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https://www.readbyqxmd.com/read/28330379/patient-self-defined-goals
#1
Sandra Ellen Schellinger, Eric Worden Anderson, Monica Schmitz Frazer, Cindy Lynn Cain
This research, a descriptive qualitative analysis of self-defined serious illness goals, expands the knowledge of what goals are important beyond the physical-making existing disease-specific guidelines more holistic. Integration of goals of care discussions and documentation is standard for quality palliative care but not consistently executed into general and specialty practice. Over 14 months, lay health-care workers (care guides) provided monthly supportive visits for 160 patients with advanced heart failure, cancer, and dementia expected to die in 2 to 3 years...
January 1, 2017: American Journal of Hospice & Palliative Care
https://www.readbyqxmd.com/read/28325164/development-of-a-decision-making-tool-for-reporting-drivers-with-mild-dementia-and-mild-cognitive-impairment-to-transportation-administrators
#2
Duncan H Cameron, Carla Zucchero Sarracini, Linda Rozmovits, Gary Naglie, Nathan Herrmann, Frank Molnar, John Jordan, Anna Byszewski, David Tang-Wai, Jamie Dow, Christopher Frank, Blair Henry, Nicholas Pimlott, Dallas Seitz, Brenda Vrkljan, Rebecca Taylor, Mario Masellis, Mark J Rapoport
BACKGROUND: Driving in persons with dementia poses risks that must be counterbalanced with the importance of the care for autonomy and mobility. Physicians often find substantial challenges in the assessment and reporting of driving safety for persons with dementia. This paper describes a driving in dementia decision tool (DD-DT) developed to aid physicians in deciding when to report older drivers with either mild dementia or mild cognitive impairment to local transportation administrators...
March 22, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28322203/associations-between-%C3%AE-amyloid-and-white-matter-hyperintensities-a-systematic-review
#3
REVIEW
Austyn Roseborough, Joel Ramirez, Sandra E Black, Jodi D Edwards
INTRODUCTION: This systematic review synthesizes current evidence for associations between cortical β-amyloid, visualized on amyloid positron emission tomography imaging, and white matter hyperintensity (WMH) burden on magnetic resonance imaging in healthy elderly adults and individuals with cognitive impairment and dementia. METHODS: Following PRISMA systematic review guidelines, we systematically searched MEDLINE, Embase, Cochrane, and PsycINFO databases from January 2000 to September 2015...
March 16, 2017: Alzheimer's & Dementia: the Journal of the Alzheimer's Association
https://www.readbyqxmd.com/read/28304293/coordinate-based-meta-analysis-of-the-default-mode-and-salience-network-for-target-identification-in-non-invasive-brain-stimulation-of-alzheimer-s-disease-and-behavior-variant-frontotemporal-dementia-networks
#4
Michela Pievani, Lorenzo Pini, Clarissa Ferrari, Francesca B Pizzini, Ilaria Boscolo Galazzo, Chiara Cobelli, Maria Cotelli, Rosa Manenti, Giovanni B Frisoni
BACKGROUND: The accurate choice of the site of non-invasive brain stimulation (NIBS) is an important factor in trial design. OBJECTIVE: Based on the observation that Alzheimer's disease (AD) and behavioral frontotemporal dementia (bvFTD) affect specific large-scale networks, i.e., the default mode network (DMN) and the salience network (SN), respectively, we aimed to identify population-average coordinates of these networks that could be used as potential targets in NIBS trials aiming to modulate these circuits...
March 13, 2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28303369/clinical-aspects-of-changes-in-water-and-sodium-homeostasis-in-the-elderly
#5
REVIEW
Christian A Koch, Tibor Fulop
The population of elderly individuals is increasing worldwide. With aging, various hormonal and kidney changes occur, both affecting water homeostasis. Aging is a risk factor for chronic kidney disease (CKD) and many features of CKD are reproduced in the aging kidney. Dehydration and hyperosmolarity can be triggered by diminished thirst perception in this population. Elderly with dementia are especially susceptible to abnormalities of their electrolyte and body water homeostasis and should be (re-)assessed for polypharmacy...
