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https://www.readbyqxmd.com/read/27916540/correlates-of-caregivers-involvement-in-the-management-of-older-adults-medications
#1
Marwa Noureldin, Kimberly S Plake
BACKGROUND: Family caregivers are actively involved in medication management, yet little is known about factors associated with caregivers' involvement in this role and how that information can be utilized to engage caregivers in the healthcare system. OBJECTIVES: To explore factors associated with caregiver involvement in various aspects of older adults' medication management (i.e., ordering, keeping track or ensuring the correct medication is taken at the correct time, and injecting medications)...
November 11, 2016: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/27911296/screening-for-mild-cognitive-impairment-and-dementia-with-automated-anonymous-online-and-telephone-cognitive-self-tests
#2
Lisa D Van Mierlo, Hans Wouters, Sietske A M Sikkes, Wiesje M Van der Flier, Niels D Prins, Jonne A E Bremer, Teddy Koene, Hein P J Van Hout
BACKGROUND: Many older people worry about cognitive decline. Early cognitive screening in an anonymous and easily accessible manner may reassure older people who are unnecessarily worried about normal cognitive aging while it may also expedite help seeking in case of suspicious cognitive decline. OBJECTIVE: To develop and validate online and telephone-based automated self-tests of cognitive function. METHODS: We examined the feasibility and validity of the self-tests in a prospective study of 117 participants of whom 34 had subjective cognitive decline (SCD), 30 had mild cognitive impairment (MCI), and 53 had dementia...
November 29, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27911292/physical-exercise-moderates-the%C3%A2-relationship-of-apolipoprotein-e-apoe-%C3%A2-genotype-and-dementia-risk-a%C3%A2-population-based-study
#3
Barbara Fenesi, Hanna Fang, Ana Kovacevic, Mark Oremus, Parminder Raina, Jennifer J Heisz
Genetics and lifestyle independently determine dementia risk, but the interaction is unclear. We assessed the interactive relationship of apolipoprotein E (APOE) genotype and physical exercise on dementia risk over a 5-year period in 1,646 older adults from the Canadian Study of Health and Aging who were dementia-free at baseline. Physical exercise moderated the relationship between genotype and dementia (p < 0.01). Specifically, for APOE ɛ4 non-carriers, the odds of developing dementia were higher in non-exercisers than exercisers (OR = 1...
November 29, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27886011/odor-identification-screening-improves-diagnostic-classification-in-incipient-alzheimer-s-disease
#4
Megan Quarmley, Paul J Moberg, Dawn Mechanic-Hamilton, Sushila Kabadi, Steven E Arnold, David A Wolk, David R Roalf
BACKGROUND: Measurements of olfaction may serve as useful biomarkers of incipient dementia. Here we examine the improvement in diagnostic accuracy of Alzheimer's disease (AD) and mild cognitive impairment (MCI) when assessing both cognitive functioning and odor identification. OBJECTIVE: To determine the utility of odor identification as a supplementary screening test in incipient AD. METHODS: Sniffin' Sticks Odor Identification Test (SS-OIT) and the Montreal Cognitive Assessment (MoCA) were administered in 262 AD, 174 MCI [150 amnestic (aMCI), and 24 non-amnestic (naMCI)], and 292 healthy older adults (HOA)...
November 18, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27881073/bilingualism-in-older-mexican-american-immigrants-is-associated-with-higher-scores-on-cognitive-screening
#5
Claudia Padilla, Mario F Mendez, Elvira E Jimenez, Edmond Teng
BACKGROUND: Bilingualism may protect against cognitive aging and delay the onset of dementia. However, studies comparing monolinguals and bilinguals on such metrics have produced inconsistent results complicated by confounding variables and methodological concerns. METHODS: We addressed this issue by comparing cognitive performance in a more culturally homogeneous cohort of older Spanish-speaking monolingual (n = 289) and Spanish-English bilingual (n = 339) Mexican-American immigrants from the Sacramento Longitudinal Study on Aging...
