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Nursing home AND mood disorder

Camilla Callegari, M Ielmini, L Bianchi, M Lucano, Lorenza Bertù, Simone Vender
The authors set out to examine qualitatively the use of antiepileptic drugs (AEDs) in a population of older adults in a nursing home setting, evaluating aspects such as specialist prescriptions and changes in dosage. This retrospective prevalence study was carried out in a state-funded nursing home that provides care and rehabilitation for elderly people. The first objective of the study was to determine the prevalence of AED use in this population. The second objective was to monitor AED dosage modifications during the fifteen-month study period, focusing on the safety and the tolerability of AEDs...
April 2016: Functional Neurology
Nathalie Dieudonné, Rita De Micheli, Andreas Hottinger
Patients with glioblastoma have a limited life expectancy and an impaired quality of life and they should be offered palliative care soon after the diagnosis is established. Still, only a quarter of patients aged over 65 return home or medical institution after completing treatments. Home care must be promoted by coordinating assistance and care, combining disciplines such as physiotherapy and ergotherapy, medical and nursing care and psychosocial support. Patients are at risk of mood, personality and behavioural disorders...
April 27, 2016: Revue Médicale Suisse
Farid Chekani, Vishal Bali, Rajender R Aparasu
BACKGROUND: Parkinson's disease (PD) is a debilitating neurological disorder that has a significant impact on activities of daily living (ADL). Limited data exists regarding the functional status of nursing home residents with PD. OBJECTIVE: The study examined the nature, extent, and predictors of limitation of ADL in patients with PD residing in nursing homes. METHODS: This study used cross-sectional design involving data from the National Nursing Home Survey (NNHS)...
June 2, 2016: Journal of Parkinson's Disease
María Dolores Cano Pérez, María Victoria Castell Alcalá, Rocío Queipo Matas, Sagrario Martín Martín, Carmen Mateo Pascual, Ángel Otero Puime
BACKGROUND: Ageing of the Spanish population results in an increase in health services required. Therefore, determine the frequency of the health services utilization in this age group and analyze their determinants has a great interest.The aim was to analyze the utilization of health services among older people living in two urban neighborhoods of northern Madrid. METHODS: A cross-sectional population-based study. It is studied a cohort of 1327 individuals ≥ 65 years, stratified by age and sex...
May 26, 2016: Revista Española de Salud Pública
M F Emons, J P Bae, B J Hoogwerf, S L Kindermann, R J Taylor, B H Nathanson
OBJECTIVE: Hypoglycemia is a serious complication of diabetes treatment. This retrospective observational study characterized hypoglycemia-related hospital emergency room (ER) and inpatient (in-pt) admissions and identified risk factors for 30-day all-cause and hypoglycemia-related readmission. RESEARCH DESIGN AND METHODS: 4476 hypoglycemia-related ER and in-pt encounters with discharge dates from 1/1/2009 to 3/31/2014 were identified in a large, multicenter electronic health record database...
2016: BMJ Open Diabetes Research & Care
Kevin Foley, R Tamara Konetzka, Anthony Bunin, Charles Yonan
OBJECTIVE: Pseudobulbar affect (PBA) is a neurological disorder of emotional expression, characterized by uncontrollable episodes of crying or laughing in patients with certain neurological disorders affecting the brain. The purposes of this study were to estimate the prevalence of PBA in US nursing home residents and examine the relationship between PBA symptoms and other clinical correlates, including the use of psychopharmacological medications. METHODS: A retrospective study was conducted between 2013 and 2014 with a convenience sample of residents from nine Michigan nursing homes...
July 2016: International Journal of Geriatric Psychiatry
Cari R Levy, Farrokh Alemi, Allison E Williams, Arthur R Williams, Janusz Wojtusiak, Bryce Sutton, Phan Giang, Etienne Pracht, Lisa Argyros
PURPOSE OF THE STUDY: This study compares hospitalization rates for common conditions in the Veteran Affairs (VA) Medical Foster Home (MFH) program to VA nursing homes, known as Community Living Centers (CLCs). DESIGN AND METHODS: We used a nested, matched, case control design. We examined 817 MFH residents and matched each to 3 CLC residents selected from a pool of 325,031. CLC and MFH cases were matched on (a) baseline time period, (b) follow-up time period, (c) age, (d) gender, (e) race, (f) risk of mortality calculated from comorbidities, and (g) history of hospitalization for the selected condition during the baseline period...
