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elderly at home for age

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https://www.readbyqxmd.com/read/28294513/difference-in-evening-home-blood-pressure-between-before-dinner-and-at-bedtime-in-japanese-elderly-hypertensive-patients
#1
Takeshi Fujiwara, Satoshi Hoshide, Masafumi Nishizawa, Takefumi Matsuo, Kazuomi Kario
The authors evaluated the differences between evening home blood pressure (HBP) readings taken before dinner and those taken at bedtime, which were documented in a European and a Japanese guideline, respectively. Forty-eight patients (mean age, 76.4 years) measured their evening HBP twice each day (two measurements both before dinner and at bedtime) for 14 days. The authors defined the at-bedtime (B) minus the before-dinner (D) systolic HBP as the B-D difference. The mean B-D difference was -8.7 mm Hg (P<...
March 14, 2017: Journal of Clinical Hypertension
https://www.readbyqxmd.com/read/28292633/the-outcomes-of-the-pancreaticoduodenectomy-in-patients-aged-80-or-older-a-systematic-review-and-meta-analysis
#2
REVIEW
Sandy Y Kim, Laurence Weinberg, Christopher Christophi, Mehrdad Nikfarjam
BACKGROUND: There is an increasing needed to consider pancreaticoduodenectomy (PD) for the treatment of pancreatic and periampullary malignancy in patients aged 80 and over, given the increasing aging population. METHODS: A systematic literature search was undertaken to identify selected studies that compared the outcomes of patients aged 80 years or over to those younger undergoing PD. RESULTS: In total 18 studies were included for evaluation...
March 11, 2017: HPB: the Official Journal of the International Hepato Pancreato Biliary Association
https://www.readbyqxmd.com/read/28288956/home-based-intervention-program-to-reduce-food-insecurity-in-elderly-populations-using-a-tv-app-study-protocol-of-the-randomized-controlled-trial-sa%C3%A3%C2%BAde-come-senior
#3
Ana Maria Rodrigues, Maria João Gregório, Pierre Gein, Mónica Eusébio, Maria José Santos, Rute Dinis de Sousa, Pedro S Coelho, Jorge M Mendes, Pedro Graça, Pedro Oliveira, Jaime C Branco, Helena Canhão
BACKGROUND: The limited or uncertain access to adequate food in elderly people includes not only economic restrictions but also inability of food utilization due to functional or cognitive impairment, health problems, and illiteracy. OBJECTIVE: The aim of this work is to present the protocol of the randomized controlled trial Saúde.Come Senior, an educational and motivational television (TV)-based intervention to promote healthy lifestyles and decrease food insecurity in elderly people...
March 13, 2017: JMIR Research Protocols
https://www.readbyqxmd.com/read/28285311/postural-transitions-during-activities-of-daily-living-could-identify-frailty-status-application-of-wearable-technology-to-identify-frailty-during-unsupervised-condition
#4
Saman Parvaneh, Jane Mohler, Nima Toosizadeh, Gurtej Singh Grewal, Bijan Najafi
BACKGROUND: Impairment of physical function is a major indicator of frailty. Functional performance tests have been shown to be useful for identification of frailty in older adults. However, these tests are often not translatable into unsupervised and remote monitoring of frailty status at home and/or community settings. OBJECTIVE: In this study, we explored daily postural transition quantified using a chest-worn wearable technology to identify frailty in community-dwelling older adults...
March 11, 2017: Gerontology
https://www.readbyqxmd.com/read/28277593/pain-management-with-adductor-canal-blockade-or-multimodal-periarticular-analgesia-in-elderly-total-knee-arthroplasty-patients
#5
Chukwuweike U Gwam, Nequesha Mohamed, Jaydev B Mistry, Melbin Thomas, Morad Chughtai, Sabahat Khan, Anton Khlopas, Michael A Mont, Ronald E Delanois
INTRODUCTION: Post-operative pain management in elderly total knee arthroplasty (TKA) patients has traditionally included opioids, epidurals, and femoral nerve blocks. Although these modalities are effective, they are often associated with adverse side effects, which may have a greater impact on this population. Alternative modalities, such as adductor canal blocks (ACB) and multimodal periarticular analgesia (MPA) have demonstrated great efficacy with a low side effect profile. However, it is unknown if one modality is advantageous over the other in the elderly...
