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Age and Ageing

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https://www.readbyqxmd.com/read/29329400/the-decision-to-work-after-state-pension-age-and-how-it-affects-quality-of-life-evidence-from-a-6-year-english-panel-study
#1
Giorgio Di Gessa, Laurie Corna, Debora Price, Karen Glaser
Background: despite an increasing proportion of older people working beyond State Pension Age (SPA), little is known about neither the motivations for this decision nor whether, and to what extent, working beyond SPA affects quality of life (QoL). Methods: QoL was measured using the CASP-19 scale. Respondents in paid work beyond SPA were distinguished based on whether they reported financial constraints as the main reason for continuing in work. Linear regression models were used to assess the associations between paid work beyond SPA and CASP-19 scores among men aged 65-74 and women aged 60-69 (n = 2,502) cross-sectionally and over time using Wave 4 and Wave 7 of the English Longitudinal Study of Ageing...
January 10, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29315385/seeking-assistance-in-later-life-how-do-older-people-evaluate-their-need-for-assistance
#2
Krysia Canvin, Catherine A MacLeod, Gill Windle, Amanda Sacker
Background: legislation places an onus on local authorities to be aware of care needs in their locality and to prevent and reduce care and support needs. The existing literature overlooks ostensibly 'healthy' and/or non-users of specific services, non-health services and informal assistance and therefore inadequately explains what happens before or instead of individuals seeking services. We sought to address these gaps by exploring older adults' accounts of seeking assistance in later life...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29315380/alcohol-and-age
#3
Ilana B Crome, Peter Crome
Alcohol consumption constitutes a substantial burden of disease. Older people are being admitted to hospital for alcohol problems in increasing numbers. A recent systematic review reports cautious supportive evidence for primary prevention interventions in reducing excessive alcohol consumption in older drinkers, but does not focus on treatment of dependent drinkers. The evidence base for treatment interventions for dependent drinkers is comparatively limited, but it is growing. In addition to brief interventions, specialist outpatient treatment and inpatient treatment have been evaluated...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29315375/improving-patient-safety-for-older-people-in-acute-admissions-implementation-of-the-frailsafe-checklist-in-12-hospitals-across-the-uk
#4
Chrysanthi Papoutsi, Alan Poots, Jake Clements, Zoe Wyrko, Natalie Offord, Julie E Reed
Background: checklists are increasingly proposed as a means to enhance safety and quality of care. However, their use has been met with variable levels of success. The Frailsafe project focused on introducing a checklist with the aim to increase completion of key clinical assessments and to facilitate communication for the care of older patients in acute admissions. Objectives: to examine the use of the Frailsafe checklist, including potential to contribute to improved safety, quality and reliability of care...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29315370/optimal-healthcare-delivery-to-care-homes-in-the-uk-a-realist-evaluation-of-what-supports-effective-working-to-improve-healthcare-outcomes
#5
Adam L Gordon, Claire Goodman, Sue L Davies, Tom Dening, Heather Gage, Julienne Meyer, Justine Schneider, Brian Bell, Jake Jordan, Finbarr C Martin, Steve Iliffe, Clive Bowman, John R F Gladman, Christina Victor, Andrea Mayrhofer, Melanie Handley, Maria Zubair
Introduction: care home residents have high healthcare needs not fully met by prevailing healthcare models. This study explored how healthcare configuration influences resource use. Methods: a realist evaluation using qualitative and quantitative data from case studies of three UK health and social care economies selected for differing patterns of healthcare delivery to care homes. Four homes per area (12 in total) were recruited. A total of 239 residents were followed for 12 months to record resource-use...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29315364/200-years-of-parkinson-s-disease-what-have-we-learnt-from-james-parkinson
#6
Claire McDonald, Gavin Gordon, Annette Hand, Richard W Walker, James M Fisher
2017 marks 200 years since James Parkinson's published his 'Essay on the Shaking Palsy'. Although now most famous for describing the condition that came to bear his name, Parkinson had a wide range of interests and his influence spread beyond medicine. In this review, we provide a biography of James Parkinson's remarkable life.Parkinson's paper not only comprehensively described the symptoms of Parkinson's disease (PD), but challenged his peers to better understand the pathophysiology of the PD. Key observation over the next 2 centuries, included the recognition of the link between the substantia nigra and PD and the discoveries of dopamine deficiency in patients with PD...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29315355/cost-effectiveness-of-food-supplement-and-environmental-interventions-to-address-malnutrition-in-residential-aged-care-a-systematic-review
