insulation, reduced indoor pollutants) are associated with better respiratory health; interventions addressing housing conditions can reduce respiratory infections and symptoms. Refer to our Home Repair and Modifications page for more information and to learn about related financial assistance programs.

    • High blood pressure impacts respiratory health by restricting pulmonary blood flow and stiffening airway tissues. Monitor your blood pressure at Brookletts Place's FREE blood pressure screenings​. 

    • The following programs at Brookletts Place have strong research-backed evidence for positive effects on respiratory health in seniors:​​

      • Group Fitness & Exercise: The strongest evidence. Structured exercise (aerobic, strength, breathing exercises, and pulmonary rehabilitation-style programs) improves exercise capacity, respiratory muscle strength, symptom control, and quality of life in older adults with or at risk for respiratory conditions.

      • Singing in a Group: Growing and consistent evidence. “Singing for Lung Health” and group singing programs improve respiratory muscle strength, diaphragmatic function, physical quality of life, and walking capacity in people with COPD and older adults; some studies show it is comparable to physical exercise training components of pulmonary rehabilitation.

      • Eating Healthy: Congregate Lunch @ Brookletts Place and Meals on Wheels (for homebound seniors) provide diets rich in fruits, vegetables, fiber, and antioxidants (and lower in processed meats) that are associated with slower decline in lung function and reduced respiratory disease risk.

  • Get Help Now!

    • Talk to your primary care provider about recommended vaccinations (flu, COVID-19, pneumococcal, RSV, etc.) and any symptoms, such as a persistent cough, shortness of breath, or wheezing.

    • If you are a smoker, local resources are available to help you quit.

    • If you face barriers such as limited mobility, transportation challenges, or lack of regular medical care, take advantage of the Talbot County Mobile Integrated Health (MIH) program, where healthcare providers visit you in your home to monitor your respiratory health. Click here to learn more about the MIH program.

  • Other Valuable Resources

    • CDC Respiratory Viruses Resources: The CDC offers valuable guidance on prevention, vaccines, and protection for older adults.

    • American Lung Association: The American Lunch Association provides tools for COPD management, lung health education, and support.

SEXUAL HEALTH

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  • Did You Know?

    • Sexuality and intimacy remain important parts of life for many older adults. Surveys show that a substantial portion of adults in their 60s, 70s, and beyond continue to be sexually active and value closeness with a partner.

    • At the same time, age-related changes (hormonal shifts, medications, chronic conditions, or mobility issues) can affect desire, comfort, or function.

    • Rates of some sexually transmitted infections (STIs) have risen significantly among adults 55 and older in recent years. Talking openly with a healthcare provider and practicing safer sex when appropriate help protect both physical health and quality of life.

    • The following programs at Brookletts Place have strong research-backed evidence for positive effects on sexual health in seniors:​​

      • Group Fitness & Exercise: One of the strongest lifestyle factors. Regular physical activity (especially aerobic and resistance training) is associated with better sexual function, greater odds of remaining sexually active, improved circulation, energy, mood, and body image. It also helps manage conditions (e.g., cardiovascular disease, diabetes, obesity) that commonly affect sexual health.

      • Social Connections: Emotional intimacy, partnership, and reduced isolation are central to sexual well-being. Strong social ties increase opportunities for closeness and support overall relationship satisfaction, which is closely tied to sexual health.

      • Eating Healthy: Congregate Lunch @ Brookletts Place and Meals on Wheels (for homebound seniors) support vascular health, healthy weight, hormone balance, and energy levels - all of which influence sexual function and desire. Lifestyle approaches that include good nutrition are linked to better sexual outcomes.

    Get Help Now!

    • Speak with your primary care provider about any concerns related to sexual function, comfort, desire, or safer sex. They can evaluate medical causes, discuss treatment options, and order appropriate testing.

    • The Talbot County Health Department offers confidential STI testing, counseling, and treatment services for adults of all ages on a sliding fee scale. Call (410) 819-5600 or click here to learn more about related STI services and how to make an appointment. 

    • If you have questions about Medicare coverage for related services or counseling, contact our Maryland State Health Insurance Assistance Program (SHIP) Coordinator for assistance. 

    Other Valuable Resources

SLEEP HEALTH

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  • Did You Know?

    • Sleep patterns naturally change with age - older adults often experience lighter sleep, more frequent awakenings, and earlier bed/wake times.

    • Poor sleep is linked to cognitive decline, weakened immunity, increased fall risk, mood changes, and higher chances of chronic conditions like heart disease and diabetes.