March 9, 2017: Surgical Technology International
https://www.readbyqxmd.com/read/28276169/intergenerational-transfers-and-informal-care-for-disabled-elderly-persons-in-china-evidence-from-charls
#6
Xiaoting Liu, Bei Lu, Zhixin Feng
Aiming at 'ageing healthier and ageing better', a certain amount of high-quality informal care should be available for elderly persons with physical disability as formal care is barely accessible in China. The demographic transition and family structural changes have dramatically weakened traditional norms of filial piety and the structure of intergenerational transfers. This article employed nationwide representative data from the first wave (2011) of Chinese Health and Retirement Longitudinal Study (CHARLS) in order to identify the duration of informal care provision at home for frail elders (1122 in rural areas and 577 in urban areas, total 1699), measured in monthly hours, before estimating the associations between intergenerational transfers and the received time of informal care with Tobit Model analysis...
March 9, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/28276089/life-space-mobility-and-cognitive-decline-among-mexican-americans-aged-75-years-and-older
#7
Seraina Silberschmidt, Amit Kumar, Mukaila M Raji, Kyriakos Markides, Kenneth J Ottenbacher, Soham Al Snih
OBJECTIVES: To examine the association between life-space mobility and cognitive decline over a five-year period among older Mexican Americans. DESIGN: Longitudinal study. SETTING: Hispanic Established Population for the Epidemiologic Study of the Elderly survey conducted in the southwestern of United States (Texas, Colorado, Arizona, New Mexico, and California). PARTICIPANTS: Four hundred thirty-two Mexican Americans aged 75 and older with normal or high cognitive function at baseline...
March 9, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28273591/the-efficacy-of-a-nutrition-education-intervention-to-prevent-risk-of-malnutrition-for-dependent-elderly-patients-receiving-home-care-a-randomized-controlled-trial
#8
Sílvia Fernández-Barrés, Montse García-Barco, Josep Basora, Teresa Martínez, Roser Pedret, Victoria Arija
OBJECTIVE: To assess the effect of a nutrition education intervention included in the Home Care Program for caregivers to prevent the increasing risk of malnutrition of dependent patients at risk of malnutrition. DESIGN: Randomized controlled multicenter trial of 6 months of duration and 12 months follow-up. SETTINGS: 10 Primary Care Centers, Spain. PARTICIPANTS: Patients enrolled in the Home Care Program between January 2010 and March 2012, who were dependent and at risk of malnutrition, older than 65, and had caregivers (n=190)...
February 23, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28272705/the-most-common-factors-hindering-the-independent-functioning-of-the-elderly-at-home-by-age-and-sex
#9
D Talarska, S Kropińska, M Strugała, M Szewczyczak, S Tobis, K Wieczorowska-Tobis
OBJECTIVE: Changes occurring with increased age as well progressive illnesses can negatively affect the independent functioning of older people. The goal of this study was to identify the most common problems that make independent life at home more difficult for the elderly and to try and present their relation with age and gender. PATIENTS AND METHODS: A total of 506 persons over 60 years of age took part in the study. They were residents of Poznań, Poland and surrounding areas...
February 2017: European Review for Medical and Pharmacological Sciences
https://www.readbyqxmd.com/read/28271911/physical-function-of-elderly-patients-with-multimorbidity-upon-acute-hospital-admission-versus-3%C3%A2-weeks-post-discharge
#10
Kjersti Moen, Heidi Ormstad, Marte Sofie Wang-Hansen, Therese Brovold
PURPOSE: To evaluate the change in activities of daily living, grip strength and functional mobility in very old patients >75 years old with multimorbidity upon admission to hospital versus 3 weeks after discharge. A second aim was to explore which baseline variables could predict personal activities of daily living 3 weeks after discharge. METHODS: This prospective cohort study included 115 home-dwelling older adults (mean 86 years, standard deviation 5...
