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Geriatric mental health

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https://www.readbyqxmd.com/read/28214074/subspecialty-training-and-certification-in-geriatric-psychiatry-a-25-year-overview
#1
Dorthea Juul, Christopher C Colenda, Jeffrey M Lyness, Laura B Dunn, Rita Hargrave, Larry R Faulkner
: The Institute of Medicine estimated that by 2030, from 10.1 to 14.4 million Americans aged 65 years or older will have mental health or substance use disorders. This article reviews the history and current status of training, certification, and practice in geriatric psychiatry against the backdrop of this "silver tsunami." The American Board of Psychiatry and Neurology (ABPN) administered the first subspecialty examination in geriatric psychiatry in 1991, and through 2015 3,329 certificates were awarded...
January 9, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28148514/old-age-psychiatry-and-geriatric-medicine-shared-challenges-shared-solutions
#2
EDITORIAL
James Fisher, Andrew Teodorczuk
The co-occurrence of physical and mental ill health means there is considerable overlap between the patients that geriatric medicine and old age psychiatry serve. In this editorial we detail similarities between the specialisms, highlight the common challenges facing them and argue that closer alignment holds the potential to improve patient care.
February 2017: British Journal of Psychiatry: the Journal of Mental Science
https://www.readbyqxmd.com/read/28143626/cognition-and-adaptive-functioning-in-older-people-attending-drug-and-alcohol-services
#3
L A Monds, N J Ridley, C Rivas, A Withall, B Draper, N Lintzeris
BACKGROUND: Substance use disorders in older adults are expected to increase dramatically in the coming years. Given the increased susceptibility to cognitive deficits in older substance users (defined here as aged 50+ years due to the accelerated health decline observed in this population), it is important to consider the functional correlates of cognitive impairment in these older adults. This study details the cognitive status of older individuals attending outpatient drug and alcohol (D&A) treatment services and seeks to determine of the association of cognitive impairment to self-reported daily functioning...
February 1, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28140479/physical-mental-and-cognitive-disabilities-in-relation-to-utilization-of-dental-care-services-by-nursing-home-residents
#4
Fidaa M Almomani, Wegdan Bani-Issa
OBJECTIVE: The main purpose of this study was to investigate factors affecting dental care utilization among nursing home residents in Jordan. METHODS: A total of 221 subjects with a mean age of 62.4 years (121 males and 100 females) taken from among nursing home residents across Jordan were recruited and composed a convenience sample for this study. The Mini Mental State Examination (MMSE), Geriatric Depression Scale (GDS), Tinetti Assessment Battery for gait and balance (TAB), Disability of Arm, Shoulder, and Hand test (DASH) were administered and oral health status was assessed for all subjects and examined as expected correlates of dental care utilization among nursing home residents...
January 31, 2017: Special Care in Dentistry
https://www.readbyqxmd.com/read/28138874/publication-rates-of-abstracts-presented-at-the-society-of-general-internal-medicine-annual-meeting
#5
Heidi M Egloff, Colin P West, Amy T Wang, Katie M Lowe, Jithinraj Edakkanambeth Varayil, Thomas J Beckman, Adam P Sawatsky
BACKGROUND: Abstracts accepted at scientific meetings are often not subsequently published. Data on publication rates are largely from subspecialty and surgical studies. OBJECTIVE: The aims of this study were to 1) determine publication rates of abstracts presented at a general internal medicine meeting; 2) describe research activity among academic general internists; 3) identify factors associated with publication and with the impact factor of the journal of publication; and 4) evaluate for publication bias...
January 30, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28130822/the-role-of-social-relationships-among-elderly-community-dwelling-and-nursing-home-residents-findings-from-a-quality-of-life-study
#6
Paolo Scocco, Mario Nassuato
AIM: In Western countries, older adults' needs are often managed through institutionalization. Based on the assumption that quality of life, particularly social relationships, may be perceived differently according to residential setting, the aims of this study were to compare World Health Organization Quality of Life brief version (WHOQOL-BREF) scores of elderly community-dwelling residents and nursing home residents. METHODS: A sample of 207 older adults (135 community-dwelling residents, 72 nursing home residents) was evaluated with Mini-Mental State Examination (MMSE), WHOQOL-BREF, and Geriatric Depression Scale (GDS)...
