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https://www.readbyqxmd.com/read/27920283/what-can-we-do-for-people-with-drug-resistant-epilepsy-the-2016-wartenberg-lecture
#1
Jerome Engel
Treatment goals for epilepsy are no seizures, no side effects, as soon as possible, but these goals are too often unmet. Approximately 1 million people in the United States continue to have seizures despite adequate treatment with antiseizure drugs, representing 40% of those with epilepsy, and 80% of the cost of epilepsy. Drug-resistant epilepsy (DRE) can be associated with developmental delay in infants and young children, and severe disability and morbidity in older children and adults, as well as a mortality rate 5-10 times that of the general population...
December 6, 2016: Neurology
https://www.readbyqxmd.com/read/27876403/characterizing-the-high-risk-homebound-patients-in-need-of-nurse-practitioner-co-management
#2
Masha G Jones, Katherine A Ornstein, David M Skovran, Theresa A Soriano, Linda V DeCherrie
By providing more frequent provider visits, prompt responses to acute issues, and care coordination, nurse practitioner (NP) co-management has been beneficial for the care of chronically ill older adults. This paper describes the homebound patients with high symptom burden and healthcare utilization who were referred to an NP co-management intervention and outlines key features of the intervention. We compared demographic, clinical, and healthcare utilization data of patients referred for NP co-management within a large home-based primary care (HBPC) program (n = 87) to patients in the HBPC program not referred for co-management (n = 1027)...
November 19, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27869351/social-participation-willingness-and-quality-of-life-a-population-based-study-among-older-adults-in-rural-areas-of-china
#3
Qian He, Yanjie Cui, Ling Liang, Qi Zhong, Jie Li, Yuancheng Li, Xiaofeng Lv, Fen Huang
AIM: The present study aimed to reflect the current situation of social participation in rural areas of China, willingness to participate in social activities, association between health-related quality of life and social participation, and factors related to social participation. METHODS: A total of 2644 rural adults aged 60 years and older were randomly selected and surveyed with a self-rating questionnaire. We used the unified definition of social participation in our study...
November 21, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27855641/development-and-validation-of-the-fragire-tool-for-assessment-an-older-person-s-risk-for-frailty
#4
Dewi Vernerey, Amelie Anota, Pierre Vandel, Sophie Paget-Bailly, Michele Dion, Vanessa Bailly, Marie Bonin, Astrid Pozet, Audrey Foubert, Magdalena Benetkiewicz, Patrick Mankoundia, Franck Bonnetain
BACKGROUND: Frailty is highly prevalent in elderly people. While significant progress has been made to understand its pathogenesis process, few validated questionnaire exist to assess the multidimensional concept of frailty and to detect people frail or at risk to become frail. The objectives of this study were to construct and validate a new frailty-screening instrument named Frailty Groupe Iso-Ressource Evaluation (FRAGIRE) that accurately predicts the risk for frailty in older adults...
November 17, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27824306/quality-of-life-for-diverse-older-adults-in-assisted-living-the-centrality-of-control
#5
Sharon D Koehn, Atiya N Mahmood, Sarah Stott-Eveneshen
This pilot project asked, how do ethnically diverse older adult residents of Assisted Living (AL) facilities in British Columbia (BC) experience quality of life? And, what role, if any, do organizational and physical environmental features play in influencing how quality of life is experienced? The study was conducted at three AL sites in BC: two ethnoculturally-targeted and one non-targeted. Environmental audits at each site captured descriptive data on policies, fees, rules, staffing, meals, and activities, and the built environment of the AL building and neighbourhood...
November 8, 2016: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/27781492/presenting-concerns-of-emerging-adults-seeking-treatment-at-an-early-intervention-outpatient-mood-and-anxiety-program
#6
Justin Arcaro, Carolyn Summerhurst, Evelyn Vingilis, Michael Wammes, Elizabeth Osuch
This study examined presenting concerns and characteristics of emerging adults (EAs) seeking treatment at an early intervention program for mood and anxiety disorders to better understand presenting concerns when treatment is needed. During an intake assessment conducted by a social worker or clinical psychologist, participants (N = 548; 62% female, 38% male) reported their top three current life concerns, which were analyzed qualitatively using thematic analysis. Participants completed a battery of questionnaires assessing demographic information, symptomatology, and daily functioning...
