Author: Lauren Pitlyk Pitlyk

  • Essentials of Hospital Discharge Planning: A Checklist for Family Caregivers

    Essentials of Hospital Discharge Planning: A Checklist for Family Caregivers

    Essentials of Hospital Discharge Planning: A Checklist for Family Caregivers

    Hospital stays can be hard on elderly patients, and it’s only natural that they often can’t wait to go home. However, rushing through post-hospital discharge care increases the risk of health complications and even readmission.

    Family caregivers can help their senior loved ones by becoming involved in their discharge plan. If you have never done this before, we’ve assembled a checklist below of critical items to cover with your loved one’s medical team and discharge planner (often a hospital social worker or nurse). The best time to complete this checklist is at least an hour or two before your loved one is released from the hospital. A brief checklist can be found at the end of the explanations.

    1: Understand their medical conditions and procedures

    Don’t be shy about asking questions: it’s essential that you understand your loved one’s health status and the conditions being treated. Questions you might ask in this category include:

    ● Was this a one-time surgery, or will there be more procedures for the same condition?
    ● Will there be a follow-up procedure, exam, or labs for this surgery?
    ● How will we know that recovery is going well? How will we know there is a problem with recovery?
    ● Will there be swelling, pain, bleeding, or any other symptoms that are expected but uncomfortable? What should we do in response?
    ● Do they have any conditions that make recovery more difficult, such as congestive heart failure or diabetes?
    ● At what point should we call their doctor during recovery, if problems arise? At what point should we get emergency care?

    Know that hospital stays do not include full recovery for your loved one, just stabilization. Patients are discharged once the medical team deems it safe, not when they are fully back to health. This distinction helps explain why we should feel we confidently understand our loved one’s condition before we take them home.

    2: Get full details on medication and recovery needs

    Get a full list of medications your loved one should be taking upon release from the hospital. (This might include routine medications that have nothing to do with their surgery or reason for hospitalization.) Ensure you have information on dosage and times of day the medication should be taken. Ask about drug interactions (a pharmacist may be the best resource for this), and also ask if any medication or supplement should be discontinued during recovery. Find more tips for medication process and safety here.

    Your loved one may need wound care, shots, or special medical equipment during their recovery. If it’s not offered to you first, ask for a demonstration on how (and how often) to change wound dressings, or how to work with the special equipment. If you’ll be required to administer injections, ask for practice on this, too. If devices such as a walker, special bed, portable toilet, or oxygen supply are recommended, ask for details on what type you should look for, and where they recommend ordering them. (Insurance, Medicare, and/or veterans’ benefits may help cover these expenses.)

    If after-hospital care includes tasks you cannot safely or comfortably complete, ask the discharge planner for any resources they have related to home health and home care (here is the difference between the two). Short term, trained help can take a lot of pressure off a family caring for an elderly loved one post-hospital discharge.

    Lastly, ask about lifestyle directives. Should your loved one be taking short walks each day during recovery, or should they avoid any exertion? Can they climb stairs or take baths? Does someone need to be in the room with them at all times for a specified number of days or weeks? Does their mealtime or bathing routine have to adjust short term? Get clear instructions for the day-to-day.

    3: Schedule follow-up careHospital Discharge Planning Checklist

    Make sure you have the following details for all upcoming follow-ups and related appointments:

    ● Dates/times
    ● Location
    ● Purpose
    ● Staff (i.e., will it be with their surgical staff, primary care doctor, someone else?)
    ● What to bring (here are some examples)

    You may be asked to schedule your loved one’s rehabilitation-related appointments, such as physical therapy. Write down all referrals. Also start planning who will take your loved one to each appointment.

    4. Prepare the home

    The transition of care from hospital to home means taking stock of safety and comfort. Before you bring your loved one home, consider needed home modifications and make sure meals and prescription fills are planned-for. Consider the rooms where your loved one will sleep, bathe, and spend the day. Think about keeping water easily accessible and temperatures comfortable.

    Note that a hospital is a highly structured environment, where everything runs on a schedule; as much as possible, try to create similar structure at home to minimize the chance of missing something important.

    Brief Checklist Before Hospital Discharge

    ● I understand my loved one’s health conditions.
    ● I understand the care that was administered during their hospital stay.
    ● I know what warning signs to look for that signal we need to seek emergency care or readmission to the hospital.
    ● I have contact information for emergency and non-emergency purposes during recovery.
    ● I have a full list of medications they need to be taking, and the details of how/when.
    ● I know how and when to change wound dressing/work medical devices.
    ● I know what foods and activities they need to avoid during recovery, and what they need to do every day to support recovery.
    ● I know when, where, why, and with whom all their next appointments are scheduled.
    ● I know who is taking them to these appointments.
    ● I have prepared their/my home for them to transition safely and continue recovery.
    ● I know who to contact for additional support with home health or home care.
    ● I know who will be monitoring my loved one at all times during recovery.

    Family caregivers work hard to support their elderly loved ones with disabilities and complex health conditions. Home care can be a life-changing resource, so our VetAssist mission is to make it easily and quickly accessible for those who qualify through the VA Pension with Aid and Attendance benefit. Veterans Home Care can help you determine whether you or your loved one will be eligible to receive the benefit, which can cover some or all of the cost of home care, and we make it easy to apply. Chat with us via our website, or call us at (888) 314-6075.

    The post Essentials of Hospital Discharge Planning: A Checklist for Family Caregivers appeared first on Veterans Home Care – VA Aid and Attendance Pension Benefit.

    This post was originally published on this site.

  • Best Caribbean Harbors for Small Ship Cruises

    Best Caribbean Harbors for Small Ship Cruises

    In the Caribbean, the best ports are the ones you’ve never heard of — until now

    The Caribbean is a sensory feast: impossibly blue water, vibrant reefs teeming with life, landscapes that shift from lush rainforest to sun-bleached desert within a single island chain. But the real magic happens at the harbors themselves — the intimate coves and storied ports where the islands reveal their character up close.

    This is where Windstar’s small ships have the advantage. Rather than crowding into the same mega-ports as the big cruise lines, our yachts slip into harbors too small, too shallow, or simply too special for larger vessels.

    Before diving into these picturesque harbors, it’s worth noting that the Caribbean can be tricky to parse, since it’s made up of three main archipelagos (sometimes called the West Indies collectively):

    • The Greater Antilles — the big islands: Cuba, Jamaica, Hispaniola (Haiti/Dominican Republic), and Puerto Rico. These aren’t referred to as Leeward or Windward at all. Aside from Puerto Rico, where San Juan is a hub for some Leeward Islands itineraries, Windstar doesn’t currently visit this group.
    • The Lesser Antilles — the best-known group, running from the Virgin Islands to Grenada, split into two sub-groups. The Leewards arc down from the north: the Virgin Islands through Anguilla, St. Maarten/St. Martin, St. Barts, St. Kitts, Nevis, Antigua, and Guadeloupe. The Windwards lie further south: Dominica down through Martinique, St. Lucia, St. Vincent and the Grenadines, and Grenada.
    • The Leeward Antilles — a separate, often-confused third group: islands off Venezuela’s coast like Aruba, Curaçao, and Bonaire, plus Venezuela’s own island territories.

    Windstar itineraries may focus on just one region or mix and match across overlapping areas. And it’s important to note that most of Windstar’s best off-the-path yacht harbor ports are located in either the Greater Antilles or Lesser Antilles. These are places that transport travelers’ experiences beyond the usual big ship ports in the region.

    Here’s a look at some of the most scenic harbors along Windstar’s Caribbean routes.

    The Leeward Islands

    Anguilla:

    Known for its pristine, sugar-white beaches and laid-back glamour, Anguilla offers the ultimate Caribbean retreat. It’s a destination reserved largely for small ship cruise lines, which anchor in the intimate Road Bay, its low-key harbor lined with beach shacks and cafés. Snorkeling at Little Bay offers calm, clear waters, and the beaches throughout the island are soft and pristine.

    Here’s a tip: it’s no longer a secret that Anguilla is one of the Caribbean’s culinary magnets. This tiny island has roughly 100 restaurants, including acclaimed spots like Blanchards — now celebrating more than 30 years on the island and widely credited with kickstarting its culinary reputation — the newer L’Étoile at Manoah Boutique Hotel, and Celeste by Kerth Gumbs at the Malliouhana Resort. Just as central to Anguilla’s food-lover reputation are its casual beach shack eateries (Blanchard’s, in fact, operates a fine-dining restaurant and a casual spot side by side).

    Planning tip: Anguilla is included on Windstar itineraries such as:

    Antigua:

    Antigua’s Falmouth Harbor is adjacent to one of the Caribbean’s most important UNESCO sites: the Georgian era Nelson’s Dockyard./Adobe

    Antigua is a little more than 100 square miles — about the size of Shreveport, Louisiana — yet it boasts 365 beaches. Its coastline is exquisite, thanks to an abundance of coral that keeps the water clear.

    St. John’s, Antigua’s capital, is the usual port for big-ship visitors, but Windstar anchors in Falmouth Harbour, a world away, alongside other yachts and sailing vessels. The tender dock is within walking distance of Nelson’s Dockyard, a charming Georgian-era village also known as Antigua Naval Dockyard and Related Archaeological Sites.

    Another option on this more pastoral side of the island: Antigua’s Rainforest Canopy Zipline, with 13 ziplines and two suspension bridges. For a gourmet afternoon on the beach, take a short taxi ride to Catherine’s Café on Pigeon Point Beach. And because Windstar’s yachts anchor in the harbor itself, its marinas are often open for swimming, sunbathing, and water sports.

    Planning tip: Antigua is a highlight of several Caribbean itineraries, including:

    British Virgin Islands:

    The British Virgin Islands of Tortola, Jost Van Dyke, and Virgin Gorda are a mainstay of Windstar’s intimate Caribbean voyages and are among the most laid-back places any small cruise ship visits.

    Soper’s Hole, Tortola

    Exploring Tortola from our base of Soper’s Hole yields so many quiet spots./Carolyn Spencer Brown

    Tortola is one of the only British Virgin Islands to accept larger cruise ships (at Road Town, its main city), but, as with Anguilla, Windstar docks instead at Soper’s Hole, a tiny harbor with a restaurant, a bar, and colorful West Indian buildings. This stop is a low-key jumping-off point for beach adventures at spots like Long Bay Beach or Smuggler’s Cove.

    Prickly Pear Cay, Virgin Gorda

    In Virgin Gorda’s North Sound, Prickly Pear Cay is an uninhabited national park island — and, on Windstar’s itineraries, typically the site of its famous beach barbecues. Travelers usually spend the morning exploring Virgin Gorda by shore excursion (unless spending the whole day at the beach, since there’s no independent transportation on the cay). The must-see experience is a trip to Virgin Gorda’s The Baths: massive granite boulders spread across Devil’s Bay on the island’s north shore, threaded by a series of steps and ropes that guide adventurers through grottos from beach to bay. It’s also an excellent spot for snorkeling.