January 28, 2017: Psychogeriatrics: the Official Journal of the Japanese Psychogeriatric Society
https://www.readbyqxmd.com/read/28112980/trajectory-of-disability-and-quality-of-life-in-non-geriatric-and-geriatric-survivors-after-severe-traumatic-brain-injury
#7
Chiara S Haller, Cecile Delhumeau, Michael De Pretto, Rahel Schumacher, Laura Pielmaier, Marie My Lien Rebetez, Guy Haller, Bernhard Walder
OBJECTIVE: The objective was to investigate disability and health-related quality-of-life (HRQoL) 3, 6 and 12 months after traumatic brain injury (TBI) in non-geriatric (≤ 65 years) and geriatric patients (> 65 years). METHODS: Patients ≥ 16 years who sustained a severe TBI (Abbreviated Injury Scale of the head region > 3) were included in this prospective, multi-centre study. Outcome measures were Glasgow Outcome Scale Extended (GOSE; disability), SF-12 (HRQoL)...
January 23, 2017: Brain Injury: [BI]
https://www.readbyqxmd.com/read/28112491/predictors-of-chewing-ability-among-community-residing-older-adults-in-korea
#8
Kyongok Park, Gwi-Ryung Son Hong
AIMS: Decreased chewing ability in older adults can lead to poor nutritional and physical conditions, and eventually death. The present study examined the relationships between chewing ability and related characteristics (e.g. health promotion habits, health status and functional status), and identified predictors of chewing ability in community-residing older adults. METHODS: Among the total of 11 542 participants in the 2011 National Survey on Older Adults in Korea, data from 10 543 participants were used for analysis...
January 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28106511/telementoring-primary-care-clinicians-to-improve-geriatric-mental-health-care
#9
Elisa Fisher, Michael Hasselberg, Yeates Conwell, Linda Weiss, Norma A Padrón, Erin Tiernan, Jurgis Karuza, Jeremy Donath, José A Pagán
Health care delivery and payment systems are moving rapidly toward value-based care. To be successful in this new environment, providers must consistently deliver high-quality, evidence-based, and coordinated care to patients. This study assesses whether Project ECHO(®) (Extension for Community Healthcare Outcomes) GEMH (geriatric mental health)-a remote learning and mentoring program-is an effective strategy to address geriatric mental health challenges in rural and underserved communities. Thirty-three teleECHO clinic sessions connecting a team of specialists to 54 primary care and case management spoke sites (approximately 154 participants) were conducted in 10 New York counties from late 2014 to early 2016...
January 20, 2017: Population Health Management
https://www.readbyqxmd.com/read/28094202/engaging-early-career-geriatric-mental-health-investigators-as-associate-editorial-board-members
#10
EDITORIAL
Adam Simning, Stephen F Smagula
No abstract text is available yet for this article.
December 23, 2016: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28049503/effects-of-a-mutual-recovery-intervention-on-mental-health-in-depressed-elderly-community-dwelling-adults-a-pilot-study
#11
Chao Wang, Yujie Hua, Hua Fu, Longfeng Cheng, Wen Qian, Junyang Liu, Paul Crawford, Junming Dai
BACKGROUND: The prevalence of depression in the elderly is growing worldwide, and the population aging in China makes depression a major health problem for the elderly adults and a tremendous burden to the society. Effective interventions should be determined to provide an approach solving the problem and improving the situation. This study examined the effectiveness of a mutual recovery program intervention on depressive symptom, sleep quality, and well-being in community-dwelling elderly adults with depressive symptom in Shanghai...