November 24, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27861340/prognostic-factors-associated-with-mortality-and-major-in-hospital-complications-in-patients-with-bacteremic-pneumococcal-pneumonia-population-based-study
#6
Jessica A Beatty, Sumit R Majumdar, Gregory J Tyrrell, Thomas J Marrie, Dean T Eurich
Bacteremic pneumococcal pneumonia (BPP) causes considerable mortality and morbidity. We aimed to identify prognostic factors associated with mortality and major in-hospital complications in BPP.A prospective, population-based clinical registry of 1636 hospitalized adult patients (≥18 years) with BPP was established between 2000 and 2010 in Northern Alberta, Canada. Prognostic factors for mortality and major in-hospital complications (e.g., cardiac events, mechanical ventilation, aspiration) were evaluated using multivariable logistic regression...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27852196/appropriate-care-for-older-people-with-cognitive-impairment-in-hospital
#7
Gideon A Caplan, Susan E Kurrle, Anne Cumming
More than half of the patients in adult hospitals are over 65 years of age. Although not a normal part of ageing, many older people will present to hospital with cognitive impairment (dementia or delirium) along with other complex comorbidities. Older people, and particularly those with dementia, are also at increased risk of developing delirium during their hospital stay. Delirium has serious short and long term consequences, such as increased mortality, falls, accelerated functional and cognitive decline, and earlier entry to residential care...
November 21, 2016: Medical Journal of Australia
https://www.readbyqxmd.com/read/27837033/pain-in-dementia-use-of-observational-pain-assessment-tools-by-people-who-are-not-health-professionals
#8
Delaine A Ammaturo, Thomas Hadjistavropoulos, Jaime Williams
OBJECTIVE: Pain is prevalent among older adults but is often underestimated and undertreated, especially in people with severe dementia who have limited ability to self-report pain. Pain in patients with moderate to severe dementia can be assessed using observational tools. Informal caregivers (relatives of seniors with dementia) are an untapped assessor group who often bear the responsibility of care for their loved ones. Our objective was to evaluate the ability of laypeople to assess pain using observational measures originally developed for use by health care professionals...
November 10, 2016: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/27836926/new-horizons-the-management-of-hypertension-in-people-with-dementia
#9
REVIEW
Jennifer Kirsty Harrison, Veronika Van Der Wardt, Simon Paul Conroy, David J Stott, Tom Dening, Adam Lee Gordon, Pip Logan, Tomas James Welsh, Jaspal Taggar, Rowan Harwood, John R F Gladman
The optimal management of hypertension in people with dementia is uncertain. This review explores if people with dementia experience greater adverse effects from antihypertensive medications, if cognitive function is protected or worsened by controlling blood pressure (BP) and if there are subgroups of people with dementia for whom antihypertensive therapy is more likely to be harmful. Robust evidence is scant, trials of antihypertensive medications have generally excluded those with dementia. Observational data show changes in risk association over the life course, with high BP being a risk factor for cognitive decline in mid-life, while low BP is predictive in later life...
November 2016: Age and Ageing
https://www.readbyqxmd.com/read/27831477/living-alone-with-cognitive-impairment-findings-from-the-national-health-and-aging-trends-study
#10
Allison K Gibson, Virginia E Richardson
Although most individuals experiencing cognitive impairment (CI) reside with a caregiver, an estimated 800,000 live alone. Such individuals may have an increased risk for injury to self or others through self-neglect as a result of the CI symptoms. While persons living alone with CI have been identified as an important area for needed research, few studies have been able to examine this population due to the challenges of identifying and recruiting study participants. By using the National Health & Aging Trends Study data set, the researchers explored the characteristics to describe this population...