    As BVI Insider explains, these boulders — found along the shoreline from Devil’s Bay to Spring Bay — were formed by volcanic uplift. Roughly 45 million years ago, an intrusion of hot liquid magma (a batholith) pushed ancient seafloor sediments above sea level.

    Jost Van Dyke

    Jost Van Dyke is one of the most party-friendly (pictured here is Foxy’s of Great Harbour) of intimate small islands in the Caribbean./Carolyn Spencer Brown

    At just three-square miles, Jost Van Dyke is the smallest of the BVI’s main islands. For visitors, there are two main destinations. Great Harbour holds Jost’s small town — government offices, a church, and the famous Foxy’s Tamarind Bar. Foxy’s is far more than a beach bar; it’s set right on the sand, with a barbecue, hammocks, and live music.

    On the other side of the hill is White Bay, entirely pleasure-oriented, lined with beach bars and cafés such as the Soggy Dollar Bar, birthplace of the beloved Painkiller cocktail.

    Framing both waterfronts is a mountain ridge that tops out around 1,000 feet.

    Because ships anchor in Great Harbour alongside sailboats and yachts, its marinas are often open to guests.

    Planning tips: Numerous ports here find their way into Windstar’s itineraries. They include:

    • Beach Fun and Sun (Jost van Dyke, Soper’s Hole and Virgin Gorda/Prickly Pear Cay)
    • San Juan and the Virgin Islands (Jost van Dyke and Virgin Gorda/Prickly Pear Cay)
    • Star Collector: Caribbean Explorations (Jost van Dyke, Soper’s Hole, Virgin Gorda/Prickly Pear Cay)
    • Star Collector: Caribbean Collection: ABC, BVI & the Windwards (Jost van Dyke, Virgin Gorda)
    • Star Collector: Atlantic Crossing to the British Virgin Islands (Jost Van Dyke, Virgin Gorda)
    • Star Collector: Windward Islands, ABC Islands, and the Virgin Islands (Jost Van Dyke, Virgin Gorda)

    United States Virgin Islands: St. John

    What’s not to love about the U.S. Virgin Islands’ St. John? It’s an island with plenty of social distractions and yet has quiet coves, beaches and jungle hikes all around./Shutterstock

    St. John, a far more intimate island than the USVI’s St. Thomas, offers smaller cruise ships an anchorage that’s more working harbor than postcard bay. Even so, views of the surrounding mountainous islands, an abundance of gorgeous beaches and bays, and a vibrant downtown known for distinctive eateries and boutiques make it a lovely — and rare — port of call for small ships.

    Planning tip: Cruz Bay is a port of call on a handful of Windstar’s itineraries, such as:

    St. Barts: Gustavia

    Small ships visiting St. Barts anchor in Gustavia’s Harbor, along with all the other yachts, and the town is a great jumping off point for all parts of the island, both serene and festive./Shutterstock

    Like every island in the Lesser Antilles, St. Barts (full name Saint-Barthélémy) has plenty of gorgeous bays and beaches, and it’s a great destination for snorkeling and diving. But that’s the least of this swanky, French-flavored isle’s appeal — it’s known just as much as the preeminent Caribbean playground for the rich and famous. Cruise travelers arrive by tender (only small ships are welcome, and all must anchor out in Gustavia Bay), and the main town of Gustavia is packed with pricey boutiques from Louis Vuitton, Prada, Cartier, and Hermès. Its restaurants — aside from the rather touristy Le Select — are equally elegant.

    Gustavia is a destination in itself, but you’ll miss much of St. Bart’s charm if you don’t explore further. St. Jean Beach, near Eden Rock, is another wonderful spot for a day out, with tranquil seas alongside numerous boutiques and restaurants. For something more rustic, head to Saline Beach, home to a handful of salt ponds once used to harvest the mineral.

    Planning tips: St. Bart’s appears on the following Caribbean itineraries:

    St. Martin: Marigot

    Most cruise ships that visit the twin-island nation of St. Maarten and St. Martin (Dutch and French respectively) aim for the former port. Windstar is one of the few small ship cruise lines to occasionally dock on the French side, in St. Martin./Shutterstock

    Planning tips: If the adjacent island of St. Maarten is the more common port for this two-nation island — particularly as an embarkation/debarkation stop — Marigot itself appears on a few itineraries, including:

    Guadeloupe’s Les Saintes

    Guadeloupe’s Les Saintes is a low-key and laidback fishing village./Adobe

    Small ships skip Guadeloupe’s bustling capital of Pointe-à-Pitre. Instead, they anchor at Les Saintes, an archipelago serving Terre-de-Haut. Its picturesque bay is framed by red-roofed houses, volcanic mountains, and an old fort.

    There’s otherwise little to see in this fishing village unless you head out on the water — kayaking, snorkeling, and sailing are the main draws, and Windstar’s marinas are often open here. One sightseeing exception: the Habitation Bellevue Distillery, which has made rum since 1821, offers self-guided tours and tastings; visit between February and April to watch its workers in action.

    Planning tip: Guadeloupe appears on the following Windstar itineraries:

    The Windward Islands

    Bequia, Saint Vincent and the Grenadines: Port Elizabeth

    Bequia’s Admiralty Bay/Shutterstock

    St. Vincent and the Grenadines is an island nation, of which Bequia is one of the larger islands. The official language is English, and the main industry is agriculture, including the harvest of arrowroot — used as a gluten-free thickener.

    Bequia — meaning “island of the cloud,” pronounced “beck-way” — is a seven-square-mile speck. Ships can only anchor in Admiralty Bay, since Bequia has no cruise ship pier and only smaller vessels can access the island. From there, you’ll tender into Port Elizabeth, the island’s walkable, low-key capital, full of local color and free of Caribbean crowds.

    The star attractions are Bequia’s beaches, including Hope Beach on the island’s windward side — your reward for a lengthy taxi ride from Port Elizabeth and a mile-long hike down to the shore is a real sense of seclusion. Another option is Friendship Bay, a quiet spot on the opposite side of the island from Port Elizabeth; again, plan to bring your own refreshments. As with any unfamiliar beach, ask locals what swimming conditions and skill level are appropriate before taking the plunge.

    Another option is Bar One, a floating watering hole in Admiralty Bay. After tendering to the jetty at Port Elizabeth, call ahead to request water taxi pickup (about 5–10 EC dollars). Phone: 1-784-530-8123.

    Planning tip: Bequia is a stop on the following Windstar itineraries:

    Care to share your own favorite yacht harbor in the Caribbean? Tell us all about it in our comments section.

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  • Reflections from the Parkinson’s Foundation Veteran Event

    Reflections from the Parkinson’s Foundation Veteran Event

    Supporting Veterans Beyond Our Program: Reflections from the Parkinson’s Foundation Veteran Event

    Veterans Home Care’s Key Account Manager, Jason Pokorny, and Vice President of Claims, Shelly Rupich, were honored to participate in the Parkinson’s Foundation’s Veteran Breakfast and Lunch & Learn. This meaningful event brought together Veterans, their families, Veterans Health Administration professionals, community organizations, and industry partners to share knowledge, resources, and support for those affected by Parkinson’s disease.

    The morning began with coffee and conversation, creating an opportunity to connect with fellow Veterans and their families while learning about the many resources available to them. It was inspiring to see so many organizations united with a common goal: ensuring our nation’s heroes have access to the care, education, and support they deserve.

    Before the Lunch & Learn, the Parkinson’s Foundation hosted an expert panel featuring professionals from the Veterans Health Administration. The panel answered thoughtful questions from Veterans and caregivers about Parkinson’s disease, including diagnosis, treatment options, and what families can expect throughout the journey. The discussion was informative and empowering, providing attendees with valuable guidance from trusted experts.

    Following the breakfast, nearly 300 attendees gathered in an exhibit hall filled with community organizations offering resources, education, and support services. The networking opportunities were invaluable, allowing us to build new relationships with organizations that share our commitment to serving Veterans and older adults. Several of those connections have already led to new collaborative opportunities that will strengthen our ability to support Veterans and our provider partners.

    One interaction, in particular, stood out. While speaking with a Veteran and his daughter, Shelly recognized that although he was not eligible for the VetAssist® Program, he could potentially qualify for additional VA pension benefits. She was able to explain the process, provide the appropriate forms, and point them in the right direction. Seeing the Veteran’s gratitude and knowing we helped him access benefits he had earned was a powerful reminder that our mission extends far beyond our own program. Sometimes the greatest impact comes simply from helping someone find the answers they need.

    The event concluded with educational presentations from Parkinson’s disease experts, reinforcing the importance of awareness, early intervention, and community support. Events like these demonstrate the power of bringing healthcare professionals, nonprofit organizations, and Veterans together to learn from one another and improve lives.

    Veterans Home Care was honored to be part of this event and is grateful to the Parkinson’s Foundation for the invitation. Raising awareness, building community partnerships, and helping Veterans navigate the benefits they’ve earned are all part of our commitment to those who have served. Whether through the VetAssist Program or simply by connecting a Veteran with the right resources, every conversation is an opportunity to make a difference. That’s what our mission is all about—We Change Lives.

    The post Reflections from the Parkinson’s Foundation Veteran Event appeared first on Veterans Home Care – VA Aid and Attendance Pension Benefit.

    This post was originally published on this site.

  • 15 Things Cruisers Regret Packing for a Cruise — But We Still Bring 5 of Them

    15 Things Cruisers Regret Packing for a Cruise — But We Still Bring 5 of Them

    Every cruise packing list tells you what to bring, but far fewer tell you what you’ll wish you hadn’t. If you’re wondering what not to pack for a cruise, the answer usually isn’t a rulebook. It’s a list of things you’ll regret hauling across two flights and a cruise terminal, only to carry them home unused.

    After 100+ cruises across more than 15 cruise lines, we’ve packed plenty of it — and we’ve watched a lot of boarding lines. The same items get confiscated. The same gear gets unpacked on day one and never touched again. These 15 items show up on nearly every cruiser’s packing regret list, usually because a creator recommended them without ever saying who they were for. While we agree with 10 of them, we still pack the other five on every single sailing.

    1. Beach and Pool Towels

    This is a common first-time cruiser mistake, and the easiest to fix.

    Your ship, no matter which cruise line you’re sailing, gives you towels. Pool towels are typically stacked by the pool deck, near the gangway on port days, and often waiting in your cabin on arrival. They’re free to use throughout your sailing, and you can trade them in for dry ones whenever you want.

    The one thing to know is that many mainstream cruise lines now track them. You’ll swipe your card or sign them out, and if you don’t return them, a charge lands on your final bill. So, just be sure to hand them back in and not forget them at your beach excursion.

    2. A Hair Dryer

    Much like a hotel room, there’s a hair dryer in all cruise cabins regardless of the stateroom category. Now, it isn’t a great hair dryer — most are underpowered, wall-mounted, and slower than what you have at home. That’s why people sometimes pack their own. But high-wattage appliances, like Dyson hair dryers and Airwraps, draw more power than a cruise cabin outlet is built to handle and can cause the circuits to overload.

