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Geriatric elderly older adult dementia alzheimer

Mo Li, Ji-Hui Lyu, Yi Zhang, Mao-Long Gao, Wen-Jie Li, Xin Ma
INTRODUCTION: Alzheimer disease (AD) is one of the most common diseases among the older adults. Currently, various nonpharmacological interventions are used for the treatment of AD. Such as reminiscence therapy is being widely used in Western countries. However, it is often used as an empirical application in China; the evidence-based efficacy of reminiscence therapy in AD patients remains to be determined. Therefore, the aim of this research is to assess the effectives of reminiscence therapy for Chinese elderly...
December 2017: Medicine (Baltimore)
Miia Kivipelto, Tiia Ngandu
Cognitive impairment is very common in advanced age, with dementia representing the main cause of disability in older adults. Over the past 20 years, several modifiable risk factors have been identified for dementia and Alzheimer's disease (AD), and many of them are shared with cardiovascular diseases. Given that the pathologic changes leading to dementia may start decades before dementia is diagnosed, it is crucial to adopt a life course approach when investigating risk factors for dementia. The CAIDE (Cardiovascular Risk Factors, Aging and Dementia) study is one of the first and still very few existing observational studies to have investigated the role of midlife risk factors for the subsequent development of dementia and AD in late life...
June 2016: Global Heart
Helenice Fichman-Charchat, Cristina Vieira Miranda, Conceição Santos Fernandes, Daniel Mograbi, Rosinda Martins Oliveira, Regina Novaes, Daniele Aguiar
The diagnosis of early signs of Alzheimer's disease (AD) is a major challenge in a heterogeneous population. Objective To investigate the use of the Brief Cognitive Screening Battery (BCSB) for the diagnosis of mild AD in a geriatric outpatient unit of a public hospital in the city of Rio de Janeiro. Method BCSB was administered to 51 elderly adults with a clinical diagnosis of probable AD and 123 older adults without dementia (non-AD). Results AD patients performed worse than non-AD group in all BCSB tests, except Clock Drawing (p = 0...
February 2016: Arquivos de Neuro-psiquiatria
Flávio Mascarenhas Starling, Patrícia Medeiros-Souza, Einstein Francisco de Camargos, Felipe Ferreira, Alessandra Rodrigues Silva, Maurício Homem-de-Mello
PURPOSE: The objective of this study was to assess the frequency of tablet splitting of psychotropic drugs in a population of older adults with a diagnosis of dementia. METHODS: This retrospective, cross-sectional study examined a sample of geriatric outpatients seen at a public center specializing in the care of elderly patients, a referral center for management of dementias in general, especially Alzheimer dementia to identify the frequency of tablet splitting of psychotropic drugs and the factors that may be involved in this practice...
October 1, 2015: Clinical Therapeutics
Kerry L Hildreth, Skotti Church
Cognitive complaints are common in the geriatric population. Older adults should routinely be asked about any concerns about their memory or thinking, and any cognitive complaint from the patient or an informant should be evaluated rather than be attributed to aging. Several screening instruments are available to document objective impairments and guide further evaluation. Management goals for patients with cognitive impairment are focused on maintaining function and independence, providing caregiver support, and advance care planning...
March 2015: Medical Clinics of North America
Noriko Ogama, Masaki Yoshida, Toshiharu Nakai, Shumpei Niida, Kenji Toba, Takashi Sakurai
AIM: Lower urinary tract symptoms often limit activities of daily life and impair quality of life in the elderly. The purpose of the present study was to determine whether regional white matter hyperintensity (WMH) can predict lower urinary tract symptoms in elderly with amnestic mild cognitive impairment or Alzheimer's disease. METHODS: The participants were 461 patients aged 65-85 years diagnosed with amnestic mild cognitive impairment or Alzheimer's disease. Patients and their caregivers were asked about symptoms of lower urinary tract symptoms (urinary difficulty, frequency and incontinence)...
February 2016: Geriatrics & Gerontology International
Ping Guo, Shikai Wang, Yiping Zhu, Xinhua Shen, Xuemin Jin, Mincai Qian, Hongyu Tang
BACKGROUND: Little is known about the risks of bone fractures in elderly patients with mental disorders in China. AIM: Assess the bone mineral density (BMD) of elderly patients with mental disorders in China and identify factors that are associated with low BMD, osteopenia and osteoporosis. METHODS: One hundred and two psychiatric inpatients 60 years of age or older (including patients with schizophrenia, depression, bipolar disorder and dementia) were randomly selected from patients in the geriatric wards of the Third People's Hospital of Huzhou...
