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https://www.readbyqxmd.com/read/28410002/comparing-behavioral-health-models-for-reducing-risky-drinking-among-older-male-veterans
#1
Nikki R Wooten, Abbas S Tavakoli, Marlene B Al-Barwani, Naomi A Thomas, Hrishikesh Chakraborty, Anna M Scheyett, Kelly M Kaminski, Alyssia C Woods, Sue E Levkoff
BACKGROUND: Screening older veterans in Veterans Affairs Medical Center (VAMC) primary care clinics for risky drinking facilitates early identification and referral to treatment. OBJECTIVE: This study compared two behavioral health models, integrated care (a standardized brief alcohol intervention co-located in primary care clinics) and enhanced referral care (referral to specialty mental health or substance abuse clinics), for reducing risky drinking among older male VAMC primary care patients...
April 14, 2017: American Journal of Drug and Alcohol Abuse
https://www.readbyqxmd.com/read/28407061/lifetime-abuse-and-perceived-social-support-among-the-elderly-a-study-from-seven-european-countries
#2
Bahareh Eslami, Mirko Di Rosa, Henrique Barros, Mindaugas Stankunas, Francisco Torres-Gonzalez, Elisabeth Ioannidi-Kapolou, Jutta Lindert, Maria Gabriella Melchiorre
Being a victim of abuse during one's life course may affect social relations in later life. The aims of this study were to: (i) examine the association between lifetime abuse and perceived social support and (ii) identify correlates of perceived social support among older persons living in seven European countries. A sample of 4467 women and men aged 60-84 years living in Germany, Greece, Italy, Lithuania, Portugal, Spain and Sweden was collected through a cross-sectional population-based study. Abuse (psychological, physical, sexual, financial and injury) was assessed through interviews or interviews/self-response questionnaire based on the Conflict Tactics Scale-2 and the UK study on elder abuse...
April 11, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28399951/research-protocol-for-systematic-review-and-meta-analysis-of-elder-abuse-prevalence-studies
#3
Yongjie Yon, Christopher Mikton, Zachary D Gassoumis, Kathleen H Wilber
Elder abuse is an important public health and human rights issue, yet its true extent is not well understood. To address this, we will conduct a systematic review and meta-analysis of elder abuse prevalence studies from around the world. This protocol describes the methodological approach to be adopted for conducting this systematic review and meta-analysis. In particular, the protocol describes the search strategies and eligibility criteria to be used to identify and select studies and how data from the selected studies will be extracted for analysis...
April 12, 2017: Canadian Journal on Aging, la Revue Canadienne du Vieillissement
https://www.readbyqxmd.com/read/28398137/developing-an-undue-influence-screening-tool-for-adult-protective-services
#4
Mary Joy Quinn, Lisa Nerenberg, Adria E Navarro, Kathleen H Wilber
The study purpose was to develop and pilot an undue influence screening tool for Adult Protective Services (APS) personnel based on the definition of undue influence enacted into California law January 1, 2014. Methods included four focus groups with APS providers (n = 33), piloting the preliminary tool by APS personnel (n = 15), and interviews with four elder abuse experts and two APS administrators. Social service literature-including ex-isting undue influence models-was reviewed, as were existing screening and assessment tools...
April 11, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28385299/kick-the-bucket-one-hospital-system-s-journey-to-reduce-clostridium-difficile
#5
Molly Bridget Delaney
PROBLEM: Albert Einstein defines insanity as doing the same thing over again but expecting different results. Although the United States claims to reduce antibiotic abuse, practice strict isolation, and clean meticulously, the burden of Clostridium difficile outpaces goals. Unless innovative approaches are tried, we risk culling elderly, immunosuppressed, and otherwise debilitated populations. Emergency departments are a primary access point for patients who are unable to wait for primary care...
April 3, 2017: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
https://www.readbyqxmd.com/read/28375780/elder-abuse-decision-support-system-field-test-outcomes-abuse-measure-validation-and-lessons-learned
#6
Kendon J Conrad, Madelyn Iris, Pi-Ju Liu
The Elder Abuse Decision Support System was designed to meet the critical need for improved methods for assessment and substantiation of elder mistreatment, using a web-based system with standardized assessment measures. Six Illinois agencies participated in the field test. One-year pre/post analyses assessed substantiation results, using Illinois' standard investigation procedure as a comparison. Pre/post acceptability was assessed with caseworkers in focus groups with APS staff. Validity of measures was assessed using Cronbach's alpha and receiver operator characteristic curve analyses with final substantiation decision as criterion...
April 4, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28370631/abuse-and-violence-in-families
#7
EDITORIAL
Denise Wilson, Rosa Maria Gonzalez-Guarda, Jacquelyn Campbell
Abuse and violence within families is both a global and gendered health issue (World Health Organization, 2013, 2014). In fact, one in every three women have experienced violence from an intimate partner in their lifetime, presenting equity, social justice and human rights concerns across the globe (García-Moreno, Jansen, Ellsberg, Heise, & Watts, 2005). Abuse and violence in families occurs in varying forms: intimate partner violence or maltreatment of children (often referred to as domestic violence), child to mother violence, or abuse of elder family members...