    Some cruise lines will actually confiscate them at security. If your hair truly requires more than the ship provides, check your cruise line’s policy before you pack it.

    3. Your Entire Medicine Cabinet

    We’re not telling you to skip the over-the-counter medications completely. We bring a small kit on every sailing and suggest you do the same. The ship’s shop charges a premium for first aid items and motion sickness meds.

    The regret isn’t bringing the medications. It’s bringing all of it. You don’t need the full bottle; you only need enough to get you through the sailing. Pack pain reliever, an antihistamine, something for an upset stomach, and motion sickness relief if you’re prone to it. For prescription meds, be sure to pack enough for a few additional days just in case there are any delays getting home.

    4. Power Strips, Irons, and Steamers

    Every boarding day, we watch someone hand over items they bought specifically for this trip. It’s the most preventable regret on the list, because it isn’t a judgment call. It’s published policy. Certain items are prohibited on cruises, primarily for safety reasons.

    Power strips with surge protection are one of the most confiscated items. People buy them because cruise cabins have too few outlets, which is a valid reason. However, the surge protection is the problem — it’s a fire risk on a ship’s electrical system, and it’s banned across essentially every line. A non-surge, cruise-approved outlet adapter does the same job.

    Irons and clothes steamers are out for the same reason: exposed heating elements. It doesn’t matter if it’s travel-sized or not; it’s still not allowed. (See item 15 for what we bring instead.) All cruise ships offer laundry service, some have self-service laundry rooms, and some have both.

    5. Food and Drink That Isn’t Allowed

    This one costs not only space but money, because if you’ve packed something that’s not allowed you’ll end up throwing it out in the cruise terminal on embarkation day.

    Every cruise line has its allowance list, and every line’s is different. When it comes to bringing alcohol, most lines permit a bottle of wine or champagne per adult at embarkation (two per cabin), usually with an associated corkage fee. Most do not permit hard liquor. Most do not permit homemade or perishable food either. When it comes to non-alcoholic beverages, like soda or sports drinks, many cruise lines (but not all of them) allow up to 12 cans or cartons but prohibit plastic and glass containers.

    Further, duty-free liquor you buy in port gets taken at the gangway and held until the last night of the sailing. So the bottle you bought to enjoy on the cruise, you can’t actually drink on the cruise.

    6. Too Many Shoes — Especially New Ones

    Shoes are likely the heaviest, bulkiest thing per unit in almost any suitcase. Most people bring too many, and I was definitely a culprit for many years. For a 7-day sailing, three to four pairs will cover almost any destination: something comfortable you can walk miles in, something casual, and something that works for dinner. If you’re sailing somewhere with rugged terrain, swap accordingly. I tend to pack two daytime appropriate and two nighttime appropriate pairs.

    Do not bring brand-new shoes. Break them in at home, or bring the pair you already trust. The last thing you want are blisters ruining your trip.

    7. Expensive Jewelry

    The ring you’ve worn for years can accidentally slide off in the surf while swimming or snorkeling. Salt water and chlorine are hard on gold and silver, and sunscreen dulls both. Trust us on this one: Don’s original wedding band is floating somewhere in the depths of CocoCay!

    Yes, there is a safe in all cruise cabins. These safes are fine for a passport and a wallet, or perhaps your wedding rings when you’re going snorkeling. But leave the expensive necklaces and watches at home. Bring only the pieces you’d be fine losing.

    And if you do use the safe, do not forget anything in it at the end of your sailing. There’s no guarantee you’ll ever get it back if you do.

    8. A Full Suit or a Formal Gown

    The advice you’ll usually see is “skip formal night, nobody dresses up anymore”. While that might be true for some, many cruisers still enjoy these fancy cruise evenings. It’s fun to get dressed up and enjoy a nice dinner. The regret here is packing the tuxedo or suit and the gown — bulky, heavy, single-use items you’ll wear once.

    Most cruise lines now have one optional formal night on a seven-night sailing, and “formal” has drifted a long way toward cocktail attire. A blazer and khakis for men and a cocktail dress for women are perfectly suitable. That’s what we bring now.

    9. A Workout Outfit for Every Day

    We’re here to set the record straight before you pack: you are not going to the gym as often as you think during your cruise. Between late nights at the bar or casino and early morning departures for shore excursions, you might end up skipping your workout more than you do at home.

    However, most ships have a walking track, a sport court, and other active amenities for exercise. There’s always the stairs instead of the elevator as well. So, just because you might not end up at the fitness center doesn’t mean that you shouldn’t pack at least a couple gym outfits to burn off some of the extra cruise calories. You don’t need seven, though, you need two or three maximum.

    10. A Night Light

    sun princess mini suite sanctuary collection

    This one has changed for us in recent years, but it’s still on so many packing lists. Interior cruise cabins with no windows are famously dark. Even balcony cabins have blackout curtains. For years, we considered a small night light a reasonable thing to pack.

    But many newer ships now have motion-sensor floor lighting that handles the 2 AM bathroom trip. And even on older ships, leaving the bathroom light on (with the door shut) still does the trick. So, we no longer pack a night light for a cruise.

    What Not to Pack for a Cruise: The 5 Exceptions We Still Bring

    Here’s where we part ways with others’ regret lists.

    The next five items appear on those lists constantly, and we understand why — plenty of people bought them because a video told them to and they never touched them. But just because they are useless to some doesn’t mean they can’t be beneficial to others.

    Here are the 5 exceptions we still bring and why.

    11. A Laptop

    Almost every regret list tells you to leave it, and for most cruisers that’s absolutely correct. The WiFi is expensive, the connection can be inconsistent even with Starlink, and “I’ll catch up on email” during the week probably isn’t going to happen.

    Who it’s actually for: people who work while they travel. We’re creating content on every sailing, so our laptops come with us every time. If your laptop has a job to do, bring it. If it’s coming along on the theory that you might use it, you won’t.

    12. Magnetic Hooks

    The classic influencer packing item, and a definite regret for anyone who brings them without a plan just because social media told them to. Cruise cabin walls are metal, so the magnetic hooks come in handy if you have things you’d like to hang.

    Who it’s actually for: anyone wanting to hang items like hats, wet swimsuits, rain jackets, or day bags. Cabin storage runs out fast, so this helps to free up closet space. We never cruise without them.

    If you’re a carry-on only type of traveler or booked in a suite, you may not need them.

    13. An Over-the-Door Shoe Organizer

    This is probably the most controversial item on this list. It shows up on every cruise hacks video and every regret list, often in the same week. While most argue that it’s unnecessary, we still use ours every trip. As long as the walls are magnetic, we hang it with hooks on a cabin wall instead of over the bathroom door.

    Who it’s actually for: cruisers who pack their own toiletries and want to free up valuable counter space or those cruising with more than two people in a cabin. It’s valuable for storing items like sunscreen, sunglasses, medications, charging cords, and everything else that otherwise clutters the desk and bathroom vanity.

    Sailing solo or in a suite? You don’t need it.

    14. Hand Soap and Shower Toiletries

    star of the seas balcony cabin review: ocean view balcony vs. infinite ocean view balcony

    Most ships don’t have liquid hand soap in the cruise cabins. Many also have all-in-one dispensers in the shower — one product for hair and body. If you aren’t particular, you can leave the bottles home. However, if you’d prefer shampoo, conditioner, and body wash or you’d rather not use bar soap to wash your hands all week, then you’ll want to pack your own.

    Who it’s actually for: anyone who is particular. If shampoo that isn’t yours will bother you for seven days, bring travel bottles and seal them in a ziploc bag so they don’t leak.

    15. Wrinkle Release Spray

    As previously mentioned, irons and steamers are banned. That’s exactly why wrinkle release spray earns its place on our cruise packing list. Everything in your bag has been rolled, folded, compressed, and tossed around in a suitcase during your travels to the cruise port. Even if you use packing cubes, there’s bound to be wrinkles.

    Hang the garment in the bathroom, spray it, and let the shower steam finish the job. It’s not perfect, but it gets the job done. If you’re really concerned, most cruise lines also offer pressing services. Some even have ship-approved irons in the self-service laundry areas.

    Who it’s actually for: anyone who wants to look their best and doesn’t want wrinkled clothes.

    The Bottom Line

    Knowing what not to pack for a cruise is as valuable as knowing what to bring, and most packing regret comes from bringing something because you might need it, or because someone on the internet said to, without ever asking whether it applies to you.

    Leave the towels, the hair dryer, the expensive jewelry, and the iron. Bring the meds, the shoes, and the formal wear — just less of them. And when a packing list tells you an item is a waste, decide whether it’s actually a waste for you before you leave it behind.

    Comments

    What’s the one thing you regret packing on a cruise? What do you bring that everyone tells you to leave home? Drop us an anchor below to share what you used to bring on a cruise but no longer do and what items you still swear by.

    The post 15 Things Cruisers Regret Packing for a Cruise — But We Still Bring 5 of Them appeared first on EatSleepCruise.com.

    This post was originally published on this site.

  • What It’s Like: Cruising Around Spain’s Canary Islands

    What It’s Like: Cruising Around Spain’s Canary Islands

    I was told my borrowed horse Luther had just two speeds as we headed out for our sunset ride through El Salobre on the island of Gran Canaria: “slow and super slow.” This, on my second to last day of touring the Canary Islands on Windstar Cruises’ Wind Star, felt like provenance, a gift. I had tasked myself every day of this inaugural 10-day Canary Idyll itinerary aboard Wind Star to look at the world with Luther-level languor, a last hurrah of quiet before the holidays. It was my moment to be quiet within myself not only onboard but also at these extraordinarily charming ports.

    Luther, that gentle, molasses-slow giant, was my spirit animal.

    Feeling fortunate in the Canaries

    The 148-guest Wind Star and Wind Spirit are sister ships./Windstar

    Our cruise with Wind Star, which carries up to 148 guests as well as 101 staff members, began at Santa Cruz de Tenerife and stopped at San Sebastián de La Gomera, Santa Cruz de la Palma, Madeira, Lanzarote, and Las Palmas de Gran Canaria before debarking at Santa Cruz de Tenerife. While not a vastly experienced cruiser, I had already been to bustling ports like Valencia and Palma de Mallorca, and a part of me was expecting something similar.

    What I was not expecting was the topography of this island. Like the Hawaii of Europe. All lush green mountains and ocean breezes, black sand beaches and palm trees. The Canary Islands, I quickly learned, might be a part of Spain but also something else entirely. There’s a reason this archipelago, just 60 miles off the northwest coast of Africa, were once called the “fortunate islands.” The people I met at these ports of call, the food I ate, the wine I drank, the black sand beaches where I floated under the sun, left me drunk with my own good fortune to be here.