February 2016: Gerontologist
Kevin M Fain, Paul B Rosenberg, Sandrine Pirard, Olivera Bogunovic, Adam P Spira
INTRODUCTION: Many nursing home residents have cognitive impairment that affects their decision making. In order to identify potential markers of impaired decision making, we investigated the association between a range of nursing home resident characteristics and impaired decision making in a population-based sample. METHODS: Participants were 13,013 residents in the 2004 National Nursing Home Survey. We used logistic regression to determine the association between resident characteristics (ie, gender, age, race, mood, recent pain, falls, fractures, or hospitalizations, length of stay, number of activities of daily living (ADL) requiring help, and diagnoses of dementia, anxiety disorders, and depression) and impaired (vs independent) decision making...
July 1, 2015: Journal of the American Medical Directors Association
Luca Degli Esposti, Diego Sangiorgi, Claudio Mencacci, Edoardo Spina, Carlotta Pasina, Marianna Alacqua, Flore la Tour
BACKGROUND: Schizophrenia and bipolar disorder (BD) are psychiatric diseases that are commonly managed with antipsychotics. Treatment pathways are highly variable and no universal treatment guidelines are available. The primary objective of the Italian Burden of Illness in Schizophrenia and BD (IBIS) study was to describe pharmaco-utilisation of antipsychotic treatments and characteristics of patients affected by schizophrenia or BD. A secondary objective was to describe costs of illness for patients with schizophrenia or BD...
2014: BMC Psychiatry
S Corrao, P Santalucia, C Argano, C D Djade, E Barone, M Tettamanti, L Pasina, C Franchi, T Kamal Eldin, A Marengoni, F Salerno, M Marcucci, P M Mannucci, A Nobili
BACKGROUND AND PURPOSE: Women live longer and outnumber men. On the other hand, older women develop more chronic diseases and conditions such as arthritis, osteoporosis and depression, leading to a greater number of years of living with disabilities. The aim of this study was to describe whether or not there are gender differences in the demographic profile, disease distribution and outcome in a population of hospitalized elderly people. METHODS: Retrospective observational study including all patients recruited for the REPOSI study in the year 2010...
September 2014: European Journal of Internal Medicine
Mariola Bidzan, Leszek Bidzan
INTRODUCTION: AD and VD are preceded by a preclinical stage. Small but tangible cognitive impairments sometimes occur many years before the onset and diagnosis ofdementia. The ongoing degenerative process can be conductive to behavioural and psychological symptoms. AIM: The aim of the study was to investigate the rates of neurobehavioral symptoms in the preclinical stages of AD and VD. METHODS: Two hundred and ninety one residents of nursery homes were included in the study...
March 2014: Psychiatria Polska
B S Husebo, C Ballard, F Fritze, R K Sandvik, D Aarsland
BACKGROUND: Depression is common in nursing home (NH) patients with dementia, and often clustered with anxiety and other mood symptoms. An association between pain and depressive symptoms has been reported, but the impact of pain management on depression and other mood symptoms has not been investigated. OBJECTIVE: Secondary analyses of a cluster randomized clinical trial examine the response of dementia-related mood symptoms to a Stepwise Protocol of Treating Pain...
August 2014: International Journal of Geriatric Psychiatry
Linda Valk-Kleibeuker, Majanka H Heijenbrok-Kal, Gerard M Ribbers
OBJECTIVE: To evaluate the course of mood and identify its determinants up to 3 years after moderate to severe traumatic brain injury (TBI). DESIGN: Prospective cohort study. PATIENTS: Patients hospitalised with moderate to severe TBI, who survived until hospital discharge. METHODS: At 3, 6, 12, 18, 24, and 36 months post-injury, mood was assessed with the Wimbledon Self-Report Scale (WSRS) in the home environment. Motor and cognitive outcome were assessed with the Functional Independence Measure (FIM), and the Functional Assessment Measure (FAM), respectively...