March 31, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28359430/reciprocal-abuse-elder-neglect-and-abuse-by-primary-caregivers-and-caregiver-burden-and-abuse-in-turkey
#8
Neslihan Keser Özcan, Nur Elçin Boyacıoğlu, Elmas Sertçelik
The aim of the study was to determine the relationship between the neglect and abuse that older people were exposed to by their primary caregivers and the experiences of caregivers' burden and abuse by their charges. This descriptive, cross-sectional and correlational study was conducted with 186 individuals over the age of 65 and 136 caregivers. The data were collected using questionnaires to determine neglect and abuse experienced by both older people and caregivers, and the Zarit Burden Scale. Abuse rate of the older people and their caregivers is both high and similar...
April 2017: Archives of Psychiatric Nursing
https://www.readbyqxmd.com/read/28352631/guidance-on-opioids-prescribing-for-the-management-of-persistent-non-cancer-pain-in-older-adults
#9
REVIEW
Fabio Guerriero
Many older adults suffer from persistent pain but prevalence studies consistently showed high levels of untreated or under-treated pain in old population. Both persistent pain and pain under-treatment adversely affect independence and quality of life in geriatric patients. Pain management is challenging in this age-group because of the declining organ function, the presence of concurrent diseases and polypharmacy. For all the above reasons, persistent pain in the elderly should be considered a geriatric syndrome per se and effective approaches are warranted...
March 16, 2017: World Journal of Clinical Cases
https://www.readbyqxmd.com/read/28339321/a-systematic-review-on-community-based-interventions-for-elder-abuse-and-neglect
#10
Gwendolyn Fearing, Christine L Sheppard, Lynn McDonald, Marie Beaulieu, Sander L Hitzig
Elder abuse and neglect is a societal issue that requires prevention and intervention strategies at the practice and policy level. A systematic review on the efficacy of community-based elder abuse interventions was undertaken to advance the state of knowledge in the field. The peer-reviewed literature between 2009 and December 2015 were searched across four databases. Two raters independently reviewed all articles, assessed their methodological quality and used a modified Sackett Scale to assign levels of evidence...
March 24, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28329861/varying-appraisals-of-elder-mistreatment-among-victims-findings-from-a-population-based-study
#11
David Burnes, Mark S Lachs, Denise Burnette, Karl Pillemer
Objectives: Prior elder mistreatment (EM) research has not examined subjective assessments of problem seriousness from the perspective of victims. This study sought to describe the variation in appraisals of perceived EM seriousness among victims of emotional abuse, physical abuse, and neglect and to examine factors that influence varying appraisals using neutralization theory. Methods: Data came from a subsample of EM victims (n = 191) drawn from a representative, population-based study (n = 4,156) of community-dwelling, cognitively intact older adults in New York State...
March 6, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28329841/using-latent-class-analysis-to-identify-profiles-of-elder-abuse-perpetrators
#12
Marguerite DeLiema, Jeanine Yonashiro-Cho, Zach D Gassoumis, Yongjie Yon, Ken J Conrad
Objectives: Research suggests that abuser risk factors differ across elder mistreatment types, but abuse interventions are not individualized. To move away from assumptions of perpetrator homogeneity and to inform intervention approaches, this study classifies abusers into subtypes according to their behavior profiles. Method: Data are from the Older Adult Mistreatment Assessment administered to victims by Adult Protective Service (APS) in Illinois. Latent class analysis was used to categorize abusers (N = 336) using victim and caseworker reports on abusers' harmful and supportive behaviors and characteristics...
March 8, 2017: Journals of Gerontology. Series B, Psychological Sciences and Social Sciences
https://www.readbyqxmd.com/read/28329818/elder-fraud-and-financial-exploitation-application-of-routine-activity-theory
#13
Marguerite DeLiema
Background and Objectives: Elder financial exploitation, committed by individuals in positions of trust, and elder fraud, committed by predatory strangers, are two forms of financial victimization that target vulnerable older adults. This study analyzes differences between fraud and financial exploitation victims and tests routine activity theory as a contextual model for victimization. Routine activity theory predicts that criminal opportunities arise when a motivated offender and suitable target meet in the absence of capable guardians...