    I am at a crossroads in my own life that is both fortunate and unusual. My four sons have gone off to live their own lives, and I am searching for my next stage after raising them on my own for the last 25 years. Trying to tell myself that now is the time to slow down, to notice, to find peace, after a lifetime of running kids around and sitting on the sidelines.

    I could not have chosen a better place than the Canary Islands.

    On arrival, a late night wander through Santa Cruz de Tenerife

    My flight didn’t arrive until evening in Santa Cruz de Tenerife, which meant I had just enough time to check into the hotel Windstar had chosen for me right in the middle of the old town, the Iberostar Heritage Mencey, wash my face. Eventually, I headed out for that most important of Spanish traditions, late night tapas at a local restaurant, dining around 10 p.m. in a restaurant crowded with locals. I feasted on fresh local bread with salted butter and warm crab potato salad and ham croquettes with a glass of local wine. My wander home took me through the surprisingly quiet, balmy streets of old town Tenerife. A perfect introduction to the Canary Islands, as it set me up for a different pace. A slower pace, an unfamiliar pace so quintessential to Spain itself.

    Unveiling the cruise experience on Wind Star

    Before boarding the Wind Star on Santa Cruz de Tenerife, I took the 6 1/2 hour flight from Toronto to Dublin. My flight arrived in the morning and I connected in the afternoon for the four hour flight to Santa Cruz de Tenerife. The layover was long but easy, with enough time to leave the airport and take the bus to the little town of Swords for a classic Irish breakfast.

    For faster flights, the Madrid layover on my way home was excellent.

    Seeing Wind Star at port, a jewel of a sailing ship, was a treat. As our captain noted on our first night, “You will feel like you are on an adventure in this ship.”

    Indeed. That first night, I was rocked to sleep in my stateroom by waves as though I were in a hammock. Especially on sea days, when everyone on the ship found their corners to tuck under a blanket in the bright sunshine to enjoy a coffee or a signature cocktail. And we were always inspired by the ports of call we visited.

    Whistling a happy tune in San Sebastián de La Gomera

    The Canary Islands’ La Gomera/Adobe

    Our first port of call was San Sebastián de La Gomera, a place so specific and unusual that Christopher Columbus couldn’t even tear himself away back in the 15th century. No small thing considering his agenda. Rumor has it that his extended stay had a little something to do with a little affair he was having with the female ruler of the island at the time, Beatriz de Bobadilla. I suspect it had more to do with the black sand beaches, the lush green hills and sweeping vistas from Benchijigua Nature Reserve. Or perhaps he was entranced by the unique whistle language, Silbo Gomero, unique to the island. In fact, I was lucky enough to take a walking tour of the charming port town and hear this UNESCO-protected language being taught to some local students. We stopped and rested, listened to the children’s musical whistling. Their giddy laughter when they got it right. Their easy joy.

    Before leaving port, I spontaneously threw on my swimsuit and took the quick walk from our ship to the beach for an evening swim at my travel partner Eddy’s suggestion. Eddy and I met on a Windstar cruise circumnavigating Iceland just two years ago and instantly knew we would be simpatico travel pals. He is a travel agent, a thinker, a planner of epic proportions. I am happy to say yes to just about anything, especially my very first swim on a black sand beach. We joined locals for a sunset dip just before our ship left port, floating on our backs in the cool sea and wishing we had spent more time just being on this quiet stretch of beach. This, of course, is the true benefit of this type of small ship cruise. Small ports, fewer people, easy to shift plans on a dime. Or, as I discovered in our next port, to make new plans as we went along.

    Old-world charm and wild winds on Santa Cruz de la Palma

    Santa Cruz, on a Canary Islands voyage/Jennifer McGuire

    We awoke to wild winds when we docked in Santa Cruz de la Palma. I had been toying with the idea of an excursion, but decided I wanted to focus two desires. I wanted to sample a decadent dessert and a coffee and I wanted to see the Canarian balconies, renowned for their ornate, wooden designs that marry form and function. What’s intriguing is that they are beautiful but also practical, as they offer ventilation on hot summer days. The colorful, covered balconies decorated for the holidays with greenery and flowers were easy to find, and Santa Cruz de la Palma was easy to navigate.

    Lots of cafes and locally owned shops dotted the historic city center, and I found what has become, for me, the dessert to beat all desserts, the Principe Alberto. A chocolate tart/sponge cake with crushed almonds grown right on the islands, decadently drenched in strong coffee. “There’s no such thing as bad food in the Canaries,” a British woman said to me in line at the cafe while I was deliberating on my options.

    Road trip of natural pools, hiking in the clouds, and charming villages in Madeira

    With two days docked in Madeira, Jennifer rented a car to get out of Funchal — and into the countryside./Jennifer McGuire

    Two days in Madeira, our only stop in Portugal, felt like a good time to rent a car. Fortunately, my pal Eddy relished the hair pin turns and long drives through dark tunnels, because this was by far the best way to get a real taste of Madeira.  To think I might have missed out on a walk through the quaint fishing village of Camara de Lobos, just a quick drive out of the thriving capital city of Funchal, or had missed a chance to swim in the famous natural pools of Porto Moniz! I don’t think I spent more than 15 minutes indoors during my time in Madeira.

    We hiked the TikTok famous hike through Stairway to Heaven, a section of the Pico do Arieiro trail, as the sun went down. The sunset’s power made me feel wordless and liquid.

    That car gave me the chance to slow down, to notice everything, to take my time. From the thatched roof cottages of Santana to the laid back surfing village of Porto da Cruz, I got the full culture hug of Madeira without feeling rushed. While we went our own way, there were some tempting excursions on offer from Wind Star. A toboggan ride from Monte, at the tip of Funchal, down the steep streets of the city was a hit with other cruisers, as was the panoramic drive and Tuk Tuk ride in Funchal.

    Life on Board

    A magical moment on the bow of Wind Star.

    Wind Star’s size, carrying just 148 passengers, was perfect for me. Small enough to feel intimate and cozy, to get to know the staff and fellow travelers, but not so small that I felt pressure to engage if I wanted a moment to myself. A highlight was the onboard barbecue, where we danced the night away under the stars after a feast that took over one entire deck. We met a mom and daughter spending time together after a tough year, a couple on their 50th wedding anniversary and a pair of newlyweds.

    And, as ever, it was the staff who really made everything special. How they manage to remember not just names but also preferences, little details like how I like my coffee or sending a piece of chocolate cake to my room after I mentioned it in the dining room one evening, is heartwarming. They became friends, so much so that I felt quite sad to leave them behind.

    Volcanic wine and walking in volcanoes on Lanzarote

    A wine estate on the island of Lanzarote/Adobe

    Lanzarote doesn’t look like anywhere else. It is stark and rocky and wild. A tough place to grow anything and yet life thrives on this island. Most importantly, its wine industry continues to thrive. Especially the Malvasia Volcanica grape endemic to the island’s volcanic soil, producing a crisp, cold white wine with mineral and citrus notes unlike anything I’ve ever sipped.

    Every view in Lanzarote was otherworldly, almost impossibly different, almost like being on the moon. From the Green Lake to walking inside a volcano at Caldero Blanca, and from camels lounging outside Timanfaya National Park to quiet seaside villages perched on volcanic rock, it’s all unique. And best enjoyed at a slow easy pace, preferably sipping a glass of wine.

    Coffee, oranges, and Luther on Gran Canaria

    On a cruise around the Canary Islands, Luther-the-horse taught writer Jennifer McGuire how to take life a bit more slowly./

    Our final two days were spent in Gran Canaria, which felt like five different islands in one. At first blush, Gran Canaria was industrial, busy, hectic. A culture shock after the peace and quiet of Lanzarote. A trip to the north sent me to verdant greenery and massive rocky cliffs. A trip south featured sand dunes to rival the African desert, so close and yet so far. Everywhere I looked felt like a different island entirely. Especially when our excursion, a horseback riding experience, took us a quick drive away from Las Palmas and we slowed right down. Just in time for my fateful meeting with Luther, that gentle giant. Eddy is a comfortable rider with years of experience, and I was determined not to let my anxiety get the better of me though Luther’s size did not help.

    But the peaceful surroundings, the sun setting over the southern foothills of Gran Canaria from the peak of Pico de las Nieves to the Maspalomas dunes, the cactus flowers blooming all around us, brought me back to myself. Reminded me of where I was, and how far I’d come, and why I was here. To try new things. To get out of my own head. To slow down and breathe.

    The charming village of Puerto de las Nieves on the island of Gran Canaria/Adobe

    And so on my last day, I joined an excursion out to the other side of the island, the Agaete region. We stopped at the little town of Puerto de las Nieves, where I hung out with some locals going for a morning dip. Watched stray cats and dogs sunning themselves. Wondered if it would be strange if I just moved here for awhile. There was something about the sea and the cliffs and the tranquility that appealed to me.

    Then back on the bus to visit a farm in the hills. Bodega Los Berrazales is far from the tourists and the beaches and the shopping. We took a road that felt like putting on jeans two sizes too small. Squeezing past little tables of men playing cards, clothes lines of colorful t-shirts, rows of houses that looked like they were hugging each other.

    Here I wandered through the orange groves. I ate some cheese and honey, not just delicious but vital to the local economy and the cultural identity of the island. The sale of goat cheese and honey supports small, sustainable farms like this one, which also incidentally produces the only coffee in Europe. I wanted to lie down in the tall grass afterwards for a little nap.

    Ultimately, the greatest gift of my Canary Islands cruise on Wind Star was that I had learned to slow down. Learned to be present. Learned to drift from island to island with ease and joy. Now I have two speeds myself. Slow and super slow.

     

    If you Go: The Canary Islands

    • Our Passport Guide is a great resource for facts and tips about a Canary Islands cruise.
    • Canary Islands voyages, which have been hosted aboard Wind Star and will soon take place on Wind Spirit, her identical 148-passenger sister ship, are a perfect antidote to winter in the Northern Hemisphere. Itineraries run from mid-autumn to late winter.
    • The 10-day Hidden Gems of the Canary Islands and Madeira is a great option for your first visit. And if you want a longer getaway, Windstar offers 18 and 20 day trips via Spain’s southern coast and Morocco.

    The post What It’s Like: Cruising Around Spain’s Canary Islands appeared first on Windstar Cruises Travel Blog.

    This post was originally published on this site.

  • 10 Things to Do on the Isle of Mull

    10 Things to Do on the Isle of Mull

    Last Updated on July 26, 2026 by Sarah Wilson The Isle of Mull is one of Scotland’s most beautiful and unforgettable islands, where dramatic mountain landscapes meet rugged coastlines, colourful harbour towns and some of the UK’s best wildlife-watching opportunities. Located in the Inner Hebrides, Mull is famous for its white-tailed eagles, otters, seals and […]

    The post 10 Things to Do on the Isle of Mull appeared first on LifePart2andBeyond.com.

    This post was originally published on this site.