March 8, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/28263369/hospital-variation-in-rates-of-new-institutionalizations-within-6-months-of-discharge
#11
Addie Middleton, Jie Zhou, Kenneth J Ottenbacher, James S Goodwin
OBJECTIVES: Hospitalization in community-dwelling elderly is often accompanied by functional loss, increasing the risk for continued functional decline and future institutionalization. The primary objective of our study was to examine the hospital-level variation in rates of new institutionalizations among Medicare beneficiaries. DESIGN: Retrospective cohort study. SETTING: Hospitals and nursing homes. PARTICIPANTS: Medicare fee-for-service beneficiaries discharged from 4,469 hospitals in 2013 (N = 4,824,040)...
March 6, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28261422/a-comprehensive-analysis-of-the-causes-and-predictors-of-30-day-mortality-following-hip-fracture-surgery
#12
Hassaan Qaiser Sheikh, Fahad Siddique Hossain, Adeel Aqil, Babawande Akinbamijo, Vhaid Mushtaq, Harish Kapoor
BACKGROUND: A fracture neck of femur is the leading cause of injury-related mortality in the elderly population. The 30-day mortality figure is a well utilised marker of clinical outcome following a fracture neck of femur. Current studies fail to analyse all patient demographic, biochemical and comorbid parameters associated with increased 30-day mortality. We aimed to assess medical risk factors for mortality, which are easily identifiable on admission for patients presenting with a fractured neck of femur...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28260726/cooperation-between-single-handed-and-group-practices-ensures-the-replacement-of-gastrostomy-tubes-and-tracheal-cannulas-in-home-medical-care-settings
#13
Takuma Kimura, Satoru Yoshie, Rumiko Tsuchiya, Shohei Kawagoe, Satoshi Hirahara, Katsuya Iijima, Toru Akahoshi, Tetsuo Tsuji
In Japan, patients who require home medical care are increasing especially in the elderly. In home medical care settings, devices such as gastrostomy tubes, tracheal cannulas, and urethral catheters are usually replaced by visiting physicians or nurses. However, device replacement services are not always available in Japan. Unless device replacement services are sufficiently provided to patients at home, patients have to suffer various disadvantages, including a forced visit to a hospital for device replacement despite inability to walk...
2017: Tohoku Journal of Experimental Medicine
https://www.readbyqxmd.com/read/28251319/short-term-effectiveness-of-vestibular-rehabilitation-in-elderly-patients-with-postural-instability-a-randomized-clinical-trial
#14
Marcos Rossi-Izquierdo, Pilar Gayoso-Diz, Sofía Santos-Pérez, María Del-Río-Valeiras, Ana Faraldo-García, Isabel Vaamonde-Sánchez-Andrade, Antonio Lirola-Delgado, Andrés Soto-Varela
Balance becomes more precarious with age, and even without pathological disorders, the physiological decline in balance that occurs with age is a factor that also favors falls. So the aim of the present study is to assess the short-term effectiveness of three different methods of vestibular rehabilitation, compared to a control group, in improving balance in elderly patients with postural instability. 139 elderly patients with high risk of falls were included and randomized to one of the following study arms: computer dynamic posturography (CDP) training, optokinetic stimulus, exercises at home, or control group...
March 1, 2017: European Archives of Oto-rhino-laryngology
https://www.readbyqxmd.com/read/28243007/analysis-of-patients-%C3%A2-65-with-predominant-cervical-spine-fractures-issues-of-disposition-and-dysphagia
#15
Lisa M Poole, Phong Le, Rachel M Drake, Stephen D Helmer, James M Haan
BACKGROUND: Cervical spine fractures occur in 2.6% to 4.7% of trauma patients aged 65 years or older. Mortality rates in this population ranges from 19% to 24%. A few studies have specifically looked at dysphagia in elderly patients with cervical spine injury. AIMS: The aim of this study is to evaluate dysphagia, disposition, and mortality in elderly patients with cervical spine injury. SETTINGS AND DESIGN: Retrospective review at an the American College of Surgeons-verified level 1 trauma center...