March 10, 2017: Gerontologist
https://www.readbyqxmd.com/read/28328307/a-comment-on-wong-and-waite-elder-mistreatment-predicts-later-physical-and-psychological-health-results-from-a-national-longitudinal-study-jean-issue-29-1-pp-15-42
#14
Ron Acierno
Wong and Waite present a longitudinal study of elder abuse and its effects. However, they contend that their data do not support the protective effects of social support, a finding in contrast with virtually all existing research on the topic. Closer inspection of their variables indicates that they misclassify "elder abuse" insofar as their results are actually in terms of only one type of elder abuse, psychological abuse, ignoring physical and sexual abuse, and they define "elder abuse" using only one question: "Is there anyone who insults you or puts you down?" Finally, they measure social support with the single item "if they generally feel they can open up to, and rely on, these significant others...
March 22, 2017: Journal of Elder Abuse & Neglect
https://www.readbyqxmd.com/read/28294372/alcohol-and-cardiovascular-disease-in-the-geriatric-population
#15
REVIEW
Aditi Kalla, Vincent M Figueredo
There has been little focus on the effects of alcohol on the elderly. Although the cardiovascular benefits of moderate alcohol consumption could be of the greatest benefit in this group, so might be the detrimental effects of abuse. In this article, we review available data on the effects of alcohol consumption on cardiovascular disease, cardiomyopathy, arrhythmias, hypertension, and vascular function in older adults. Alcohol consumption has increased in the US population age 65 years and older in the last decade, as has monthly heavy episodic drinking in older alcohol consumers...
March 10, 2017: Clinical Cardiology
https://www.readbyqxmd.com/read/28265974/elder-abuse-in-europe-s-most-elderly-city-an-assessment-of-the-phenomenon-and-an-analysis-of-the-data-from-the-penal-court-of-genoa-from-2010-to-2015
#16
Andrea Molinelli, Francesco Ventura, Sara Lo Pinto, Martina Drommi, Francesco De Stefano
INTRODUCTION: In Italy, 5% of the elderly are estimated to have suffered abuse. While the Penal Code refers to generic types of abuse, such as physical and psychological maltreatment, abandonment and financial fraud, it does not specifically protect the elderly as a category. AIMS: To assess the frequency and modalities of elder abuse in Genoa and its Province, and to compare these data with those reported in the literature, in order to provide a picture of the current situation that can be used by the authorities to combat this phenomenon...
March 6, 2017: Aging Clinical and Experimental Research
https://www.readbyqxmd.com/read/28265571/validation-of-the-italian-version-of-the-caregiver-abuse-screen-among-family-caregivers-of-older-people-with-alzheimer-s-disease
#17
RANDOMIZED CONTROLLED TRIAL
Maria Gabriella Melchiorre, Mirko Di Rosa, Francesco Barbabella, Norma Barbini, Fabrizia Lattanzio, Carlos Chiatti
Introduction. Elder abuse is often a hidden phenomenon and, in many cases, screening practices are difficult to implement among older people with dementia. The Caregiver Abuse Screen (CASE) is a useful tool which is administered to family caregivers for detecting their potential abusive behavior. Objectives. To validate the Italian version of the CASE tool in the context of family caregiving of older people with Alzheimer's disease (AD) and to identify risk factors for elder abuse in Italy. Methods. The CASE test was administered to 438 caregivers, recruited in the Up-Tech study...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28262178/zolpidem-s-use-for-insomnia
#18
REVIEW
Jaime M Monti, David Warren Spence, Kenneth Buttoo, Seithikurippu R Pandi-Perumal
Zolpidem is a short-acting non-benzodiazepine hypnotic drug that belongs to the imidazopyridine class. In addition to immediate-release (IR) and extended-release (ER) formulations, the new delivery forms including two sublingual tablets [standard dose (SD) and low dose (LD)], and an oral spray form have been recently developed which bypass the gastrointestinal tract. So far, Zolpidem has been studied in several clinical populations: cases poor sleepers, transient insomnia, elderly and non-elderly patients with chronic primary insomnia, and in comorbid insomnia...
February 2017: Asian Journal of Psychiatry
https://www.readbyqxmd.com/read/28224960/-elderly-women-and-alcohol
#19
Alba Moscato
It is important to understand the reasons for alcohol abuse in elderly people and in particular women. Psychological suffering must be envisaged. This behaviour can be considered as a necessary narcissistic retreat when ageing. The mental health of these women should be taken into account when providing them with help when they want it. This involves understanding them and supporting them as they adjust to the passage of time.
January 2017: Soins. Gérontologie
https://www.readbyqxmd.com/read/28224957/-medicines-and-elderly-patients-abuse-dependency-or-attraction
#20
Pascal Menecier, Laure Menecier-Ossia
Psychotropic medicines represent, after alcohol, the second class of substances most susceptible to abuse by elderly people. It can be particularly difficult for caregivers to understand such behaviour as these are prescription-only medicines. This misuse is partly a result of older people tending to trivialise and overrate pharmaceutical drugs, ignoring the potential of non-medicinal methods and psychotherapeutic treatments. The boundaries between prescribed use, overuse, self-medication, excessive use, dependency or addiction to prescription drugs are blurred in older people...
January 2017: Soins. Gérontologie
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