    • Good sleep is achievable and vital for overall wellness, memory, energy, and independence.

    • Addressing issues like insomnia, sleep apnea, or restless legs can dramatically improve quality of life.

    • Blood pressure and sleep health share a critical, bidirectional relationship. Healthy sleep allows your blood pressure to naturally drop by 10% to 20% overnight (called "nocturnal dipping"). When blood pressure is elevated, it can disrupt sleep and trigger conditions like insomnia. Monitor your blood pressure at Brookletts Place's FREE blood pressure screenings​. 

    • The following programs at Brookletts Place have strong research-backed evidence for positive effects on sleep health in seniors:​​

      • Group Fitness & Exercise: The strongest and most consistent evidence. Combined aerobic and resistance training, aerobic exercise, walking, and mind-body activities (e.g., yoga, Tai Chi) significantly improve sleep quality in older adults. Benefits can appear within weeks and are greater in those with poorer baseline sleep.

      • Social Connections: Social engagement and meaningful social connections are linked to better sleep quality. Isolation and loneliness are associated with poorer sleep; staying socially active supports healthier sleep patterns.

      • Eating Healthy: Congregate Lunch @ Brookletts Place and Meals on Wheels (for homebound seniors) provide good nutrition that supports overall circadian health and metabolic function that influence sleep. Healthy dietary patterns are part of lifestyle approaches that benefit sleep alongside other factors.

  • Get Help Now!

    • Discuss sleep concerns with your primary care provider. They can screen for underlying issues (e.g., sleep apnea, medications, or medical conditions), recommend strategies, or refer you to a sleep specialist.

    • Cognitive Behavioral Therapy for Insomnia (CBT-I) is a highly effective, non-medication option often covered by Medicare—ask your provider.

  • Other Valuable Resources

    • The American Academy of Sleep Medicine (AASM) provides resources to help you learn about the importance of healthy sleep. The AASM also provides accurate information to help you understand the treatment options for sleep disorders such as insomnia and obstructive sleep apnea.

SMOKING & TOBACCO CESSATION

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  • Did You Know?

    • Smoking and tobacco use remain major risk factors for respiratory diseases, heart disease, cancer, and other serious conditions in older adults.

    • Quitting at any age brings significant health benefits, including improved lung function, reduced risk of heart attack and stroke, and better overall quality of life. Even long-term smokers can see improvements, and free or low-cost support makes it more achievable than ever.

    • Every cigarette causes a temporary spike in blood pressure by activating your sympathetic nervous system, increasing heart rate, and narrowing arteries. Furthermore, the chemicals inhaled damage blood vessel walls, fostering atherosclerosis and raising the risk of heart attack and stroke. Monitor your blood pressure at Brookletts Place's FREE blood pressure screenings​. 

    • The following programs at Brookletts Place have strong research-backed evidence for positive effects on reducing smoking and tobacco cessation in seniors:​​

      • Group Fitness & Exercise: Physical activity helps manage nicotine cravings and withdrawal symptoms, improves mood, and supports cessation efforts. Exercise is frequently recommended as an adjunct to quitting.

      • Social Connections: Social support is one of the strongest predictors of successful quitting and long-term abstinence. Supportive relationships, peer encouragement, and reduced isolation help people stay motivated and accountable.

      • Eating Healthy: Congregate Lunch @ Brookletts Place and Meals on Wheels (for homebound seniors) provide good nutrition that supports overall circadian health and metabolic function that influence sleep. Healthy dietary patterns are part of lifestyle approaches that benefit sleep alongside other factors.

  • Get Help Now!

    • ​The Talbot County Health Department (TCHD) offers a FREE smoking cessation program for Talbot County residents, regardless of income or insurance status.

    • Cessation medications, including Chantix, bupropion, nicotine patches, gum, and lozenges, are offered FREE to those with consent from a physician. We also offer individual support and counseling.

    • Call TCHD at (410) 819-5688 to enroll in the program, or call the Maryland Quit Line directly at (800) 784-8669, or enroll online.

    • The Maryland Quit Line will proactively contact you to help you build a personalized plan to quit. You can also receive nicotine replacement products directly by mail from the Quit Line at no cost to you. Quit Line services are all conducted over the phone and by text – there is no need to attend a group or meet in person. Quit coaches will contact you in the way and at a time that is most convenient for you.

  • Other Valuable Resources

    • American Lung Association: Provides information on the benefits of quitting and strategies for success.

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