March 16, 2017: Reviews in Endocrine & Metabolic Disorders
https://www.readbyqxmd.com/read/28298241/five-shared-decision-making-tools-in-5%C3%A2-months-use-of-rapid-reviews-to-develop-decision-boxes-for-seniors-living-with-dementia-and-their-caregivers
#6
Moulikatou Adouni Lawani, Béatriz Valéra, Émilie Fortier-Brochu, France Légaré, Pierre-Hugues Carmichael, Luc Côté, Philippe Voyer, Edeltraut Kröger, Holly Witteman, Charo Rodriguez, Anik M C Giguere
BACKGROUND: Decision support tools build upon comprehensive and timely syntheses of literature. Rapid reviews may allow supporting their development by omitting certain components of traditional systematic reviews. We thus aimed to describe a rapid review approach underlying the development of decision support tools, i.e., five decision boxes (DB) for shared decision-making between seniors living with dementia, their caregivers, and healthcare providers. METHOD: We included studies based on PICO questions (Participant, Intervention, Comparison, Outcome) describing each of the five specific decision...
March 15, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28292203/simple-screening-for-neurocognitive-impairment-in-routine-hiv-outpatient-care-is-it-deliverable
#7
Sarah Parry, Sarah Zetler, Anna Kentridge, Jenny Petrak, Tristan Barber
Routine screening for psychological and cognitive difficulties is recommended in BHIVA guidelines but screening questions are not specified and studies give varied recommendations. Our aim was to see if simple screening in the routine clinic could help better direct our referrals to psychology and highlight those patients requiring, and likely to benefit from, further assessment. We introduced brief questions to assess neurocognitive impairment (NCI) and mood into routine HIV visits, with an onward referral pathway for further investigation for those screening positive...
March 14, 2017: AIDS Care
https://www.readbyqxmd.com/read/28289829/subjective-memory-impairment-in-general-practice-short-overview-and-design-of-a%C3%A2-mixed-methods-study
#8
Michael Pentzek, Verena Leve, Verena Leucht
BACKGROUND: Public awareness for dementia is rising and patients with concerns about forgetfulness are not uncommon in general practice. For the general practitioner (GP) subjectively perceived memory impairment (SMI) also offers a chance to broach the issue of cognitive function with the patient. This may support GPs' patient-centered care in terms of a broader frailty concept. OBJECTIVE: What is SMI (definition, operationalization, prevalence and burden)? Which conceptions and approaches do GPs have regarding SMI? METHODS: Narrative overview of recent SMI criteria and results, selective utilization of results from a systematic literature search on GP dementia care, non-systematic search regarding SMI in general practice, deduction of a study design from the overview and development according to international standards...
March 13, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28287054/effects-and-feasibility-of-an-exercise-intervention-for-individuals-living-with-dementia-in-nursing-homes-study-protocol
#9
Lindsey Brett, Victoria Traynor, Paul Stapley, Shahla Meedya
BACKGROUND: Worldwide, there are an estimated 35.6 million individuals living with dementia. It is important that non-pharmacological therapies are utilized to help manage the symptoms of dementia, such as agitation, as they are the recommended first approach in best practice guidelines. METHODS: This protocol outlines a randomized controlled trial with a qualitative component which evaluated the effects and feasibility of a physical therapist-led physical exercise intervention on agitation of individuals living with dementia in nursing homes...
March 13, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28278359/qualitative-evaluation-of-a-delirium-prevention-and-management-programme
#10
Yun Kang, Wendy Moyle, Marie Cooke, Siobhan O'Dwyer
AIMS AND OBJECTIVES: To evaluate the effect of an educational programme on registered nurses' knowledge and attitude in delirium care for hospitalised older adults with and without dementia, and to examine the strengths and weaknesses of the programme from the participants' perspectives. BACKGROUND: Providing care for patients with delirium or delirium superimposed on dementia often poses particular challenges such as distinguishing between delirium and dementia for nurses...