2014: PloS One
Katsuyoshi Mizukami
In Alzheimer's disease (AD) patients, depression is not rare. The prevalence of major depressive episodes has been reported to be within the range of 20-25% in AD patients, despite there being no association between the severity of AD and prevalence of comorbid depressive symptoms or diagnosed depression. Depression in AD patients is associated with greater impairment of the quality of life and an increased caregiver burden. As well as earlier placement in a nursing home, bio-psycho-social factors are also associated with the manifestation of depression in AD patients, and biological factors, such as the brain pathology, may be the main influence...
2013: Seishin Shinkeigaku Zasshi, Psychiatria et Neurologia Japonica
Tetyana P Shippee, Carrie Henning-Smith, Robert L Kane, Teresa Lewis
PURPOSE OF THE STUDY: Although there is substantial research on quality of care in nursing homes (NH), less is known about what contributes to quality of life (QOL) for NH residents. This study assesses multiple domains of QOL and examines facility- and resident-level correlates for different domains. DESIGN AND METHODS: Data come from (a) self-reported resident interviews using a multidimensional measure of QOL; (b) resident clinical data from the Minimum Data Set; and (c) facility-level characteristics from Minnesota Department of Human Services...
August 2015: Gerontologist
Lieve M Roets-Merken, Maud J L Graff, Sytse U Zuidema, Pieter G J M Hermsen, Steven Teerenstra, Gertrudis I J M Kempen, Myrra J F J Vernooij-Dassen
BACKGROUND: Five to 25 percent of residents in aged care settings have a combined hearing and visual sensory impairment. Usual care is generally restricted to single sensory impairment, neglecting the consequences of dual sensory impairment on social participation and autonomy. The aim of this study is to evaluate the effectiveness of a self-management program for seniors who acquired dual sensory impairment at old age. METHODS/DESIGN: In a cluster randomized, single-blind controlled trial, with aged care settings as the unit of randomization, the effectiveness of a self-management program will be compared to usual care...
October 7, 2013: Trials
Federico Baranzini, Alessandro Grecchi, Emanuela Berto, Chiara Costantini, Francesca Ceccon, Sara Cazzamalli, Camilla Callegari
AIM: Aim of the study was to validate the Italian version of the Neuropsychiatric Inventory-Nursing Home (NPI-NH). The evaluation of neuropsychiatric symptoms in elderly patients with cognitive impairment and/or a chronic psychiatric disorder, is an essential need in nursing home. METHODS: The Italian version of the NPI-NH was administered in 53 patients in a nursing home in Northern-Italy. RESULTS: The internal consistency of the NPI-NH reported a value (α=0...
July 2013: Rivista di Psichiatria
Tomislav Majić, Hans Gutzmann, Andreas Heinz, Undine E Lang, Michael A Rapp
OBJECTIVES: To investigate the efficacy of animal-assisted therapy (AAT) on symptoms of agitation/aggression and depression in nursing home residents with dementia in a randomized controlled trial. Previous studies have indicated that AAT has beneficial effects on neuropsychiatric symptoms in various psychiatric disorders but few studies have investigated the efficacy of AAT in patients suffering from dementia. METHODS: Of 65 nursing home residents with dementia (mean [standard deviation] age: 81...
November 2013: American Journal of Geriatric Psychiatry
Lindsay A Gerolimatos, Jeffrey J Gregg, Barry A Edelstein
BACKGROUND: Accurate assessment of anxiety in later life is critical, as anxiety among older adults is associated with social and functional impairment and poorer quality of life. The Geriatric Anxiety Inventory (GAI) and the GAI-Short Form (GAI-SF) were designed to detect anxiety symptoms among community-dwelling older adults, but the usefulness of the GAI and GAI-SF in long-term care is unknown. The present study examined the psychometric properties of the GAI and GAI-SF among residents at a long-term care facility...
September 2013: International Psychogeriatrics
Mary Anne Wylie, Adriana Shnall, Chiadi U Onyike, Edward D Huey
Diagnosis of frontotemporal dementia (FTD) in the mental health setting and issues pertaining to longitudinal care of this population in a specialist clinic are reviewed. FTD is often misdiagnosed as a psychiatric disorder, most commonly as a mood disorder. FTD has features that overlap with those of major depression, mania, obsessive-compulsive disorder and schizophrenia. We describe these features and how to differentiate FTD from these psychiatric disorders. This paper also describes practical issues in the management of FTD, specifically the issues that clinicians, patients and their families face in managing this disease...
April 2013: International Review of Psychiatry
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