#7
Cherie Hugo, Elisabeth Isenring, Michelle Miller, Skye Marshall
Background: observational studies have shown that nutritional strategies to manage malnutrition may be cost-effective in aged care; but more robust economic data is needed to support and encourage translation to practice. Therefore, the aim of this systematic review is to compare the cost-effectiveness of implementing nutrition interventions targeting malnutrition in aged care homes versus usual care. Setting: residential aged care homes. Methods: systematic literature review of studies published between January 2000 and August 2017 across 10 electronic databases...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29315354/implications-of-guidelines-for-osteoporosis-and-its-treatment
#8
Stephen Tuck, Elizabeth A Little, Terry J Aspray
The development of clinical guidelines is now a more uniform process, with formalised methods to ensure that recommendations are based on current best available evidence from randomised controlled trials and systematic reviews. Over the past 20 years we have seen a growth in guidelines including those relating to osteoporosis, with recommendations varying between and within countries. Some guidelines are concerned with case finding and primary or secondary prevention, such as those produced by the National Institute for Health and Care Excellence (NICE CG146, TA-160, -161, -464), while others focus on specific conditions or risk factors associated with osteoporosis, such as the menopause, coeliac disease and eating disorder...
January 5, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29300808/frailty-mind-the-gap
#9
Alison M Mudge, Ruth E Hubbard
Frailty has become the focus of considerable research interest and media attention over the past 15 years. While it has much to offer geriatric medicine, potential pitfalls also need to be acknowledged. The conceptualisation of frailty in very different ways-as a syndrome or a risk state-has created semantic dissonance: the frailest patients by one definition may have early sarcopenia, by another be bedbound and in institutional care. Caution is required in transferring findings between studies enroling these different populations...
December 29, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29309502/social-isolation-and-loneliness-as-risk-factors-for-the-progression-of-frailty-the-english-longitudinal-study-of-ageing
#10
Catharine R Gale, Leo Westbury, Cyrus Cooper
Background: loneliness and social isolation have been associated with mortality and with functional decline in older people. We investigated whether loneliness or social isolation are associated with progression of frailty. Methods: participants were 2,817 people aged ≥60 from the English Longitudinal Study of Ageing. Loneliness was assessed at Wave 2 using the Revised UCLA scale (short version). A social isolation score at Wave 2 was derived from data on living alone, frequency of contact with friends, family and children, and participation in social organisations...
December 22, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29309497/temporal-changes-in-medication-use-and-disease-management-in-old-age-where-does-it-all-end
#11
Arduino A Mangoni
No abstract text is available yet for this article.
December 22, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29281041/patterns-of-multi-morbidity-and-prediction-of-hospitalisation-and-all-cause-mortality-in-advanced-age
#12
Ruth O Teh, Oliver H Menzies, Martin J Connolly, Rob N Doughty, Tim J Wilkinson, Avinesh Pillai, Thomas Lumley, Cristin Ryan, Anna Rolleston, Joanna B Broad, Ngaire Kerse
Background: multi-morbidity is associated with poor outcomes and increased healthcare utilisation. We aim to identify multi-morbidity patterns and associations with potentially inappropriate prescribing (PIP), subsequent hospitalisation and mortality in octogenarians. Methods: life and Living in Advanced Age; a Cohort Study in New Zealand (LiLACS NZ) examined health outcomes of 421 Māori (indigenous to New Zealand), aged 80-90 and 516 non-Māori, aged 85 years in 2010...
December 21, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29272323/scaffolding-and-working-together-a-qualitative-exploration-of-strategies-for-everyday-life-with-dementia
#13
Louise McCabe, Jane Robertson, Fiona Kelly
Background: living with dementia has been described as a process of continual change and adjustment, with people with dementia and their families adopting informal strategies to help manage everyday life. As dementia progresses, families increasingly rely on help from the wider community and formal support. Methods: this article reports on a secondary analysis of qualitative data from focus groups and individual interviews with people with dementia and their carers in the North of England...