March 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28274299/cognitive-screening-tools-for-identification-of-dementia-in-illiterate-and-low-educated-older-adults-a-systematic-review-and-meta-analysis
#11
Stella-Maria Paddick, William K Gray, Jackie McGuire, Jenny Richardson, Catherine Dotchin, Richard W Walker
BACKGROUND: The majority of older adults with dementia live in low- and middle-income countries (LMICs). Illiteracy and low educational background are common in older LMIC populations, particularly in rural areas, and cognitive screening tools developed for this setting must reflect this. This study aimed to review published validation studies of cognitive screening tools for dementia in low-literacy settings in order to determine the most appropriate tools for use. METHOD: A systematic search of major databases was conducted according to PRISMA guidelines...
March 9, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28271346/non-pharmacologic-interventions-for-older-adults-with-subjective-cognitive-decline-systematic-review-meta-analysis-and-preliminary-recommendations
#12
REVIEW
Colette M Smart, Justin E Karr, Corson N Areshenkoff, Laura A Rabin, Carol Hudon, Nicola Gates, Jordan I Ali, Eider M Arenaza-Urquijo, Rachel F Buckley, Gael Chetelat, Harald Hampel, Frank Jessen, Natalie L Marchant, Sietske A M Sikkes, Andrea Tales, Wiesje M van der Flier, Linda Wesselman
In subjective cognitive decline (SCD), older adults present with concerns about self-perceived cognitive decline but are found to have clinically normal function. However, a significant proportion of those adults are subsequently found to develop mild cognitive impairment, Alzheimer's dementia or other neurocognitive disorder. In other cases, SCD may be associated with mood, personality, and physical health concerns. Regardless of etiology, adults with SCD may benefit from interventions that could enhance current function or slow incipient cognitive decline...
March 7, 2017: Neuropsychology Review
https://www.readbyqxmd.com/read/28266338/vocally-disruptive-behaviors-management-in-older-people-with-dementia
#13
Caroline Berastegui, Emmanuel Monfort, Bertrand Boudin
Although shouting is a common psycho-behavioral symptom in geriatric institutions, the question of its assessment and treatment remains seldom studied and has rarely been the subject of specific recommendations. The combination of the focus group method and brainstorming has emerged as a methodology both relevant and feasible in geriatric facility to identify the coping strategies used by professionals and generalize guidelines for clinical observation and vocally disruptive behaviors management (shouting)...
March 1, 2017: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/28266282/halting-antipsychotic-use-in-long-term-care-halt-a-single-arm-longitudinal-study-aiming-to-reduce-inappropriate-antipsychotic-use-in-long-term-care-residents-with-behavioral-and-psychological-symptoms-of-dementia
#14
Tiffany Jessop, Fleur Harrison, Monica Cations, Brian Draper, Lynn Chenoweth, Sarah Hilmer, Juanita Westbury, Lee-Fay Low, Megan Heffernan, Perminder Sachdev, Jacqueline Close, Jenny Blennerhassett, Millicent Marinkovich, Allan Shell, Henry Brodaty
BACKGROUND: Inappropriate use of antipsychotic medications to manage Behavioral and Psychological Symptoms of Dementia (BPSD) continues despite revised guidelines and evidence for the associated risks and side effects. The aim of the Halting Antipsychotic Use in Long-Term care (HALT) project is to identify residents of long-term care (LTC) facilities on antipsychotic medications, and undertake an intervention to deprescribe (or cease) these medicines and improve non-pharmacological behavior management...
March 7, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28260613/sexual-harassment-in-care-work-dilemmas-and-consequences-a-qualitative-investigation
#15
Maj Britt D Nielsen, Susie Kjær, Per T Aldrich, Ida E H Madsen, Maria K Friborg, Reiner Rugulies, Anna P Folker
BACKGROUND: Care workers are often exposed to sexual harassment from patients. Research shows that such exposure may have detrimental effects on mental health of the care workers. Inappropriate sexual behaviour from patients is a particular challenge for formal and informal care workers alike. There is a scarceness of studies investigating the experience and the handling of sexual harassment from patients. OBJECTIVES: To investigate the experience and handling of sexual harassment from patients in care work...