October 26, 2016: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/27753805/ssa-02-4-disparities-in-hypertension-management-of-ckd-in-south-asia
#7
Tazeen Jafar
Chronic kidney disease (CKD) defined as reduced estimated glomerular filtration rate (eGFR) or presence of albuminuria, progresses to end stage renal disease (ESRD), needing dialysis or kidney transplant to sustain life, and is associated with increased risks of premature cardiovascular disease (CVD) and mortality. CKD ranked 18 leading (and most rapidly rising cause of mortality by the Global Burden of Disease Study 2010. The social and economic consequences of CKD are far worse in low and middle income countries (LMICs) including India, Pakistan, Bangladesh, and Sri Lanka...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27749212/resident-managed-elder-intentional-neighborhoods-do-they-promote-social-resources-for-older-adults
#8
Anne P Glass
Social isolation has serious negative public health impacts for older adults. Survey data were collected at three resident-managed elder intentional neighborhoods in the U.S. (n = 59), to determine if these neighborhoods, each based on the cohousing model, promote development of social resources for their residents. Social resources were measured on three dimensions: social networks, neighborly support, and satisfaction with the neighborhood community. Respondents were white, mean age of 73.3 (range = 63-91), primarily female (76...
October 17, 2016: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/27642932/ssa-02-4-disparities-in-hypertension-management-of-ckd-in-south-asia
#9
Tazeen Jafar
Chronic kidney disease (CKD) defined as reduced estimated glomerular filtration rate (eGFR) or presence of albuminuria, progresses to end stage renal disease (ESRD), needing dialysis or kidney transplant to sustain life, and is associated with increased risks of premature cardiovascular disease (CVD) and mortality. CKD ranked 18 leading (and most rapidly rising cause of mortality by the Global Burden of Disease Study 2010. The social and economic consequences of CKD are far worse in low and middle income countries (LMICs) including India, Pakistan, Bangladesh, and Sri Lanka...
September 2016: Journal of Hypertension
https://www.readbyqxmd.com/read/27635753/effectiveness-of-culturally-focused-interventions-in-increasing-the-satisfaction-of-hospitalized-asian-patients-a-systematic-review
#10
Millicent Alfred, Karolina Ubogaya, Xing Chen, Diana Wint, Priscilla Sandford Worral
BACKGROUND: Patient satisfaction is a driving force for healthcare organizations to enhance patient services. As the Asian population in the United States is increasing at a significant rate, it is important to understand the needs of this population to implement culturally focused services that will lead to increased Asian in-patient satisfaction. OBJECTIVE: The objective of the systematic review was to identify the best available evidence on the effectiveness of culturally focused interventions in increasing satisfaction of hospitalized adult Asian patients...
August 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27635462/cross-cultural-comparison-of-long-term-care-in-the-united-states-and-finland-research-done-through-a-short-term-study-abroad-experience
#11
Tina M Kruger, Sarah Gilland, Jacquelyn B Frank, Bridget C Murphy, Courtney English, Jana Meade, Kaylee Morrow, Evan Rush
In May 2014, a short-term study-abroad experience was conducted in Finland through a course offered at Indiana State University (ISU). Students and faculty from ISU and Eastern Illinois University participated in the experience, which was created to facilitate a cross-cultural comparison of long-term-care settings in the United States and Finland. With its outstanding system of caring for the health and social needs of its aging populace, Finland is a logical model to examine when considering ways to improve the quality of life for older adults who require care in the United States ...
September 16, 2016: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/27574602/addressing-hearing-health-care-disparities-among-older-adults-in-a-us-mexico-border-community
#12
Maia Ingram, Nicole Marrone, Daisey Thalia Sanchez, Alicia Sander, Cecilia Navarro, Jill Guernsey de Zapien, Sonia Colina, Frances Harris
UNLABELLED: Hearing loss is associated with cognitive decline and impairment in daily living activities. Access to hearing health care has broad implications for healthy aging of the U.S. POPULATION: This qualitative study investigated factors related to the socio-ecological domains of hearing health in a U.S.-Mexico border community experiencing disparities in access to care. A multidisciplinary research team partnered with community health workers (CHWs) from a Federally Qualified Health Center (FQHC) in designing the study...
2016: Frontiers in Public Health
https://www.readbyqxmd.com/read/27552244/domestic-helpers-as-frontline-workers-in-china-s-home-based-elder-care-a-systematic-review
#13
Jing Wang, Bei Wu
We conducted a systematic review of the existing empirical studies focusing on Chinese domestic helpers in mainland China and foreign domestic helpers in Hong Kong who provide care for community-dwelling older adults. There are very limited studies specifically focusing on this population. The findings synthesized domestic helpers' characteristics, acknowledged their contributions to elder care in China, and showed multiple challenges facing them, such as issues related to their physical health and emotional well-being, lack of legal rights protection, difficulties of adapting life in the host city, lack of training, and risk of abuse and sexual harassment...