October 2012: Shanghai Archives of Psychiatry
David C Steffens, Douglas R McQuoid, Guy G Potter
BACKGROUND: Memory impairment in geriatric depression is understudied, but may identify individuals at risk for development of dementia and Alzheimer's disease (AD). Using a neuropsychologically based definition of amnestic mild cognitive impairment (aMCI) in patients with geriatric depression, we hypothesized that patients with aMCI, compared with those without it, would have increased incidence of both dementia and AD. METHODS: Participants were aged 60 years and older and consisted of depressed participants and non-depressed volunteer controls...
December 2014: International Psychogeriatrics
John N Morris, Elizabeth P Howard, Brant E Fries, Randi Berkowitz, Beryl Goldman, Daniel David
This project used the interRAI based, community health assessment (CHA) to develop a model for identifying current elder drivers whose driving behavior should be reviewed. The assessments were completed by independent housing sites in COLLAGE, a non-profit, national senior housing consortium. Secondary analysis of data drawn from older adults in COLLAGE sites in the United States was conducted using a baseline assessment with 8042 subjects and an annual follow-up assessment with 3840 subjects. Logistic regression was used to develop a Driving Review Index (DRI) based on the most useful items from among the many measures available in the CHA assessment...
February 2014: Accident; Analysis and Prevention
E Kelaiditi, M Cesari, M Canevelli, G Abellan van Kan, P-J Ousset, S Gillette-Guyonnet, P Ritz, F Duveau, M E Soto, V Provencher, F Nourhashemi, A Salvà, P Robert, S Andrieu, Y Rolland, J Touchon, J L Fitten, B Vellas
The frailty syndrome has recently attracted attention of the scientific community and public health organizations as precursor and contributor of age-related conditions (particularly disability) in older persons. In parallel, dementia and cognitive disorders also represent major healthcare and social priorities. Although physical frailty and cognitive impairment have shown to be related in epidemiological studies, their pathophysiological mechanisms have been usually studied separately. An International Consensus Group on "Cognitive Frailty" was organized by the International Academy on Nutrition and Aging (I...
September 2013: Journal of Nutrition, Health & Aging
Grace Y Lee, Calvin C K Yip, Edwin C S Yu, David W K Man
BACKGROUND: Improving the situation in older adults with cognitive decline and evidence of cognitive rehabilitation is considered crucial in long-term care of the elderly. The objective of this study was to implement a computerized errorless learning-based memory training program (CELP) for persons with early Alzheimer's disease, and to compare the training outcomes of a CELP group with those of a therapist-led errorless learning program (TELP) group and a waiting-list control group. METHODS: A randomized controlled trial with a single-blind research design was used in the study...
2013: Clinical Interventions in Aging
Janine Stein, Melanie Luppa, Tobias Luck, Wolfgang Maier, Michael Wagner, Moritz Daerr, Hendrik van den Bussche, Thomas Zimmermann, Mirjam Köhler, Horst Bickel, Edelgard Mösch, Siegfried Weyerer, Teresa Kaufeler, Michael Pentzek, Birgitt Wiese, Anja Wollny, Hans-Helmut König, Steffi G Riedel-Heller
OBJECTIVES: The Consortium to Establish a Registry for Alzheimer's Disease-Neuropsychological (CERAD-NP) battery represents a commonly used neuropsychological instrument to measure cognitive functioning in the elderly. This study provides normative data for changes in cognitive function that normally occur in cognitively healthy individuals to interpret changes in CERAD-NP test scores over longer time periods. DESIGN: Longitudinal cohort study with three assessments at 1...
January 2012: American Journal of Geriatric Psychiatry
John J Ryan, Constance McCloy, Peter Rundquist, Visalakshi Srinivasan, Rosemary Laird
PURPOSE: Older adults with Alzheimer disease (AD) fall more than twice as often as those without dementia, yet few studies have assessed fall risk in this population. The purpose of the study was to determine whether a fall assessment, the Physical Performance Test 7-item (PPT 7-item), could accurately identify subjects with history of falls in a group of community-dwelling elders with mild AD. An additional purpose was to determine whether the PPT 7-item, a cognitive screen, and/or nonperformance data could predict falling in this population...