  • 7 Commonly Neglected Problems to Address for Healthier Aging: The Healthy Aging Checklist Part 3

    7 Commonly Neglected Problems to Address for Healthier Aging: The Healthy Aging Checklist Part 3

    This is the third in a series of posts covering the Healthy Aging Checklist.

    Again, the Healthy Aging Checklist summarizes the six fundamental activities I recommend when asked what to do to maintain the best possible health while aging. They are:

    In this post, I’ll cover the third item: addressing commonly neglected aging health problems that routinely sabotage healthy aging.

    These issues are sometimes referred to as geriatric syndromes. They affect health and quality of life, and although they happen more in people who are older or frailer, they affect countless people in their 60s and 70s as well.

    Virtually all of these issues affect a older adults’s ability to socialize, be physically active, and take good care of himself or herself.  So addressing these is key to enabling healthier aging.

    Unfortunately, these issues routinely fall through the cracks of usual medical care. People often suffer from these problems for years without anyone taking effective action.

    This may be because many people — doctors, older adults themselves, or family members — assume nothing can be done about these, and that they are just “part of getting old.”

    Don’t believe that.  We have studied these problems in geriatrics and most of the time, correctly evaluating and then managing these problems helps older adults and their families feel better, live better, and sometimes even live longer.

    Remember, healthy aging is not just about preventing problems. It’s also about spotting them and addressing them before they get worse, or drag down the rest of your health and independence.

    So for healthier aging, be proactive in checking for these oft-neglected problems.

    And then remember: sub-optimal treatment of these problems is all too common. So you’ll need to be proactive about getting them correctly managed — which might mean either seeing a geriatrician (here’s how to find a geriatrician) or making sure your usual doctor is thinking like one.

    Here’s what to look for, and how to learn more:

    7 Common Problems to Check for and Address for Healthier Aging

    Get Your Free Healthy Aging Part 3 Cheatsheet! A summary of the 7 commonly neglected problems that often sabotage healthy aging, in a handy PDF checklist that you can print or save. Includes useful resources to help you learn more or get help. Click here now.

    1. Falls

    Why: Falls are very common in older adults. Many falls cause only minor injuries, but they are scary and can cause older adults to restrict their activities. In fact, fear of falling is common and has been linked to decreased involvement in activities; it’s also a risk factor for future falls.

    More substantial falls can cause life-changing injuries such as broken hips and head injuries, which are a major reason for people leaving their homes.

    Note: Most falls in older adults are due to a combination of underlying risk factors or health problems. Insufficient strength or balance is usually one of the problems — which can be addressed with the right exercises — but it’s good to check for other factors, such as medication side-effects or even a new illness.

    For more information:

    2. Memory concerns

    Why: Memory concerns often cause anxiety for older adults and families. They may — or may not — reflect substantial decreases in thinking abilities. Evaluation helps by providing a more objective measure of whether a person is cognitively impaired, and to what extent. Even more importantly, evaluation can uncover treatable causes of decreased brain function, such as medication side-effects, thyroid problems, and a variety of other problems which are common in older adults.

    Note: People are often reluctant to have memory concerns evaluated because they are worried that it could be Alzheimer’s disease or another dementia. They also may believe that “nothing can be done.” It can help to tell people that we can often find ways to improve a person’s brain function, either by identifying and treating an underlying health problem or by encouraging the activities that promote brain health.

    For more information:

    3. Depression

    Why: Although healthy older adults have lower rates of depression than the general public, depression is still a common problem that is easily missed. It’s more common in those who are struggling with illness, involved in caregiving, or socially isolated. It’s important to spot and treat depression, as this is key to better quality of life and greater involvement in social activities. It can also enable older adults to better manage any health problems they have, such as chronic diseases or pain.

    Note: One important sign of depression in older adults is “anhedonia,” which means one stops enjoying activities that used to bring pleasure. If you notice this in an older person — or yourself — it’s important to get help. Studies show that medication and psychotherapy are generally equally effective in mild-moderate depression, but non-drug treatment often isn’t offered unless you ask. Among medications, the selective serotonin reuptake inhibitors (SSRIs) sertraline and escitalopram tend to have fewer side-effects and drug interactions. Avoid paroxetine (Paxil) as it is anticholinergic, which means it dampens brain function.

    For more information:

    4. Urinary Incontinence

    Why: Having chronic difficulties controlling one’s bladder is a common problem for older adults, and tends to get worse with aging. It affects both men and women, although it may have different underlying causes, such as prostate enlargement in men. It is often embarrassing, can cause aging adults to restrict their social or physical activities, and has been linked to depression.

    Note: Incontinence comes in different “types,” each of which can have different causes. Correctly identifying the type and causes is key to effective treatment. Finding suitable pads to manage leaks can also make a big difference. (Ask a support group for advice; the average doctor knows little about specific incontinence supplies.)

    Do remember that medications to treat overactive bladder are usually quite anticholinergic, hence they are risky for brain function.  To help a doctor evaluate incontinence, it’s helpful to log your symptoms in a voiding diary for 3 days prior to the appointment.

    For more information:

    5. Pain

    Why:  Surveys suggest that about 50% of all adults aged 65+ experience bothersome pain every month, often in multiple parts of the body. Persisting pain is linked with decreased social and physical activity, depression, and taking worse care of one’s own health.  Pain can also be the sign of a new health problem that needs attention or a chronic problem that’s being inadequately managed.

    Note: Pain can and should be managed by non-drug approaches whenever possible. Studies have found that pain can often be lessened through certain types of psychotherapy, exercises or physical therapy, and many other approaches. Treatment with medication may still be necessary, especially for short-term purposes or in combination with other approaches. Bear in mind that many over-the-counter pain medications (such as Advil and Motrin) are non-steroidal anti-inflammatory drugs (NSAIDs), which are risky for older adults when used chronically or in high doses.

    I talk more on how to manage chronic pain in my Youtube video here: 

    For more information:

    6. Isolation and loneliness

    Why: Both isolation (not having a lot of social contact with others) and loneliness (the feeling of lacking social connection) have been linked to declines in physical health. A 2012 study found that 43% of older adults reported feeling lonely; over the next 6 years, they were more likely to lose physical abilities or die. Loneliness and isolation have also been linked to decreased immune function and greater risk of depression.

    Note: Older adults who live alone or have been bereaved are at particular risk, especially if health problems are interfering with their ability to get out and about. But even people who are in proximity to others — such as family caregivers or older adults residing in a facility — may suffer from feeling lonely.

    Studies have found that certain psychotherapies — including mindfulness — can help reduce feelings of loneliness and even inflammation in the body. However, another study found that isolation seems to be a stronger risk factor for premature death than loneliness, so it’s important to relieve social isolation as well. Arranging more social contact usually helps. Arranging for volunteering or some kind of purposeful activity can be even better.

    It’s also vital to address any health concerns (including fear of falling, incontinence, or pain) that may be keeping an older person from getting out and about.

    For older adults who are lonely or possibly even depressed, the Institute on Aging offers a Friendship Line designed for older adults.

    For more information:

    7. Polypharmacy (Taking Multiple Medications)

    Why: Polypharmacy means taking multiple medications. It’s a problem mainly because as people get older, they become especially at risk for harm from medication side-effects or interactions. According to research, every year 177,000 older adults visit the emergency room due to medication problems.

    Polypharmacy also burdens older adults because purchasing all those drugs can be costly, plus it can be a real hassle to have to take medications at several times every day. Last but not least, when people have been prescribed many medications, it’s harder for them to take them correctly. This can lead to worsening of a chronic condition, or even misguided medical care as doctors may fail to realize that a patient hasn’t been able to take all medication as directed.

    Note: The main thing you should know is that many older adults are taking medications they don’t really need. It’s basically much easier for doctors to prescribe medications than to “deprescribe.” Research has documented that inappropriate prescribing of medications is common. A careful medication review will often identify medications that are marginally useful or no longer necessary, but you may not get such a review unless you request it.

    For more information:

    Have these problems been sabotaging your healthy aging?

    If so, I hope the resources above will help you take action.

    Now, I’ll admit that it can be very difficult to completely eliminate the problems above in some older adults.

    But you have to try, especially if the problem is bothering a person or interfering with life activities. And you have to find professionals who will use the best-available knowledge to help you do so.

    When we make a good effort, we can almost always improve an older person’s ability to be out in the world, doing the things they want to be doing, and doing things that are good for their health.

    And that promotes healthy aging. So don’t let these problems fester and sabotage late-life health. Good luck!

    Get Your Free Healthy Aging Part 3 Cheatsheet! A summary of the 7 commonly neglected problems that often sabotage healthy aging, in a handy PDF checklist that you can print or save. Includes useful resources to help you learn more or get help. Click here now.

    This post was originally published on this site.

  • 7 Commonly Neglected Problems to Address for Healthier Aging: The Healthy Aging Checklist Part 3

    7 Commonly Neglected Problems to Address for Healthier Aging: The Healthy Aging Checklist Part 3

    This is the third in a series of posts covering the Healthy Aging Checklist.

    Again, the Healthy Aging Checklist summarizes the six fundamental activities I recommend when asked what to do to maintain the best possible health while aging. They are:

    In this post, I’ll cover the third item: addressing commonly neglected aging health problems that routinely sabotage healthy aging.

    These issues are sometimes referred to as geriatric syndromes. They affect health and quality of life, and although they happen more in people who are older or frailer, they affect countless people in their 60s and 70s as well.

    Virtually all of these issues affect a older adults’s ability to socialize, be physically active, and take good care of himself or herself.  So addressing these is key to enabling healthier aging.

    Unfortunately, these issues routinely fall through the cracks of usual medical care. People often suffer from these problems for years without anyone taking effective action.

    This may be because many people — doctors, older adults themselves, or family members — assume nothing can be done about these, and that they are just “part of getting old.”

    Don’t believe that.  We have studied these problems in geriatrics and most of the time, correctly evaluating and then managing these problems helps older adults and their families feel better, live better, and sometimes even live longer.

    Remember, healthy aging is not just about preventing problems. It’s also about spotting them and addressing them before they get worse, or drag down the rest of your health and independence.

    So for healthier aging, be proactive in checking for these oft-neglected problems.

    And then remember: sub-optimal treatment of these problems is all too common. So you’ll need to be proactive about getting them correctly managed — which might mean either seeing a geriatrician (here’s how to find a geriatrician) or making sure your usual doctor is thinking like one.

    Here’s what to look for, and how to learn more:

    7 Common Problems to Check for and Address for Healthier Aging

    Get Your Free Healthy Aging Part 3 Cheatsheet! A summary of the 7 commonly neglected problems that often sabotage healthy aging, in a handy PDF checklist that you can print or save. Includes useful resources to help you learn more or get help. Click here now.

    1. Falls

    Why: Falls are very common in older adults. Many falls cause only minor injuries, but they are scary and can cause older adults to restrict their activities. In fact, fear of falling is common and has been linked to decreased involvement in activities; it’s also a risk factor for future falls.