November 9, 2016: American Journal of Alzheimer's Disease and Other Dementias
https://www.readbyqxmd.com/read/27830567/prevalence%C3%A2-of-and-resident-and-facility-characteristics-associated-with-antipsychotic-use-in-assisted-living-vs-long-term-care-facilities-a-cross-sectional-analysis-from-alberta-canada
#11
Kathryn J Stock, Joseph E Amuah, Kate L Lapane, David B Hogan, Colleen J Maxwell
BACKGROUND: Potentially inappropriate antipsychotic use in long-term care (LTC) facilities has been the focus of significant policy and clinical attention over the past 20 years. However, most initiatives aimed at reducing the use of these medications have overlooked assisted living (AL) settings. OBJECTIVE: We sought to compare the prevalence of antipsychotic use (including potentially inappropriate use) among older AL and LTC residents and to explore the resident and facility-level factors associated with use in these two populations...
November 9, 2016: Drugs & Aging
https://www.readbyqxmd.com/read/27823753/alzheimer-s-disease-apolipoprotein-e-and-hormone-replacement-therapy
#12
REVIEW
H Depypere, A Vierin, S Weyers, A Sieben
Alzheimer's disease is the most frequent cause of dementia in older patients. The prevalence is higher in women than in men. This may be the result of both the higher life expectancy of women and the loss of neuroprotective estrogen after menopause. Earlier age at menopause (spontaneous or surgical) is associated with an enhanced risk of developing Alzheimer's disease. Therefore, it is postulated that estrogen could be protective against it. If so, increasing exposure to estrogen through the use of postmenopausal hormone replacement could also be protective against Alzheimer's disease...
December 2016: Maturitas
https://www.readbyqxmd.com/read/27811017/know-me-a-new-person-centered-approach-for-dementia-friendly-emergency-department-care
#13
Belinda Parke, Kathleen F Hunter, Mary E Schulz, Lillia Jouanne
A visit to an emergency department can be a disorientating experience for someone with dementia. Empowered caregivers can mitigate harm stemming from communication issues to support a successful emergency department visit. A qualitative study determined the feasibility of the structure, format, and content of eight hospital-readiness communication tools. Data collection involved English and French-language caregiver focus groups in two Canadian provinces. Study findings have the potential to (a) improve safety in emergency care to older people with dementia and their caregivers, and (b) offer cost-effective communication tools for web-based knowledge translation activity in acute care...
November 3, 2016: Dementia
https://www.readbyqxmd.com/read/27806159/association-of-higher-cortical-amyloid-burden-with-loneliness-in-cognitively-normal-older-adults
#14
Nancy J Donovan, Olivia I Okereke, Patrizia Vannini, Rebecca E Amariglio, Dorene M Rentz, Gad A Marshall, Keith A Johnson, Reisa A Sperling
Importance: Emotional and behavioral symptoms in cognitively normal older people may be direct manifestations of Alzheimer disease (AD) pathophysiology at the preclinical stage, prior to the onset of mild cognitive impairment. Loneliness is a perceived state of social and emotional isolation that has been associated with cognitive and functional decline and an increased risk of incident AD dementia. We hypothesized that loneliness might occur in association with elevated cortical amyloid burden, an in vivo research biomarker of AD...
November 2, 2016: JAMA Psychiatry
https://www.readbyqxmd.com/read/27801937/self-reported-sleep-apnea-and-dementia-risk-findings-from-the-prevention-of-alzheimer-s-disease-with-vitamin-e-and-selenium-trial
#15
Xiuhua Ding, Richard J Kryscio, Joshua Turner, Gregory A Jicha, Gregory Cooper, Allison Caban-Holt, Frederick A Schmitt, Erin L Abner
OBJECTIVES: To investigate the association between baseline sleep apnea and risk of incident dementia in the Prevention of Alzheimer's Disease with Vitamin E and Selenium (PREADViSE) study and to explore whether the association depends on apolipoprotein E (APOE) ɛ4 allele status. DESIGN: Secondary analysis based on data collected during PREADViSE. SETTING: Participants were assessed at 128 local clinical study sites during the clinical trial phase and later were followed by telephone from a centralized location...
