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https://www.readbyqxmd.com/read/29040887/physical-status-and-frailty-index-in-nursing-home-residents-results-from-the-incur-study
#1
Maturin Tabue-Teguo, Jean-François Dartigues, Nadine Simo, Callixte Kuate-Tegueu, Bruno Vellas, Matteo Cesari
AIM: The Short Physical Performance Battery (SPPB) is a widely used instrument for measuring physical performance, consisting of 3 sub-tests: a hierarchical test of balance, a gait speed test, and a chair stand test. Although equally considered in the computation of the SPPB score, each of the components may present a specific and different weight in clinical practice. The aim of this study was to estimate the relationship between SPPB and its component of an age-related deficit accumulation index (the so-called Frailty Index [FI] proposed by Rockwood)...
October 12, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29029665/mohs-micrographic-surgery-key-pharmacologic-considerations
#2
Diana Fischer, Patricia Orlando, Laura Shane-McWhorter
OBJECTIVE: To describe Mohs micrographic surgery and evaluate whether direct oral anticoagulants should be withheld in patients with atrial fibrillation (Afib) prior to the procedure and to consider what type of antibiotic prophylaxis should be used. SETTING: A community setting in which an elderly patient is living independently at home. PRACTICE DESCRIPTION: Academic-affiliated internal medicine clinic that cares for adult patients of all ages, including elderly patients living independently in their own home...
August 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29019952/socioeconomic-differences-and-trends-in-the-place-of-death-among-elderly-people-in-china
#3
Jiaoli Cai, Hongzhong Zhao, Peter C Coyte
China is facing a dramatic aging of its population. Little is known about the factors that influence the place of death and the trends in the place of death for elderly people in China. The purposes of this study were: (1) to examine the impact of the socioeconomic status (SES) on place of death for elderly Chinese residents; and (2) to assess temporal trends in the place of death over the last 15 years. Data were derived from the Chinese Longitudinal Healthy Longevity Survey (CLHLS) (1998-2012). Place-of-death as an outcome was dichotomized into either death at home or death outside the home...
October 11, 2017: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/28992236/bedroom-light-exposure-at-night-and-the-incidence-of-depressive-symptoms-a-longitudinal-study-of-the-heijo-kyo-cohort
#4
Kenji Obayashi, Keigo Saeki, Norio Kurumatani
Previous studies have indicated that minimal exposure to light-at-night increases depression risk, even at 5 lux, in nocturnal and diurnal mammals. Although such low level light-at-night may be effective for human circadian physiology, the association between exposure to light-at-night and depressive symptoms remains uncertain. Bedroom light intensity was measured objectively and depressive symptoms were assessed between 2010-2014 in Nara, Japan. Of 863 participants (mean age, 71.5 years) who did not have depressive symptoms at baseline, 73 participants reported development of depressive symptoms during follow-up (median, 24 months)...
July 31, 2017: American Journal of Epidemiology
https://www.readbyqxmd.com/read/28988219/differences-in-levels-of-albumin-alt-ast-%C3%AE-gt-and-creatinine-in-frail-moderately-healthy-and-healthy-elderly-individuals
#5
Maria Edvardsson, Märtha Sund-Levander, Anna Milberg, Ewa Wressle, Jan Marcusson, Ewa Grodzinsky
BACKGROUND: Reference intervals are widely used as decision tools, providing the physician with information about whether the analyte values indicate ongoing disease process. Reference intervals are generally based on individuals without diagnosed diseases or use of medication, which often excludes elderly. The aim of the study was to assess levels of albumin, alanine aminotransferase (ALT), aspartate aminotransferase (AST), creatinine and γ-glutamyl transferase (γ-GT) in frail, moderately healthy and healthy elderly indivuduals...
October 9, 2017: Clinical Chemistry and Laboratory Medicine: CCLM
https://www.readbyqxmd.com/read/28978873/cooking-methods-for-a-soft-diet-using-chicken-based-on-food-texture-analysis
#6
Emi Watanabe, Masami Maeno, Jun Kayashita, Ken-Ichi Miyamoto, Miho Kogirima
Undernutrition caused by difficulties in masticating is of growing concern among the elderly. Soft diets are often served at nursing homes; however, the styles differ with nursing homes. Improperly modified food texture and consistency may lead to further loss of nutritive value. Therefore, we developed a method to produce a soft diet using chicken. The texture-modified chicken was prepared by boiling a mixture of minced chicken and additive foodstuff that softened the meat. The best food additive was determined through testing cooking process, size after modification and texture...
2017: Journal of Nutritional Science and Vitaminology
https://www.readbyqxmd.com/read/28971911/aging-and-health
#7
(no author information available yet)
As the US population ages, researchers have been testing various policies and models of care aimed at improving the quality of care for elderly patients, including those living at home and in nursing centers. This DataGraphic presents results of six studies that tested the degree to which one or more innovations achieved such goals as enabling people to age at home, avoid hospitalizations, and receive better cancer care. Health Affairs thanks the John A. Hartford Foundation for its support of the Aging and Health series, which focuses on improving care for older adults...