    More substantial falls can cause life-changing injuries such as broken hips and head injuries, which are a major reason for people leaving their homes.

    Note: Most falls in older adults are due to a combination of underlying risk factors or health problems. Insufficient strength or balance is usually one of the problems — which can be addressed with the right exercises — but it’s good to check for other factors, such as medication side-effects or even a new illness.

    For more information:

    2. Memory concerns

    Why: Memory concerns often cause anxiety for older adults and families. They may — or may not — reflect substantial decreases in thinking abilities. Evaluation helps by providing a more objective measure of whether a person is cognitively impaired, and to what extent. Even more importantly, evaluation can uncover treatable causes of decreased brain function, such as medication side-effects, thyroid problems, and a variety of other problems which are common in older adults.

    Note: People are often reluctant to have memory concerns evaluated because they are worried that it could be Alzheimer’s disease or another dementia. They also may believe that “nothing can be done.” It can help to tell people that we can often find ways to improve a person’s brain function, either by identifying and treating an underlying health problem or by encouraging the activities that promote brain health.

    For more information:

    3. Depression

    Why: Although healthy older adults have lower rates of depression than the general public, depression is still a common problem that is easily missed. It’s more common in those who are struggling with illness, involved in caregiving, or socially isolated. It’s important to spot and treat depression, as this is key to better quality of life and greater involvement in social activities. It can also enable older adults to better manage any health problems they have, such as chronic diseases or pain.

    Note: One important sign of depression in older adults is “anhedonia,” which means one stops enjoying activities that used to bring pleasure. If you notice this in an older person — or yourself — it’s important to get help. Studies show that medication and psychotherapy are generally equally effective in mild-moderate depression, but non-drug treatment often isn’t offered unless you ask. Among medications, the selective serotonin reuptake inhibitors (SSRIs) sertraline and escitalopram tend to have fewer side-effects and drug interactions. Avoid paroxetine (Paxil) as it is anticholinergic, which means it dampens brain function.

    For more information:

    4. Urinary Incontinence

    Why: Having chronic difficulties controlling one’s bladder is a common problem for older adults, and tends to get worse with aging. It affects both men and women, although it may have different underlying causes, such as prostate enlargement in men. It is often embarrassing, can cause aging adults to restrict their social or physical activities, and has been linked to depression.

    Note: Incontinence comes in different “types,” each of which can have different causes. Correctly identifying the type and causes is key to effective treatment. Finding suitable pads to manage leaks can also make a big difference. (Ask a support group for advice; the average doctor knows little about specific incontinence supplies.)

    Do remember that medications to treat overactive bladder are usually quite anticholinergic, hence they are risky for brain function.  To help a doctor evaluate incontinence, it’s helpful to log your symptoms in a voiding diary for 3 days prior to the appointment.

    For more information:

    5. Pain

    Why:  Surveys suggest that about 50% of all adults aged 65+ experience bothersome pain every month, often in multiple parts of the body. Persisting pain is linked with decreased social and physical activity, depression, and taking worse care of one’s own health.  Pain can also be the sign of a new health problem that needs attention or a chronic problem that’s being inadequately managed.

    Note: Pain can and should be managed by non-drug approaches whenever possible. Studies have found that pain can often be lessened through certain types of psychotherapy, exercises or physical therapy, and many other approaches. Treatment with medication may still be necessary, especially for short-term purposes or in combination with other approaches. Bear in mind that many over-the-counter pain medications (such as Advil and Motrin) are non-steroidal anti-inflammatory drugs (NSAIDs), which are risky for older adults when used chronically or in high doses.

    I talk more on how to manage chronic pain in my Youtube video here: 

    For more information:

    6. Isolation and loneliness

    Why: Both isolation (not having a lot of social contact with others) and loneliness (the feeling of lacking social connection) have been linked to declines in physical health. A 2012 study found that 43% of older adults reported feeling lonely; over the next 6 years, they were more likely to lose physical abilities or die. Loneliness and isolation have also been linked to decreased immune function and greater risk of depression.

    Note: Older adults who live alone or have been bereaved are at particular risk, especially if health problems are interfering with their ability to get out and about. But even people who are in proximity to others — such as family caregivers or older adults residing in a facility — may suffer from feeling lonely.

    Studies have found that certain psychotherapies — including mindfulness — can help reduce feelings of loneliness and even inflammation in the body. However, another study found that isolation seems to be a stronger risk factor for premature death than loneliness, so it’s important to relieve social isolation as well. Arranging more social contact usually helps. Arranging for volunteering or some kind of purposeful activity can be even better.

    It’s also vital to address any health concerns (including fear of falling, incontinence, or pain) that may be keeping an older person from getting out and about.

    For older adults who are lonely or possibly even depressed, the Institute on Aging offers a Friendship Line designed for older adults.

    For more information:

    7. Polypharmacy (Taking Multiple Medications)

    Why: Polypharmacy means taking multiple medications. It’s a problem mainly because as people get older, they become especially at risk for harm from medication side-effects or interactions. According to research, every year 177,000 older adults visit the emergency room due to medication problems.

    Polypharmacy also burdens older adults because purchasing all those drugs can be costly, plus it can be a real hassle to have to take medications at several times every day. Last but not least, when people have been prescribed many medications, it’s harder for them to take them correctly. This can lead to worsening of a chronic condition, or even misguided medical care as doctors may fail to realize that a patient hasn’t been able to take all medication as directed.

    Note: The main thing you should know is that many older adults are taking medications they don’t really need. It’s basically much easier for doctors to prescribe medications than to “deprescribe.” Research has documented that inappropriate prescribing of medications is common. A careful medication review will often identify medications that are marginally useful or no longer necessary, but you may not get such a review unless you request it.

    For more information:

    Have these problems been sabotaging your healthy aging?

    If so, I hope the resources above will help you take action.

    Now, I’ll admit that it can be very difficult to completely eliminate the problems above in some older adults.

    But you have to try, especially if the problem is bothering a person or interfering with life activities. And you have to find professionals who will use the best-available knowledge to help you do so.

    When we make a good effort, we can almost always improve an older person’s ability to be out in the world, doing the things they want to be doing, and doing things that are good for their health.

    And that promotes healthy aging. So don’t let these problems fester and sabotage late-life health. Good luck!

    Get Your Free Healthy Aging Part 3 Cheatsheet! A summary of the 7 commonly neglected problems that often sabotage healthy aging, in a handy PDF checklist that you can print or save. Includes useful resources to help you learn more or get help. Click here now.

    This post was originally published on this site.

  • TMJ VA Rating: How the VA Rates TMJ Under Diagnostic Code 9905

    TMJ VA Rating: How the VA Rates TMJ Under Diagnostic Code 9905

    This post was originally published on this site.

    If your jaw clicks, locks, or throbs every time you eat, talk, or yawn, you already know TMJ isn’t a “minor” problem. It’s a daily fight – and it could qualify you for a VA disability rating and compensation.  

    Yes, veterans can receive VA disability for TMJ. 

    The VA rates temporomandibular joint disorder under Diagnostic Code 9905, with ratings from 10% to 50% based on how far you can open your jaw and whether you’re stuck on a restricted diet.

    Two veterans with the identical diagnosis can walk away with completely different ratings, and in this guide, I’ll show you exactly why — so you know where you stand before you ever sit down for a C&P exam. 

    Summary of Key Points

    • TMJ is rated under Diagnostic Code 9905 at 10%, 20%, 30%, 40%, or 50%. 
    • Your rating comes down to two factors: interincisal range of motion (how wide you can open your mouth, in millimeters) and dietary restrictions. 
    • You only need to meet one criterion at a given level to earn that rating — not both. 
    • TMJ can be filed directly or secondary to PTSD, since stress-driven teeth grinding (bruxism) is a well-documented cause. 
    • Strong evidence — a diagnosis, tracked ROM measurements, and a nexus letter — is what separates a 10% rating from a 50% rating. 

    What is TMJ?

    TMJ (temporomandibular joint disorder) affects the joint connecting your jawbone to your skull (the one you use every time you talk, chew, or swallow). Common symptoms include jaw pain, clicking or popping, a locked jaw, trouble opening your mouth wide, headaches, and earaches. That’s the short version, and it’s really all you need. 

    What actually decides your claim isn’t the anatomy, it’s how the VA measures your symptoms and converts them into a rating. Let’s get into that. 

    Can You Get VA Disability for TMJ?

    Yes. The VA recognizes TMJ as a rateable disability under Diagnostic Code 9905, and it’s rated at 10%, 20%, 30%, 40%, or 50%. There’s no rating above 50% for TMJ by itself — but that’s not the ceiling on your overall compensation. TMJ often shows up alongside other musculoskeletal conditions or related symptoms like chronic headaches, and depending on your case, those can be evaluated separately. 

    To get rated, you need three things on file: a current diagnosis, evidence connecting your TMJ to your military service (or to an already-service-connected condition), and documentation showing exactly how your symptoms measure up against the VA’s criteria. That last piece is where most veterans get shortchanged. Not because their TMJ isn’t severe enough, but because their paperwork never captured how bad it really is.

    Related: VA ratings for other musculoskeletal and physical conditions.

    How the VA Rates TMJ (Diagnostic Code 9905)

    This is the section that actually decides your rating, so let’s slow down and get it right. 

    Under DC 9905, the VA looks at two main factors: how far you can open your jaw (interincisal range of motion) and what kind of diet you’re limited to. Here’s the part veterans miss constantly: you only need to meet one of the criteria at a given level, not all of them, to qualify for that rating. 

    Interincisal Range of Motion

    This is a fancy way of saying “how wide can you open your mouth.” It’s measured in millimeters, from your top front teeth to your bottom front teeth when your mouth is open as far as it goes. A dentist, oral surgeon, or C&P examiner measures this directly (it’s not something you self-report or ‘eyeball’). 

    Generally, the ranges break down like this: 

    • 30–34mm — mild limitation 
    • 21–29mm — moderate limitation 
    • 11–20mm — significant limitation 
    • 0–10mm — severe limitation 

    Dietary Restrictions

    The VA also looks at what you can actually eat. There are three tiers: a regular diet (no restrictions), a mechanically altered diet (food that’s chopped, blended, or softened), and a liquid diet. If your dentist or doctor has written into your medical records that you’re on a modified diet because of your jaw – not just because you mentioned it to the C&P examiner that one day – it counts toward your rating. 

    This point trips up a lot of veterans. Telling the examiner “I can only eat soft foods” during your one appointment isn’t the same as having your treating dentist document that restriction over time. The VA wants a documented pattern, not a single statement made in passing. 

    Painful Motion and Lateral Excursion

    Pain matters too. Under VA’s painful motion rule, if movement is painful, that motion counts as limited — even if you technically have some range left. So if you can open your jaw 32mm but it hurts through the whole motion, you may still qualify for a higher rating than the raw number alone suggests. 