February 24, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28258589/effect-of-dementia-on-receipt-of-influenza-vaccine-a-cohort-study-in-french-older-adults-using-administrative-data-2007-2012
#16
Adeline Gallini, Nicola Coley, Sandrine Andrieu, Maryse Lapeyre-Mestre, Virginie Gardette
Despite guidelines stating the vaccine benefit in this population, older adults with dementia may be less likely to receive influenza vaccine than cognitively intact older adults. But no study has yet reported on vaccine uptake in patients newly diagnosed with dementia or whether years since dementia diagnosis influence vaccine uptake. We conducted a cohort study in the French Health Insurance database (EGB) which contains hospital data and claims for a 1/97(th) random sample of the French population. Diseased subjects were ≥65 years and had a new record of dementia diagnosis between September 1 2007 and August 31 2008...
March 4, 2017: Fundamental & Clinical Pharmacology
https://www.readbyqxmd.com/read/28258538/trends-in-the-prescription-and-long-term-utilization-of-antidementia-drugs-among-patients-with-alzheimer-s-disease-in-spain-a-cohort-study-using-the-registry-of-dementias-of-girona
#17
Laia Calvó-Perxas, Oriol Turró-Garriga, Joan Vilalta-Franch, Manuela Lozano-Gallego, Rosa de Eugenio, Fabián Márquez, Olga Carmona, Jordi Gich, Anna Manzano, Marta Viñas, Anna Mª Roig, Josep Garre-Olmo
BACKGROUND: Acetylcholinesterase inhibitors (AChEIs) and the N-methyl D-aspartate-antagonist memantine are indicated for the symptomatic treatment of Alzheimer's disease (AD). OBJECTIVES: Our aims were to describe the baseline characteristics of patients with AD according to prescription of these treatments after the diagnostic work-up to describe long-term trends in the use of these medications and to identify baseline characteristics associated with the frequency of use of each treatment...
April 2017: Drugs & Aging
https://www.readbyqxmd.com/read/28258521/the-modelled-impact-of-increases-in-physical-activity-the-effect-of%C3%A2-both-increased-survival-and-reduced-incidence-of-disease
#18
Oliver T Mytton, Marko Tainio, David Ogilvie, Jenna Panter, Linda Cobiac, James Woodcock
Physical activity can affect 'need' for healthcare both by reducing the incidence rate of some diseases and by increasing longevity (increasing the time lived at older ages when disease incidence is higher). However, it is common to consider only the first effect, which may overestimate any reduction in need for healthcare. We developed a hybrid micro-simulation lifetable model, which made allowance for both changes in longevity and risk of disease incidence, to estimate the effects of increases in physical activity (all adults meeting guidelines) on measures of healthcare need for diseases for which physical activity is protective...
March 3, 2017: European Journal of Epidemiology
https://www.readbyqxmd.com/read/28255504/usefulness-of-urinoculture-to-patients-with-dementia-and-femoral-neck-fracture-at-admission-to-hospital-preliminary-results
#19
Laura Garcia-Nuño, Carlos Villamil, Araceli González-Cuevas, David Martí, Silvia Capilla, Maria José Vives, Xavier Oncins, Pere Torner, Juan Castellanos, Lluís Font-Vizcarra
INTRODUCTION: While preoperative urinary tract infection (UTI) has the potential to cause bacteremia and postsurgical acute prosthetic joint infections (APJIs), the influence of asymptomatic bacteriuria (AB) in these infections remains unclear. So the majority of guidelines not recommend the treatment of AB prior to the surgery. However, as patients with dementia usually cannot explain the symptoms of dysuria, the differential diagnosis between AB and UTI may be very difficult in this group of patients...
March 2017: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/28251468/low-prevalence-of-osteoporosis-treatment-in-patients-with-recurrent-major-osteoporotic-fracture
#20
J Flais, G Coiffier, J Le Noach, J D Albert, M Faccin, A Perdriger, H Thomazeau, P Guggenbuhl
The majority of patients do not receive anti-osteoporotic treatment following a major osteoporotic fracture, despite the guidelines and the availability of effective anti-osteoporotic treatments. The fight against factors limiting the diagnosis and treatment of osteoporosis should become a priority to improve secondary prevention after an initial osteoporotic fracture. PURPOSE: Despite the availability of effective anti-osteoporotic treatments, osteoporosis management is currently insufficient...
December 2017: Archives of Osteoporosis
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