October 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28970439/pharmacist-intervention-program-at-different-rent-levels-of-geriatric-healthcare
#8
Conxita Mestres, Anna Agustí, Marta Hernandez, Laura Puerta, Blanca Llagostera
As a pharmacy service giving pharmaceutical care at different levels of health care for elderly people, we needed a standardization procedure for recording and evaluating pharmacists' interventions. Our objective was to homogenize pharmacist interventions; to know physicians' acceptance of our recommendations, as well as the most prevalent drug related problems (DRP); and the impact of the pharmacists' interventions. To achieve this goal we conducted a one year prospective study at two levels of health care: 176 nursing homes (EAR) (8828 patients) and 2 long-term and subacute care hospitals (HSS) (268 beds)...
May 19, 2017: Pharmacy (Basel, Switzerland)
https://www.readbyqxmd.com/read/28970366/experiences-of-living-with-assisted-peritoneal-dialysis-a-qualitative-study
#9
Ingrid Petersson, Annette Lennerling
BACKGROUND: People's experiences of living with assisted peritoneal dialysis (aPD) have not been studied previously. Assisted PD is successfully used as renal replacement therapy for elderly and disabled patients with end-stage renal disease. To be treated with aPD implies being dependent on lifelong treatment at home. The aim of this study was to explore adults' experiences of living with aPD. METHODS: In-depth interviews were conducted with 10 participants with aPD, median age 82...
September 28, 2017: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/28960161/geriatric-comanagement-reduces-perioperative-complications-and-shortens-duration-of-hospital-stay-after-lumbar-spine-surgery-a-prospective-single-institution-experience
#10
Owoicho Adogwa, Aladine A Elsamadicy, Victoria D Vuong, Jessica Moreno, Joseph Cheng, Isaac O Karikari, Carlos A Bagley
OBJECTIVE Geriatric patients undergoing lumbar spine surgery have unique needs due to the physiological changes of aging. They are at risk for adverse outcomes such as delirium, infection, and iatrogenic complications, and these complications, in turn, contribute to the risk of functional decline, nursing home admission, and death. Whether preoperative and perioperative comanagement by a geriatrician reduces the incidence of in-hospital complications and length of in-hospital stay after elective lumbar spine surgery remains unknown...
September 29, 2017: Journal of Neurosurgery. Spine
https://www.readbyqxmd.com/read/28957938/improving-life-for-elders-at-home
#11
Diane Szulecki
Sarah Szanton's CAPABLE program helps older adults 'age in place' and cuts health care costs.
October 2017: American Journal of Nursing
https://www.readbyqxmd.com/read/28957484/effects-of-home-visit-nursing-services-on-hospitalization-in-the-elderly-with-pressure-ulcers-a-longitudinal-study
#12
Hyo Jung Lee, Yeong Jun Ju, Eun-Cheol Park, Juyeong Kim, Sang Gyu Lee
Background: The risk of pressure ulcers in beneficiaries of long-term care insurance is expected to increase in South Korea's aging society. However, those who stay at home may not be managed appropriately with regard to pressure ulcer development. Here, we examined the relationship between home-visit nursing services and hospitalization related to pressure ulcers among beneficiaries with pressure ulcers in home-care settings. Methods: We analyzed National Aging Cohort data from 2008 to 2013...
October 1, 2017: European Journal of Public Health
https://www.readbyqxmd.com/read/28952148/relationship-between-depressive-symptoms-and-activity-of-daily-living-dependence-in-older-japanese-the-kurabuchi-study
#13
Takahiro Nakamura, Takehiro Michikawa, Haruhiko Imamura, Toru Takebayashi, Yuji Nishiwaki
BACKGROUND/OBJECTIVES: Few published studies have investigated the possibility of an association between depressive symptoms and dependence in activities of daily living (ADLs) in elderly adults. The objective of the study was to examine the association between depressive symptoms and future ADL dependence and to investigate how this association varies according to living circumstances and marital status. DESIGN: Community-based prospective observational study. SETTING: Kurabuchi Town, Gunma Prefecture, Japan...
September 27, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/28929932/one-year-health-and-care-costs-after-hip-fracture-for-home-dwelling-elderly-patients-in-norway-results-from-the-trondheim-hip-fracture-trial
#14
RANDOMIZED CONTROLLED TRIAL
Liv Faksvåg Hektoen, Ingvild Saltvedt, Olav Sletvold, Jorunn L Helbostad, Hilde Lurås, Vidar Halsteinli
AIM: The aim of this study was to estimate the one-year health and care costs related to hip fracture for home-dwelling patients aged 70 years and older in Norway, paying specific attention to the status of the patients at the time of fracture and cost differences due to various patient pathways after fracture. METHODS: Data on health and care service provision were extracted from hospital and municipal records and from national registries; data on unit costs were collected from the municipalities, hospital administrations and previously published studies...