    Lateral excursion — how far your jaw moves side to side — factors in as well, though less prominently than vertical opening. Reduced lateral movement, especially under 4mm, can support a rating on its own. 

    Why Two Veterans With TMJ Get Different Ratings

    Here’s the piece most articles skip entirely: two veterans can have the exact same diagnosis and walk away with completely different ratings, because the rating isn’t based on the diagnosis — it’s based on the documented severity of your specific symptoms. 

    Veteran A gets diagnosed, never has his jaw opening measured in millimeters, and never gets his soft-food diet written into his chart. He shows up to his C&P exam with nothing solid on paper. Result: he risks landing at 10%, or getting shortchanged entirely. 

    Veteran B has his dentist track interincisal measurements across several visits, documents a mechanically altered diet in his records, and brings a nexus letter tying it all back to service. Same condition. Dramatically stronger claim. That’s the whole game with TMJ — the diagnosis gets you in the door, but the measurements and documentation get you the rating. 

    TMJ VA Rating Chart

    Here’s how it all comes together. Remember, you only need to meet one criterion at each level — not every one listed. 

    VA Rating  Jaw Opening (Interincisal)  Diet 
    50%  0–10mm  Dietary restrictions present 
    40%  0–10mm, or 11–20mm, or 21–29mm  No restrictions / some restrictions / liquid diet 
    30%  11–20mm, or 21–29mm, or 30–34mm  No restrictions / soft-food restrictions / liquid diet 
    20%  21–29mm, or 30–34mm  No restrictions / soft-food restrictions 
    10%  30–34mm, or lateral movement 0–4mm  No restrictions 

    Can TMJ Be Secondary to PTSD?

    Yes, and this is one of the most overlooked paths to a TMJ rating. 

    Bruxism (teeth grinding) is a well-documented symptom of PTSD and chronic stress. If you’ve been grinding your teeth at night for years because of hypervigilance, nightmares, or combat-related anxiety, that grinding puts constant strain on your jaw joint and surrounding muscles. Over time, that strain can develop into full-blown TMJ. 

    Here’s the chain: PTSD causes stress and muscle tension → stress leads to bruxism (often at night, so you may not even realize it’s happening) → years of grinding wears down your jaw joint → TMJ develops. Anxiety plays a role here too — tense jaw and neck muscles can aggravate symptoms even without full-blown grinding at play. If anxiety or mental health ratings are part of your service-connected picture, it’s worth reviewing whether that connection extends to your jaw. 

    If your PTSD is already service-connected, filing TMJ as secondary is often easier than filing it as a standalone, direct claim. You’re not trying to prove your jaw problem happened in service — you’re proving your already-connected PTSD is, as the standard goes, “at least as likely as not” the cause of your TMJ. 

    That’s the legal bar for secondary service connection, and a nexus letter from a provider familiar with the bruxism-TMJ link is the centerpiece of this kind of claim. 

    Evidence That Strengthens a TMJ Claim

    Your evidence is what turns “I have TMJ” into “here’s my documented rating.” Focus on stacking: 

    • A current diagnosis from a dentist, oral surgeon, or ENT — not a self-diagnosis, not a guess. 
    • ROM measurements tracked over time, not just once, showing your interincisal opening in millimeters. 
    • Dietary restriction documentation written into your treatment records by a provider, not just mentioned verbally at an appointment. 
    • A DBQ (Disability Benefits Questionnaire) completed by your provider, giving the VA a structured summary of your symptoms. 
    • Your C&P exam — go in prepared, be honest about your worst days, and don’t downplay your symptoms to seem tough. 
    • nexus letter connecting your TMJ to service, or to an already-service-connected condition like PTSD. 
    • Lay statements and buddy statements from people who’ve watched you struggle — a spouse who’s seen you avoid solid foods, a battle buddy who remembers your jaw pain starting downrange. 

    The more of these you stack, the harder it becomes for the VA to justify a low rating or a denial. 

    Common Mistakes Veterans Make

    A few habits quietly cost veterans a fair rating: 

    • Skipping treatment during service. Waiting until after you separate to get your jaw pain evaluated makes it much harder to link TMJ back to your time in uniform. 
    • Filing an incomplete claim. A Fully Developed Claim — diagnosis, nexus, and current symptoms all submitted upfront — moves faster than one the VA has to chase down evidence for. Learn the full process in our VA Claim Guide
    • Not knowing the rating criteria before the C&P exam. If you don’t know what the examiner is measuring, you can’t make sure it gets documented accurately. 
    • Ignoring the PTSD connection. Veterans with service-connected PTSD who grind their teeth often skip filing TMJ as secondary, leaving a legitimate rating on the table. 

    Conclusion

    TMJ is real, it’s ratable, and you deserve a rating that reflects what you’re actually dealing with — not a lowball number because your paperwork didn’t tell the full story. Get diagnosed, get your jaw measurements and diet restrictions documented over time, connect the dots with a nexus letter, and don’t sleep on a secondary PTSD claim if teeth grinding is part of your story. Stack enough service-connected conditions like this together, and you may be closer to 100% VA disability than you think. 

    That’s how you build a TMJ claim the VA can’t easily wave off. If you want help pulling this evidence together the right way, our team is standing by. 

    VA Claim Discovery Call

    Most veterans are underrated for their disabilities and, therefore, not getting their due compensation. At VA Claims Insider, we help you understand and take control of the claims process, so you can get the rating and compensation you’re owed by law. 

    Our process takes the guesswork out of filing a VA disability claim and supports you every step of the way in building a fully-developed claim (FDC) — so you can get the rating you deserve in less time!

    If you’ve filed your VA disability claim and have been denied or have received a low rating — or you’re unsure how to get started — reach out to us! Take advantage of a VA Claim Discovery Call. Learn what you’ve been missing — so you can FINALLY get the disability rating and compensation YOU DESERVE!

    We’ve helped 50,000+ veterans get what they deserve. Are you next?


    FAQs | Frequently Asked Questions

    What is the VA rating for TMJ?

    The VA rates TMJ under Diagnostic Code 9905 at 10%, 20%, 30%, 40%, and 50%.

    Can I get VA disability for TMJ without a formal diagnosis?

    No. To receive a VA rating for TMJ, you must have a current, documented diagnosis from a qualified provider (for example, a dentist, oral surgeon, or ENT specialist). Without that formal diagnosis in your medical records, the VA will not rate your condition—even if you report symptoms during your C&P exam.

    How fast can I expect a decision if I file a Fully Developed Claim (FDC)?

    If you submit an FDC—including your TMJ diagnosis, a nexus letter, and evidence of your symptoms—the average turnaround time for a decision is 3–4 months. This is significantly quicker than a standard claim, where the VA must gather records on your behalf and can take 9–12 months or more.

    What medical tests does the VA use to rate TMJ?

    The VA measures interincisal opening (how many millimeters you can open your jaw) and notes any dietary restrictions (everyday foods vs. mechanically altered or liquid diets). In some cases, they may also consider reports of painful motion. You’ll likely have to demonstrate these limits during your C&P exam—and have them documented in your treatment records—to qualify for each rating level.

    Can I claim TMJ secondary to PTSD or other service-connected conditions?

    Yes. If you suffer from service-connected PTSD (or another condition) that causes teeth grinding or muscle tension leading to TMJ, you can file for secondary service connection. You’ll need a medical nexus letter showing it is “at least as likely as not” that your PTSD exacerbated or caused your TMJ.

    What is the highest TMJ VA rating?

     50%, awarded when you can open your jaw only 0–10mm and you have documented dietary restrictions. 

    Does painful motion qualify for a rating?

    es. Under the painful motion rule, pain during movement can support a rating even when your measured range of motion alone might not. 


    Content Reviewed By

    Content Reviewed by: VA Claims Insider Quality Control Team

     

    Quality Assurance Team

    The Quality Assurance (QA) team at VA Claims Insider has extensive experience researching, fact-checking, and ensuring accuracy in all produced content. The QA team consists of individuals with specialized knowledge in the VA disability claims adjudication processes, laws and regulations, and they understand the needs of our target audience. Any changes or suggestions the QA team makes are thoroughly reviewed and incorporated into the content by our writers and creators.

    About the Author

    Brian Reese
    Brian Reese

    Brian Reese

    Brian Reese is a world-renowned VA disability benefits expert and the #1 bestselling author of VA Claim Secrets and You Deserve It. Motivated by his own frustration with the VA claim process, Brian founded VA Claims Insider to help disabled veterans secure their VA disability compensation faster, regardless of their past struggles with the VA. Since 2013, he has positively impacted the lives of over 10 million military, veterans, and their families.

    A former active-duty Air Force officer, Brian has extensive experience leading diverse teams in challenging international environments, including a combat tour in Afghanistan in 2011 supporting Operation ENDURING FREEDOM.

    Brian is a Distinguished Graduate of Management from the United States Air Force Academy and earned his MBA from Oklahoma State University’s Spears School of Business, where he was a National Honor Scholar, ranking in the top 1% of his class.

  • TMJ VA Rating: How the VA Rates TMJ Under Diagnostic Code 9905

    TMJ VA Rating: How the VA Rates TMJ Under Diagnostic Code 9905

    This post was originally published on this site.

    If your jaw clicks, locks, or throbs every time you eat, talk, or yawn, you already know TMJ isn’t a “minor” problem. It’s a daily fight – and it could qualify you for a VA disability rating and compensation.  

    Yes, veterans can receive VA disability for TMJ. 

    The VA rates temporomandibular joint disorder under Diagnostic Code 9905, with ratings from 10% to 50% based on how far you can open your jaw and whether you’re stuck on a restricted diet.

    Two veterans with the identical diagnosis can walk away with completely different ratings, and in this guide, I’ll show you exactly why — so you know where you stand before you ever sit down for a C&P exam. 

    Summary of Key Points

    • TMJ is rated under Diagnostic Code 9905 at 10%, 20%, 30%, 40%, or 50%. 
    • Your rating comes down to two factors: interincisal range of motion (how wide you can open your mouth, in millimeters) and dietary restrictions. 
    • You only need to meet one criterion at a given level to earn that rating — not both. 
    • TMJ can be filed directly or secondary to PTSD, since stress-driven teeth grinding (bruxism) is a well-documented cause. 
    • Strong evidence — a diagnosis, tracked ROM measurements, and a nexus letter — is what separates a 10% rating from a 50% rating. 

    What is TMJ?

    TMJ (temporomandibular joint disorder) affects the joint connecting your jawbone to your skull (the one you use every time you talk, chew, or swallow). Common symptoms include jaw pain, clicking or popping, a locked jaw, trouble opening your mouth wide, headaches, and earaches. That’s the short version, and it’s really all you need. 

    What actually decides your claim isn’t the anatomy, it’s how the VA measures your symptoms and converts them into a rating. Let’s get into that. 

    Can You Get VA Disability for TMJ?