November 1, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27801932/antidepressant-exposure-and-risk-of-dementia-in-older-adults-with-major-depressive-disorder
#16
Joy E Brodrick, Monica L Mathys
OBJECTIVES: To identify whether duration of antidepressant use in depressed elderly veterans differed between those who later developed dementia and those who did not. DESIGN: Single-center, retrospective, observational, electronic chart review. SETTING: Medical charts from a Veterans Affairs Mental Health Clinic. PARTICIPANTS: Veterans aged 65 and older with history of depression. MEASUREMENTS: Information on sociodemographic characteristics; duration of antidepressant, antipsychotic, and benzodiazepine therapy; diagnosis of dementia; and comorbid disease states was collected...
November 1, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27791226/predictors-of-frailty-in-old-age-results-of-a-longitudinal-study
#17
A Hajek, C Brettschneider, T Posselt, C Lange, S Mamone, B Wiese, S Weyerer, J Werle, A Fuchs, M Pentzek, J Stein, T Luck, H Bickel, E Mösch, K Heser, F Jessen, W Maier, M Scherer, S G Riedel-Heller, H-H König
OBJECTIVES: To investigate time-dependent predictors of frailty in old age longitudinally. DESIGN: Population-based prospective cohort study. SETTING: Elderly individuals were recruited via GP offices at six study centers in Germany. The course of frailty was observed over 1.5 years (follow up wave 4 and follow up wave 5). PARTICIPANTS: 1,602 individuals aged 80 years and older (mean age 85.4 years SD 3.2, with mean CSHA CFS 3...
2016: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27790700/cognitive-deterioration-in-adult-epilepsy-clinical-characteristics-of-accelerated-cognitive-ageing
#18
L E M Breuer, E Grevers, P Boon, A Bernas, J W M Bergmans, R M H Besseling, D C W Klooster, A de Louw, R M C Mestrom, K Vonck, S Zinger, A P Aldenkamp
OBJECTIVES: "Epileptic dementia" is reported in adults with childhood-onset refractory epilepsy. Cognitive deterioration can also occur in a "second-hit model". MATERIALS AND METHODS: We studied the clinical and neuropsychological characteristics of patients with cognitive deterioration (≥1 SD discrepancy between current IQ and premorbid IQ). Memory function, reaction time and processing speed were also evaluated. Analyses were performed to investigate which clinical characteristics correlated with cognitive deterioration...
October 28, 2016: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/27784289/patterns-of-health-service-use-in-community-living-older-adults-with-dementia-and-comorbid-conditions-a-population-based-retrospective-cohort-study-in-ontario-canada
#19
Lauren E Griffith, Andrea Gruneir, Kathryn Fisher, Dilzayn Panjwani, Sima Gandhi, Li Sheng, Amiram Gafni, Christopher Patterson, Maureen Markle-Reid, Jenny Ploeg
BACKGROUND: Patients with dementia have increased healthcare utilization and often have comorbid chronic conditions. It is not clear if the increase in utilization is driven by dementia, the comorbidities or both. The objective of this study was to describe the number and types of comorbid conditions in a population-based cohort of older adults with dementia and how the level of comorbidity impacts dementia-related and non-dementia-related health service utilization. METHODS: This study is a retrospective cohort study using multiple linked administrative databases to examine health service utilization and costs of 100,630 community-living older adults living with pre-existing dementia in Ontario, Canada...
October 26, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27783396/frailty-levels-in-residential-aged-care-facilities-measured-using-the-frailty-index-and-frail-nh-scale
#20
Olga Theou, Edwin C K Tan, J Simon Bell, Tina Emery, Leonie Robson, John E Morley, Kenneth Rockwood, Renuka Visvanathan
OBJECTIVES: To compare the FRAIL-NH scale with the Frailty Index in assessing frailty in residential aged care facilities. DESIGN: Cross-sectional. SETTING: Six Australian residential aged care facilities. PARTICIPANTS: Individuals aged 65 and older (N = 383, mean aged 87.5 ± 6.2, 77.5% female). MEASUREMENTS: Frailty was assessed using the 66-item Frailty Index and the FRAIL-NH scale. Other measures examined were dementia diagnosis, level of care, resident satisfaction with care, nurse-reported resident quality of life, neuropsychiatric symptoms, and professional caregiver burden...
November 2016: Journal of the American Geriatrics Society
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