August 23, 2016: Journal of Women & Aging
https://www.readbyqxmd.com/read/27541961/personality-and-psychological-distress-among-older-adult-long-term-cancer-survivors
#14
Gary T Deimling, Casey Albitz, Kara Monnin, Holly T Renzhofer Pappada, Elizabeth Nalepa, Melinda Laroco Boehm, Claire Mitchell
This research examines a model of how personality (Five-Factor Model) is related to adjustment to cancer in later life in terms of the presence of continuing cancer-related worry and depression among older adult, long-term cancer survivors. Data from an NCI-funded study with 275 older adult (age 60+), long-term (5+ years) survivors of breast, prostate, and colorectal cancer were examined. Regression analyses identified neuroticism as the strongest predictor of cancer-related worry along with continuing cancer-related symptoms...
August 19, 2016: Journal of Psychosocial Oncology
https://www.readbyqxmd.com/read/27506230/implementing-a-systematic-screening-procedure-for-older-adult-mistreatment-within-individual-clinical-supervision-is-it-feasible
#15
Mélanie Couture, Sarita Israël, Maryse Soulières, Martin Sasseville
Home care professionals are well positioned to witness or prevent older adult mistreatment in the community. Screening efforts are important because most victims will not easily come forth. Two Canadian local community service centers implemented a systematic screening procedure within preexisting individual clinical supervision sessions to support social workers and improve detection of mistreatment. The aim of this pilot project was to assess fidelity, acceptability, and feasibility of the new procedure. Qualitative data was collected using individual interviews with two clinical supervisors, one focus group with eight social workers and content transcribed from 15 supervision sessions...
August 9, 2016: Journal of Interpersonal Violence
https://www.readbyqxmd.com/read/27477084/feasibility-of-nurses-measuring-gait-speed-in-older-community-dwelling-emergency-department-patients
#16
Paula W Tucker, Dian Dowling Evans, Carolyn K Clevenger, Michelle Ardisson, Ula Hwang
Gait speed assessment is a rapid, simple and objective measure for predicting risk of unfavorable outcomes which may provide better prognostic and reliable information than existing geriatric ED (Emergency Department) screening tools. This descriptive pilot project was designed to determine feasibility of implementing gait speed screening into routine nursing practice by objectively identifying patients with sub-optimal gait speeds. Participants included community-dwelling adults 65 years and older with plans for discharge following ED treatment...
July 28, 2016: Geriatric Nursing
https://www.readbyqxmd.com/read/27416861/psychometric-properties-of-the-dutch-whoqol-old
#17
Robbert J J Gobbens, Marcel A L M van Assen
BACKGROUND: To assess the internal consistency reliability and construct validity of the Dutch version of the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD). METHODS: The psychometric properties of the Dutch WHOQOL-OLD were examined in a cross-sectional study using a sample of 1,340 people aged 60 years or older. Participants completed a Web-based questionnaire, the 'Senioren Barometer'. Reliability was evaluated using Cronbach's alpha and corrected item-total correlations...
2016: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/27331650/use-of-the-home-safety-self-assessment-tool-hssat-within-community-health-education-to-improve-home-safety
#18
Beverly P Horowitz, Tiffany Almonte, Andrea Vasil
This exploratory research examined the benefits of a health education program utilizing the Home Safety Self-Assessment Tool (HSSAT) to increase perceived knowledge of home safety, recognition of unsafe activities, ability to safely perform activities, and develop home safety plans of 47 older adults. Focus groups in two senior centers explored social workers' perspectives on use of the HSSAT in community practice. Results for the health education program found significant differences between reported knowledge of home safety (p = ...
October 2016: Occupational Therapy in Health Care
https://www.readbyqxmd.com/read/27265147/the-gender-dimensions-of-social-networks-and-help-seeking-behaviors-of-young-adults-in-soweto-south-africa
#19
Kathryn Meagley, Brittany Schriver, Rebecca S Geary, Rebecca Fielding-Miller, Aryeh D Stein, Kristin L Dunkle, Shane A Norris
BACKGROUND: Young people constitute a major proportion of the general population and are influenced by a variety of factors, especially in regards to seeking help. An understanding of help-seeking behaviors among young people is important for designing and implementing effective targeted health services. METHODS: We conducted in-depth interviews with 23 young adults aged 21-22 years in Soweto, South Africa, to explore the gender dimensions of social networks and help-seeking behaviors...
2016: Global Health Action
https://www.readbyqxmd.com/read/27147679/the-influences-of-employment-status-and-daily-stressors-on-physiological-functioning-in-a-sample-of-midlife-and-older-adults
#20
Jen D Wong, Yetunde Shobo
This study examines the influences of employment status and the moderating role of daily stressors on cortisol levels and responsivity in 182 workers and 253 retirees between 55 and 75 years old from the National Survey of Midlife Development in the United States (MIDUS-II). As a part of the Daily Diary Study, participants completed telephone interviews about their daily experiences across eight evenings and provided saliva samples across 4 days. Multilevel models showed that workers who experienced greater number of non-work related daily stressors significantly exhibited higher cortisol level at 30 min post awakening (b = 0...
June 2016: International Journal of Aging & Human Development
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