January 3, 2017: BMC Public Health
https://www.readbyqxmd.com/read/28049443/performance-of-edmonton-frail-scale-on-frailty-assessment-its-association-with-multi-dimensional-geriatric-conditions-assessed-with-specific-screening-tools
#12
Simone Perna, Matthew D'Arcy Francis, Chiara Bologna, Francesca Moncaglieri, Antonella Riva, Paolo Morazzoni, Pietro Allegrini, Antonio Isu, Beatrice Vigo, Fabio Guerriero, Mariangela Rondanelli
BACKGROUND: The aim of this study was to evaluate the performance of Edmonton Frail Scale (EFS) on frailty assessment in association with multi-dimensional conditions assessed with specific screening tools and to explore the prevalence of frailty by gender. METHODS: We enrolled 366 hospitalised patients (women\men: 251\115), mean age 81.5 years. The EFS was given to the patients to evaluate their frailty. Then we collected data concerning cognitive status through Mini-Mental State Examination (MMSE), health status (evaluated with the number of diseases), functional independence (Barthel Index and Activities Daily Living; BI, ADL, IADL), use of drugs (counting of drugs taken every day), Mini Nutritional Assessment (MNA), Geriatric Depression Scale (GDS), Skeletal Muscle Index of sarcopenia (SMI), osteoporosis and functionality (Handgrip strength)...
January 4, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/27999856/predictors-of-health-related-quality-of-life-decline-after-transcatheter-aortic-valve-replacement-in-older-patients-with-severe-aortic-stenosis
#13
A S Boureau, J N Trochu, A Rouaud, R Hureau, P Jaafar, T Manigold, V Letocart, P Guerin, G Berrut, L de Decker
BACKGROUND: Transcatheter aortic-valve implantation (TAVI) has been shown to improve survival and quality of life in patients with severe aortic stenosis. However, one-third of patients have poor outcome as death, functional decline or quality of life (QoL) decline. The aim of this study was to determine cardiac and geriatric predictors of physical and mental QoL decline 6 months after a TAVI procedure in patients aged 75 and older. METHODS: Between January 2013 and June 2014, we did a prospective and multicenter study including patients ≥ 75 years old referred for TAVI...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/27996219/self-management-and-self-efficacy-in-stroke-survivors-validation-of-the-italian-version-of-the-stroke-self-efficacy-questionnaire
#14
Laura Dallolio, Rossella Messina, Simona Calugi, Stefania Fugazzaro, Roberta Bardelli, Paola Rucci, Maria P Fantini, Enrica Cavalli, Mariangela Taricco
BACKGROUND: Self-efficacy is an important mediator of the adaptation process after stroke. However, few studies have attempted to measure self-efficacy in a stroke population. The most recently developed scale is the Stroke Self-Efficacy Questionnaire that measures self-efficacy ratings in specific domains of functioning relevant for a stroke survivor. AIM: The aim of this study was to validate the Italian version of Stroke Self-efficacy Questionnaire in stroke survivors...
December 19, 2016: European Journal of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/27994004/biological-aging-and-the-future-of-geriatric-psychiatry
#15
REVIEW
Bret R Rutherford, Warren D Taylor, Patrick J Brown, Joel R Sneed, Steven P Roose
Advances in understanding the biological bases of aging have intellectually revitalized the field of geriatric psychiatry and broadened its scope to include promoting successful aging and studying resilience factors in older adults. To describe the process by which this paradigm shift has occurred and illustrate its implications for treatment and research of late-life brain disorders, late-life depression is discussed as a prototype case. Prior phases of geriatric psychiatry research were focused on achieving depressive symptom relief, outlining pharmacokinetic and pharmacodynamic differences between older and younger adults, and identifying moderators of treatment response...
December 18, 2016: Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
https://www.readbyqxmd.com/read/27960533/a-cross-validation-delphi-method-approach-to-the-diagnosis-and-treatment-of-personality-disorders-in-older-adults
#16
Erlene Rosowsky, Alexander S Young, Mary C Malloy, S P J van Alphen, James M Ellison
INTRODUCTION: The Delphi method is a consensus-building technique using expert opinion to formulate a shared framework for understanding a topic with limited empirical support. This cross-validation study replicates one completed in the Netherlands and Belgium, and explores US experts' views on the diagnosis and treatment of older adults with personality disorders (PD). METHODS: Twenty-one geriatric PD experts participated in a Delphi survey addressing diagnosis and treatment of older adults with PD...