December 2016: Scandinavian Journal of Public Health
https://www.readbyqxmd.com/read/28899369/nursing-care-needs-and-services-utilised-by-home-dwelling-elderly-with-complex-health-problems-observational-study
#15
Gro Næss, Marit Kirkevold, Wenche Hammer, Jørund Straand, Torgeir Bruun Wyller
BACKGROUND: In Norway, as in many Western countries, a shift from institutional care to home care is taking place. Our knowledge is limited regarding which needs for nursing interventions patients being cared for in their home have, and how they are met. We aimed at assessing aspects of health and function in a representative sample of the most vulnerable home-dwelling elderly, to identify their needs for nursing interventions and how these needs were met. METHODS: In this observational study we included patients aged 75+ living in their own homes in Oslo, who received daily home care, had three or more chronic diagnoses, received daily medication, and had been hospitalized during the last year...
September 12, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28890531/activities-of-daily-living-adl-of-single-elderly-individuals-using-social-assistive-programs-in-a-rural-community
#16
Yoshiharu Yokokawa, Kei Miyoshi, Ichiro Kai
Objectives The proportion of elderly individuals living alone is increasing in Japan. Matsumoto city office provides social assistive programs such as home help, lunch delivery, life advice, and safety check telephone calls. The purpose of this study was to compare the level of ADL between the elderly using social assistive programs (the use group) and those who did not (the non-use group).Methods We conducted a cross-sectional study at Shiga district of Matsumoto city in September 2014. A total of 128 elderly individuals participated in this study...
2017: [Nihon Kōshū Eisei Zasshi] Japanese Journal of Public Health
https://www.readbyqxmd.com/read/28890165/reduction-of-the-anticholinergic-burden-makes-it-possible-to-decrease-behavioral-and-psychological-symptoms-of-dementia
#17
Yacine Jaïdi, Vignon Nonnonhou, Lukshe Kanagaratnam, Laurie Anne Bertholon, Sarah Badr, Vivien Noël, Jean-Luc Novella, Rachid Mahmoudi
OBJECTIVE: The aim of this study was to evaluate the impact of a reduction of the anticholinergic burden (AB) on the frequency and severity of behavioral and psychological symptoms of dementia (BPSD) and their repercussions on the care team (occupational disruptiveness). METHODS: In this prospective, single-center study in an acute care unit for Alzheimer disease (AD) and related disorders, 125 elderly subjects (mean age: 84.4 years) with dementia presented with BPSD...
August 14, 2017: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/28872043/representations-of-their-own-sexuality-and-aging-body-by-old-people-phenomenological-and-psychodynamic-approach
#18
Lucile Meyrignac, Noureddine Bouati, Alain Sagne, Gaëtan Gavazzi, Anne-Claire Zipper
The sexuality of the elderly is rarely mentioned in general medicine although it holds an important place in many old people's life, and sexual well-being is a part of the global well-being according to the World Health Organization. To explore the representations of their own sexuality and aging body by the elderly. Qualitative study using semi-structured interviews in 15 healthy elderly people over 65 years of age, living at home. In-depth interviews were transcribed and submitted to qualitative content using a phenomenological and a psychodynamic analysis...
September 1, 2017: Gériatrie et Psychologie Neuropsychiatrie du Vieillissement
https://www.readbyqxmd.com/read/28866906/end-of-life-care-for-advanced-dementia-patients-in-residential-care-home-a-hong-kong-perspective
#19
James K H Luk, Felix H W Chan
Dementia will become more common as the population ages. Advanced dementia should be considered as a terminal illnesses and end-of-life (EOL) care is very much needed for this disease group. Currently, the EOL services provided to this vulnerable group in Hong Kong, especially those living in residential care homes, is limited. The usual practice of residential care homes is to send older residents with advanced dementia to acute hospitals when they are sick, irrespective of their wish, premorbid status, diagnoses and prognosis...
August 28, 2017: Annals of Palliative Medicine
https://www.readbyqxmd.com/read/28860800/effectiveness-of-a-diabetes-mellitus-pictorial-diary-handbook-program-for-middle-aged-and-elderly-type-2-diabetes-mellitus-patients-a-quasi-experimental-study-at-taladnoi-primary-care-unit-saraburi-thailand
#20
Rapat Eknithiset, Ratana Somrongthong
AIM: The research question is "How does a diabetes mellitus (DM) pictorial diary handbook (PDHB) affect the knowledge, practice, and HbA1c among patients with DM type 2?" The aim of this study was to evaluate the effect of a PDHB program among middle-aged and elderly patients with DM type 2 in primary care units in Thailand. PATIENTS AND METHODS: A quasi-experimental study design was applied. DM type 2 patients were recruited in the PDHB program by a simple random sampling method...
2017: Journal of Multidisciplinary Healthcare
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