December 20, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29267840/accurate-identification-of-hospital-admissions-from-care-homes-development-and-validation-of-an-automated-algorithm
#14
Gemma Housley, Sarah Lewis, Adeela Usman, Adam L Gordon, Dominick E Shaw
Background: measuring the complex needs of care home residents is crucial for resource allocation. Hospital patient administration systems (PAS) may not accurately identify admissions from care homes. Objective: to develop and validate an accurate, practical method of identifying care home resident hospital admission using routinely collected PAS data. Method: admissions data between 2011 and 2012 (n = 103,105) to an acute Trust were modelled to develop an automated tool which compared the hospital PAS address details with the Care Quality Commission's (CQC) database, producing a likelihood of care home residency...
December 18, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29253078/a-greater-risk-of-premature-death-in-residential-respite-care-a-national-cohort-study
#15
Melissa Willoughby, Chebi Kipsaina, Noha Ferrah, Lyndal Bugeja, Margaret Winbolt, Joseph Elias Ibrahim
Background: the demand for residential respite care for older persons is high yet little is known about the occurrence of harm, including death in this care setting. Objective: to compare the prevalence and nature of deaths among residential respite to permanent nursing home residents. Design: retrospective cohort study. Setting: australian accredited nursing homes between 1 July 2000 and 30 June 2013. Subjects: respite and permanent residents of Australian accredited nursing homes, whose deaths were investigated by Australian coroners...
December 13, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29228124/association-of-estimated-glomerular-filtration-rate-with-muscle-function-in-older-persons-who-have-fallen
#16
Lisanne Tap, Nicole D A Boyé, Klaas A Hartholt, Tischa J M van der Cammen, Francesco U S Mattace-Raso
Background: studies suggest that estimated glomerular filtration rate (eGFR) is less reliable in older persons and that a low serum-creatinine might reflect reduced muscle mass rather than high kidney function. This study investigates the possible relationship between eGFR and multiple elements of physical performance in older fallers. Methods: baseline data of the IMPROveFALL-study were examined in participants ≥65 years. Serum-creatinine based eGFR was classified as normal (≥90 ml/min), mildly reduced (60-89 ml/min) or moderately-severely reduced (<60 ml/min)...
December 8, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29220480/-working-away-in-that-grey-area%C3%A2-a-qualitative-exploration-of-the-challenges-general-practitioners-experience-when-managing-behavioural-and-psychological-symptoms-of-dementia
#17
Aisling A Jennings, Tony Foley, Sheena McHugh, John P Browne, Colin P Bradley
Background: general practitioners (GPs) have identified the management of behavioural and psychological symptoms of dementia (BPSD) as a particularly challenging aspect of dementia care. However, there is a paucity of research on why GPs find BPSD challenging and how this influences the care they offer to their patients with dementia. Objectives: to establish the challenges GPs experience when managing BPSD; to explore how these challenges influence GPs' management decisions; and to identify strategies for overcoming these challenges...
December 6, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29211824/corrigendum-systematic-reviews-guidance-relevant-for-studies-of-older-people
#18
Susan D Shenkin, Jennifer K Harrison, Tim Wilkinson, Richard M Dodds, John P A Ioannidis
No abstract text is available yet for this article.
December 2, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29206906/what-is-comprehensive-geriatric-assessment-cga-an-umbrella-review
#19
S G Parker, P McCue, K Phelps, A McCleod, S Arora, K Nockels, S Kennedy, H Roberts, S Conroy
Background: comprehensive geriatric assessment (CGA) is now the accepted gold standard for caring for frail older people in hospital. However, there is uncertainty about identifying and targeting suitable recipients and which patients benefit the most. Objectives: our objectives were to describe the key elements, principal measures of outcome and the characteristics of the main beneficiaries of inpatient CGA. Methods: we used the Joanna Briggs Institute umbrella review method...
December 1, 2017: Age and Ageing
https://www.readbyqxmd.com/read/29206896/review-of-methodologies-of-cohort-studies-of-older-people
#20
Andrew Kingston, Carol Jagger
This paper describes a cohort study in terms of its design, the research questions answered by cohort studies, common analytic techniques and the strengths and limitations of this type of study. We also describe the main cohort studies of older populations, many of which are available for secondary data analysis.
December 1, 2017: Age and Ageing
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