    Yes. The VA recognizes TMJ as a rateable disability under Diagnostic Code 9905, and it’s rated at 10%, 20%, 30%, 40%, or 50%. There’s no rating above 50% for TMJ by itself — but that’s not the ceiling on your overall compensation. TMJ often shows up alongside other musculoskeletal conditions or related symptoms like chronic headaches, and depending on your case, those can be evaluated separately. 

    To get rated, you need three things on file: a current diagnosis, evidence connecting your TMJ to your military service (or to an already-service-connected condition), and documentation showing exactly how your symptoms measure up against the VA’s criteria. That last piece is where most veterans get shortchanged. Not because their TMJ isn’t severe enough, but because their paperwork never captured how bad it really is.

    Related: VA ratings for other musculoskeletal and physical conditions.

    How the VA Rates TMJ (Diagnostic Code 9905)

    This is the section that actually decides your rating, so let’s slow down and get it right. 

    Under DC 9905, the VA looks at two main factors: how far you can open your jaw (interincisal range of motion) and what kind of diet you’re limited to. Here’s the part veterans miss constantly: you only need to meet one of the criteria at a given level, not all of them, to qualify for that rating. 

    Interincisal Range of Motion

    This is a fancy way of saying “how wide can you open your mouth.” It’s measured in millimeters, from your top front teeth to your bottom front teeth when your mouth is open as far as it goes. A dentist, oral surgeon, or C&P examiner measures this directly (it’s not something you self-report or ‘eyeball’). 

    Generally, the ranges break down like this: 

    • 30–34mm — mild limitation 
    • 21–29mm — moderate limitation 
    • 11–20mm — significant limitation 
    • 0–10mm — severe limitation 

    Dietary Restrictions

    The VA also looks at what you can actually eat. There are three tiers: a regular diet (no restrictions), a mechanically altered diet (food that’s chopped, blended, or softened), and a liquid diet. If your dentist or doctor has written into your medical records that you’re on a modified diet because of your jaw – not just because you mentioned it to the C&P examiner that one day – it counts toward your rating. 

    This point trips up a lot of veterans. Telling the examiner “I can only eat soft foods” during your one appointment isn’t the same as having your treating dentist document that restriction over time. The VA wants a documented pattern, not a single statement made in passing. 

    Painful Motion and Lateral Excursion

    Pain matters too. Under VA’s painful motion rule, if movement is painful, that motion counts as limited — even if you technically have some range left. So if you can open your jaw 32mm but it hurts through the whole motion, you may still qualify for a higher rating than the raw number alone suggests. 

    Lateral excursion — how far your jaw moves side to side — factors in as well, though less prominently than vertical opening. Reduced lateral movement, especially under 4mm, can support a rating on its own. 

    Why Two Veterans With TMJ Get Different Ratings

    Here’s the piece most articles skip entirely: two veterans can have the exact same diagnosis and walk away with completely different ratings, because the rating isn’t based on the diagnosis — it’s based on the documented severity of your specific symptoms. 

    Veteran A gets diagnosed, never has his jaw opening measured in millimeters, and never gets his soft-food diet written into his chart. He shows up to his C&P exam with nothing solid on paper. Result: he risks landing at 10%, or getting shortchanged entirely. 

    Veteran B has his dentist track interincisal measurements across several visits, documents a mechanically altered diet in his records, and brings a nexus letter tying it all back to service. Same condition. Dramatically stronger claim. That’s the whole game with TMJ — the diagnosis gets you in the door, but the measurements and documentation get you the rating. 

    TMJ VA Rating Chart

    Here’s how it all comes together. Remember, you only need to meet one criterion at each level — not every one listed. 

    VA Rating  Jaw Opening (Interincisal)  Diet 
    50%  0–10mm  Dietary restrictions present 
    40%  0–10mm, or 11–20mm, or 21–29mm  No restrictions / some restrictions / liquid diet 
    30%  11–20mm, or 21–29mm, or 30–34mm  No restrictions / soft-food restrictions / liquid diet 
    20%  21–29mm, or 30–34mm  No restrictions / soft-food restrictions 
    10%  30–34mm, or lateral movement 0–4mm  No restrictions 

    Can TMJ Be Secondary to PTSD?

    Yes, and this is one of the most overlooked paths to a TMJ rating. 

    Bruxism (teeth grinding) is a well-documented symptom of PTSD and chronic stress. If you’ve been grinding your teeth at night for years because of hypervigilance, nightmares, or combat-related anxiety, that grinding puts constant strain on your jaw joint and surrounding muscles. Over time, that strain can develop into full-blown TMJ. 

    Here’s the chain: PTSD causes stress and muscle tension → stress leads to bruxism (often at night, so you may not even realize it’s happening) → years of grinding wears down your jaw joint → TMJ develops. Anxiety plays a role here too — tense jaw and neck muscles can aggravate symptoms even without full-blown grinding at play. If anxiety or mental health ratings are part of your service-connected picture, it’s worth reviewing whether that connection extends to your jaw. 

    If your PTSD is already service-connected, filing TMJ as secondary is often easier than filing it as a standalone, direct claim. You’re not trying to prove your jaw problem happened in service — you’re proving your already-connected PTSD is, as the standard goes, “at least as likely as not” the cause of your TMJ. 

    That’s the legal bar for secondary service connection, and a nexus letter from a provider familiar with the bruxism-TMJ link is the centerpiece of this kind of claim. 

    Evidence That Strengthens a TMJ Claim

    Your evidence is what turns “I have TMJ” into “here’s my documented rating.” Focus on stacking: 

    • A current diagnosis from a dentist, oral surgeon, or ENT — not a self-diagnosis, not a guess. 
    • ROM measurements tracked over time, not just once, showing your interincisal opening in millimeters. 
    • Dietary restriction documentation written into your treatment records by a provider, not just mentioned verbally at an appointment. 
    • A DBQ (Disability Benefits Questionnaire) completed by your provider, giving the VA a structured summary of your symptoms. 
    • Your C&P exam — go in prepared, be honest about your worst days, and don’t downplay your symptoms to seem tough. 
    • nexus letter connecting your TMJ to service, or to an already-service-connected condition like PTSD. 
    • Lay statements and buddy statements from people who’ve watched you struggle — a spouse who’s seen you avoid solid foods, a battle buddy who remembers your jaw pain starting downrange. 

    The more of these you stack, the harder it becomes for the VA to justify a low rating or a denial. 

    Common Mistakes Veterans Make

    A few habits quietly cost veterans a fair rating: 

    • Skipping treatment during service. Waiting until after you separate to get your jaw pain evaluated makes it much harder to link TMJ back to your time in uniform. 
    • Filing an incomplete claim. A Fully Developed Claim — diagnosis, nexus, and current symptoms all submitted upfront — moves faster than one the VA has to chase down evidence for. Learn the full process in our VA Claim Guide
    • Not knowing the rating criteria before the C&P exam. If you don’t know what the examiner is measuring, you can’t make sure it gets documented accurately. 
    • Ignoring the PTSD connection. Veterans with service-connected PTSD who grind their teeth often skip filing TMJ as secondary, leaving a legitimate rating on the table. 

    Conclusion

    TMJ is real, it’s ratable, and you deserve a rating that reflects what you’re actually dealing with — not a lowball number because your paperwork didn’t tell the full story. Get diagnosed, get your jaw measurements and diet restrictions documented over time, connect the dots with a nexus letter, and don’t sleep on a secondary PTSD claim if teeth grinding is part of your story. Stack enough service-connected conditions like this together, and you may be closer to 100% VA disability than you think. 

    That’s how you build a TMJ claim the VA can’t easily wave off. If you want help pulling this evidence together the right way, our team is standing by. 

    VA Claim Discovery Call

    Most veterans are underrated for their disabilities and, therefore, not getting their due compensation. At VA Claims Insider, we help you understand and take control of the claims process, so you can get the rating and compensation you’re owed by law. 

    Our process takes the guesswork out of filing a VA disability claim and supports you every step of the way in building a fully-developed claim (FDC) — so you can get the rating you deserve in less time!

    If you’ve filed your VA disability claim and have been denied or have received a low rating — or you’re unsure how to get started — reach out to us! Take advantage of a VA Claim Discovery Call. Learn what you’ve been missing — so you can FINALLY get the disability rating and compensation YOU DESERVE!

    We’ve helped 50,000+ veterans get what they deserve. Are you next?


    FAQs | Frequently Asked Questions

    What is the VA rating for TMJ?

    The VA rates TMJ under Diagnostic Code 9905 at 10%, 20%, 30%, 40%, and 50%.

    Can I get VA disability for TMJ without a formal diagnosis?

    No. To receive a VA rating for TMJ, you must have a current, documented diagnosis from a qualified provider (for example, a dentist, oral surgeon, or ENT specialist). Without that formal diagnosis in your medical records, the VA will not rate your condition—even if you report symptoms during your C&P exam.

    How fast can I expect a decision if I file a Fully Developed Claim (FDC)?

    If you submit an FDC—including your TMJ diagnosis, a nexus letter, and evidence of your symptoms—the average turnaround time for a decision is 3–4 months. This is significantly quicker than a standard claim, where the VA must gather records on your behalf and can take 9–12 months or more.

    What medical tests does the VA use to rate TMJ?

    The VA measures interincisal opening (how many millimeters you can open your jaw) and notes any dietary restrictions (everyday foods vs. mechanically altered or liquid diets). In some cases, they may also consider reports of painful motion. You’ll likely have to demonstrate these limits during your C&P exam—and have them documented in your treatment records—to qualify for each rating level.

    Can I claim TMJ secondary to PTSD or other service-connected conditions?

    Yes. If you suffer from service-connected PTSD (or another condition) that causes teeth grinding or muscle tension leading to TMJ, you can file for secondary service connection. You’ll need a medical nexus letter showing it is “at least as likely as not” that your PTSD exacerbated or caused your TMJ.

    What is the highest TMJ VA rating?

     50%, awarded when you can open your jaw only 0–10mm and you have documented dietary restrictions. 

    Does painful motion qualify for a rating?

    es. Under the painful motion rule, pain during movement can support a rating even when your measured range of motion alone might not. 


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    About the Author

    Brian Reese
    Brian Reese

    Brian Reese

    Brian Reese is a world-renowned VA disability benefits expert and the #1 bestselling author of VA Claim Secrets and You Deserve It. Motivated by his own frustration with the VA claim process, Brian founded VA Claims Insider to help disabled veterans secure their VA disability compensation faster, regardless of their past struggles with the VA. Since 2013, he has positively impacted the lives of over 10 million military, veterans, and their families.

    A former active-duty Air Force officer, Brian has extensive experience leading diverse teams in challenging international environments, including a combat tour in Afghanistan in 2011 supporting Operation ENDURING FREEDOM.

    Brian is a Distinguished Graduate of Management from the United States Air Force Academy and earned his MBA from Oklahoma State University’s Spears School of Business, where he was a National Honor Scholar, ranking in the top 1% of his class.