January 2017: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/28242474/antiseizure-antidepressant-and-antipsychotic-medication-prescribing-in-elderly-nursing-home-residents
#16
Sai Praneeth R Bathena, Ilo E Leppik, Andres M Kanner, Angela K Birnbaum
OBJECTIVE: The incidence of epilepsy is highest in the elderly and the prevalence of epilepsy is higher in nursing home residents than in other cohorts. Co-medications that act in the central nervous system (CNS) are frequently prescribed in this population. The objective was to identify the most commonly prescribed antiseizure drugs (ASDs) and determine the frequency of use of antipsychotic and antidepressant medications in elderly nursing home residents receiving ASDs. METHODS: Data were obtained from a pharmacy database serving 18,752 patients in Minnesota and Wisconsin nursing homes...
February 24, 2017: Epilepsy & Behavior: E&B
https://www.readbyqxmd.com/read/28238102/prevalence-of-drug-interactions-in-elderly-patients-with-multimorbidity-in-primary-care
#17
Susana Sánchez-Fidalgo, Maria Isabel Guzmán-Ramos, Mercedes Galván-Banqueri, Máximo Bernabeu-Wittel, Bernardo Santos-Ramos
Background Drug interactions (DIs) are a significant cause of medication-related problems. The aging population, high chronic diseases prevalence and polypharmacy are closely associated factors. Aim of the review To study the prevalence, types and associated factors of DIs in multimorbidity patients of over 65 years of age in primary care. Methods Relevant studies on DI prevalence in this population were reviewed in PubMed, Cochrane Library and EMBASE (January 2000-December 2015). Independent variables (duration, target population, age, sex, mean of drugs and diseases, geographical localization, DI databases used and study designs) and dependent variables (prevalence, number of DIs per 100 patients and per patient, number of clinically-relevant DIs per 100 patients, most common DI and associated factors) were classified for each article...
February 25, 2017: International Journal of Clinical Pharmacy
https://www.readbyqxmd.com/read/28236910/hypertension-and-its-treatment-at-age-90%C3%A2-years-is-there-an-association-with-5-year-mortality
#18
Jochanan Stessman, Michael Bursztyn, Yoni Gershinsky, Aliza Hammerman-Rozenberg, Jeremy M Jacobs
OBJECTIVE: To determine the association between hypertension at age 90 years, treatment, and 5-year mortality. DESIGN: A prospective observational study of a representative community-dwelling birth cohort (born 1920-1921) by the Jerusalem Longitudinal Study (1990-2015). SETTING: Home-assessment. PARTICIPANTS: 480 subjects aged 90, examined 2010-2011. Measurements and Main Outcome: Hypertension was defined as treatment with antihypertensive medication, and/or sitting blood pressure (BP) > 140 mmHg systolic or >90 mmHg diastolic...
March 1, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28228653/drug-prescription-appropriateness-in-the-elderly-an-italian-study
#19
Nicola Allegri, Federica Rossi, Federica Del Signore, Paolo Bertazzoni, Roberto Bellazzi, Giorgio Sandrini, Tomaso Vecchi, Davide Liccione, Alessia Pascale, Stefano Govoni
PURPOSE: Correct drug prescription in the elderly is a difficult task that requires careful survey of the current pharmacological therapies. In this article, we reviewed the drug prescriptions provided to 860 persons aged 65 years or over, residing in a small city of Lombardy, Italy. METHODS: Subjects were recruited from a local nursing home, the Pavia and Vigevano Neuropsychological Center for Alzheimer's Disease, general practitioners' offices, and the local University of the Third Age...
2017: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/28223788/the-level-of-emotion-control-anxiety-and-self-efficacy-in-the-elderly-in-bialystok-poland
#20
Mateusz Cybulski, Lukasz Cybulski, Elzbieta Krajewska-Kulak, Urszula Cwalina
PURPOSE: The aim of the study was to assess the level of emotion control, anxiety, and self-efficacy in the inhabitants of Bialystok (Poland) aged above 60. PATIENTS AND METHODS: The study included 300 people above the age of 60, inhabitants of Bialystok and its neighborhoods: 100 residents of public nursing home, 100 participants of the University of the Third Age in Bialystok, and 100 students of the University of Healthy Senior. The three standardized psychometric scales were used in the study: Courtauld Emotional Control Scale (CECS), State-Trait Anxiety Inventory (STAI), and General Self-Efficacy Scale (GSES)...
2017: Clinical Interventions in Aging
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