January 2011: Journal of Geriatric Physical Therapy
Kevin Duff, Cynthia C Spering, Sid E O'Bryant, Leigh J Beglinger, David J Moser, John D Bayless, Kennith R Culp, James W Mold, Russell L Adams, James G Scott
The Effort Index (EI) of the RBANS was developed to assist clinicians in discriminating patients who demonstrate good effort from those with poor effort. However, there are concerns that older adults might be unfairly penalized by this index, which uses uncorrected raw scores. Using five independent samples of geriatric patients with a broad range of cognitive functioning (e.g., cognitively intact, nursing home residents, probable Alzheimer's disease), base rates of failure on the EI were calculated. In cognitively intact and mildly impaired samples, few older individuals were classified as demonstrating poor effort (e...
January 2011: Applied Neuropsychology
Xi Chen, Stephen K Shuman, James S Hodges, Laël C Gatewood, Jia Xu
OBJECTIVES: To study tooth loss patterns in older adults with dementia. DESIGN: Retrospective longitudinal study. SETTING: A community-based geriatric dental clinic in Minnesota. PARTICIPANTS: Four hundred ninety-one older adults who presented to the study clinic as new patients during the study period, remained dentate after finishing the initial treatment plan, and returned for care at least once thereafter were retrospectively selected...
December 2010: Journal of the American Geriatrics Society
Darci R Morgan, John Linck, James Scott, Russell Adams, James Mold
With increases in the older adult population, brief assessments sensitive to dementia are essential. This study assessed the effectiveness of the verbal memory and visual processing indices proposed by Duff et al. (2009) to differentiate participants with neurological disorders. Participants included individuals diagnosed with mild cognitive impairment (MCI; n = 38), Alzheimer's disease (AD; n = 100), or Parkinson's disease (PD; n = 35), with ages ranging from 65-93 years. In addition, normal control participants (n = 100) within the same age range were used for comparison...
November 2010: Clinical Neuropsychologist
Melanie Luppa, Katrin Gentzsch, Matthias C Angermeyer, Siegfried Weyerer, Hans-Helmut König, Steffi G Riedel-Heller
OBJECTIVE: Especially given the different socialization and life conditions of men and women, it could not be assumed that factors leading to nursing home admission (NHA) can be equally applied to both genders. We aimed to determine gender-specific predictors of NHA. METHODS: Data were derived from the Leipzig Longitudinal Study of the Aged, a population-based study of individuals aged 75 years and older. 1,058 older adults were interviewed six times on average every 1...
May 2011: Psychiatrische Praxis
Josh Allen, Jackie Close
There are an estimated 5.3 million Americans with Alzheimer's disease, and as the population ages, that number is expected to reach 7.7 million by the year 2030. Older adults with Alzheimer's and other dementias are 3.1 times more likely to have a hospital stay than those without the condition. The Nurses Improving Care to Healthsystem Elders (NICHE) geriatric resource nurse (GRN) model is a proven framework to prepare acute care hospital registered nurses to care for this special population of older adults...
March 2010: Geriatric Nursing
S Bombois, P Derambure, F Pasquier, C Monaca
This paper reviews the characteristics of sleep disorders found in people at a greater risk of dementia: the elderly adult, patients with mild cognitive impairment (MCI) and those with neurodegenerative diseases. The frequency of sleep architecture modifications and circadian rhythm sleep disturbances increases with age. Although around 40% of older adults complain of poor sleep, true sleep disorders are far less prevalent in healthy older adults and are frequently associated with comorbidities. The sleep disorders observed in Alzheimer's disease (AD) patients are often similar to (but more intense than) those found in non-demented elderly people...
March 2010: Journal of Nutrition, Health & Aging
Gary W Small
Depression in the elderly contributes to decreased quality of life and increased mortality from both suicide and medical illnesses, yet it remains underdiagnosed and undertreated in these patients. Physicians should be aware of the varying presentations of depression in older adults and differentiate late-life depression from other psychiatric diagnoses. Thorough medical and cognitive assessments are necessary to determine whether late-life depression is due to underlying medical causes and neurologic diagnoses such as Alzheimer's disease or dementia...
December 2009: Journal of Clinical Psychiatry
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