December 14, 2016: Aging & Mental Health
https://www.readbyqxmd.com/read/27886078/effects-of-two-year-vitamin-b12-and-folic-acid-supplementation-on-depressive-symptoms-and-quality-of-life-in-older-adults-with-elevated-homocysteine-concentrations-additional-results-from-the-b-proof-study-an-rct
#17
Elisa J de Koning, Nikita L van der Zwaluw, Janneke P van Wijngaarden, Evelien Sohl, Elske M Brouwer-Brolsma, Harm W J van Marwijk, Anke W Enneman, Karin M A Swart, Suzanne C van Dijk, Annelies C Ham, Nathalie van der Velde, André G Uitterlinden, Brenda W J H Penninx, Petra J M Elders, Paul Lips, Rosalie A M Dhonukshe-Rutten, Natasja M van Schoor, Lisette C P G M de Groot
Lowering elevated plasma homocysteine (Hcy) concentrations by supplementing vitamin B12 and folic acid may reduce depressive symptoms and improve health-related quality of life (HR-QoL) in older adults. This study aimed to test this hypothesis in a randomized controlled trial. Participants (N = 2919, ≥65 years, Hcy concentrations ≥12 µmol/L) received either 500 µg vitamin B12 and 400 µg folic acid daily or placebo for two years. Both tablets contained 15 µg vitamin D₃. Depressive symptoms were measured with the Geriatric Depression Scale-15 (GDS-15)...
November 23, 2016: Nutrients
https://www.readbyqxmd.com/read/27869346/association-between-dialysis-treatment-and-cognitive-decline-a-study-from-the-project-in-sado-for-total-health-prost-japan
#18
Yumi Watanabe, Kaori Kitamura, Kazutoshi Nakamura, Kazuhiro Sanpei, Minako Wakasugi, Akio Yokoseki, Keiko Kabasawa, Osamu Onodera, Takeshi Ikeuchi, Ryozo Kuwano, Takeshi Momotsu, Ichiei Narita, Naoto Endo
AIM: Evidence for the association between dialysis treatment and cognitive decline is limited. The present study aimed to determine whether dialysis treatment is associated with cognitive decline in adult outpatients of a general hospital in Japan. METHODS: This was a cross-sectional substudy of the Project in Sado for Total Health (PROST). Total Health PROST targeted adult outpatients of a general hospital in Sado City, Niigata, Japan. Among 753 patients (mean age 68...
November 21, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27863317/evaluating-promis-%C3%A2-applied-cognition-items-in-a-sample-of-older-adults-at-risk-for-cognitive-decline
#19
Molly Howland, Curtis Tatsuoka, Kathleen A Smyth, Martha Sajatovic
PROMIS(®) Applied Cognition is a short self-assessment of cognitive abilities and concerns that eliminates the need for a trained rater and provides online question banks that can be uniformly used across health care providers. This 12-month prospective study of 281 elderly individuals evaluates self-perceptions of cognitive functioning in relation to objective cognition, or assessment by an external rater, and compares PROMIS® Applied Cognition Abilities and Concerns subsets with commonly used "legacy" instruments...
January 2017: Psychiatry Research
https://www.readbyqxmd.com/read/27831598/prison-nursing-and-its-training
#20
M Sánchez-Roig, A Coll-Cámara
The main task of nurses is to take care of sick and healthy people and evaluate changes in their health conditions. The goal is to take the appropriate measures to help their recovery or guarantee a dignified death, and if possible, help them regain autonomy and independence. Nursing is present in different areas: primary health, mental health, accident and emergencies, intensive and coronary care, surgical care, paediatrics, geriatrics, public health, occupational health, teaching, etc. In our case, prison nursing, one of the least known branches of the profession, we wanted to investigate more deeply the work of nurses in prisons, which aspect of health care they are responsible for and to what type of population they are geared towards, as well as the necessary training to be able to work in such a particular environment...
December 2016: Revista Española de Sanidad Penitenciaria
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