keyword
https://read.qxmd.com/read/38526042/pragmatic-implementation-of-comprehensive-dementia-care-management-the-cedars-sinai-c-a-r-e-s-program-preliminary-data
#1
JOURNAL ARTICLE
Zaldy S Tan, Nabeel Qureshi, Erica Spivack, Deana Rhinehart, Dyane Gatmaitan, Augustine Guinto, Sarah Kremen, Nancy L Sicotte
BACKGROUND: The United States faces a growing challenge with over 6.5 million people living with dementia (PLwD). PLwD and their caregivers struggle with cognitive, functional, behavioral, and psychosocial issues. As dementia care shifts to home settings, caregivers receive inadequate support but bear increasing responsibilities, leading to higher healthcare costs. In response, the Centers for Medicare & Medicaid Services (CMS) introduced the Guiding an Improving Dementia Experience (GUIDE) Model...
March 25, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38525756/a-proposal-for-a-multidisciplinary-integrated-oral-health-network-for-patients-undergoing-major-orthopaedic-surgery-iohn-os
#2
JOURNAL ARTICLE
Matteo Briguglio, Thomas W Wainwright, Marialetizia Latella, Aurora Ninfa, Claudio Cordani, Cecilia Colombo, Giuseppe Banfi, Luca Francetti, Stefano Corbella
The passing of the years of life physiologically leads to the accumulation of changes in tissues in the oral cavity, influencing dentition, chewing and swallowing mechanisms, and the oral microbiota. Some diseases and medications can aggravate oral symptoms and negatively influence eating behaviours, increasing the likelihood of becoming malnourished. This could make older individuals more vulnerable to complications when undergoing major orthopaedic surgery. Hidden infection foci in the oral cavity are a recognised cause of post-operative periprosthetic joint infections...
March 19, 2024: Geriatrics
https://read.qxmd.com/read/38525747/diffusion-mri-fiber-tractography-and-benzodiazepine-spect-imaging-for-assessing-neural-damage-to-the-language-centers-in-an-elderly-patient-after-successful-reperfusion-therapy
#3
Tatsushi Mutoh, Yasuyuki Yoshida, Yasuko Tatewaki, Hongkun Chin, Ryota Tochinai, Junta Moroi, Tatsuya Ishikawa
BACKGROUND: Intravenous thrombolysis and mechanical thrombectomy are the first-line reperfusion therapies for acute ischemic stroke. Here, we describe the utility of diffusion magnetic resonance imaging (MRI) fiber tractography and 123 I-iomazenil benzodiazepine receptor single-photon emission computed tomography to estimate the prognosis of post-stroke aphasia after successful reperfusion therapy. CASE REPORT: An 81-year-old man was admitted to the hospital approximately 3...
March 1, 2024: Geriatrics
https://read.qxmd.com/read/38522958/reduced-anxiety-and-depression-and-improved-mood-in-older-adults-living-in-care-homes-after-participating-in-chair-yoga
#4
JOURNAL ARTICLE
Keeley Frampton, Liz Oppedijk, Rebecca Hadley, Lucy E Annett
Providing opportunities for older adults to engage in physical and mental activity is important to support healthy aging. The present preliminary study investigated the feasibility of accessible chair yoga for older adults in care homes. Chair yoga participants ( n = 17) were assessed before and after attending twice weekly chair yoga sessions for 8 weeks, while control participants ( n = 16) underwent the assessments only. Participant ages ranged from 80 to 101 years and included those living with mild to severe dementia...
March 24, 2024: Journal of Applied Gerontology: the Official Journal of the Southern Gerontological Society
https://read.qxmd.com/read/38521604/home-based-care-for-lesbian-gay-bisexual-transgender-queer-or-questioning-or-another-diverse-gender-identity-older-adults
#5
REVIEW
Mariah L Robertson
The home-based medicine ecosystem is rapidly expanding. With this expansion, it is increasingly important to understand the unique needs of homebound older adults. There is likely significant intersectionality across the lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity (LGBTQ+) older adult population and the homebound population. This article begins to outline some strategies and approaches to entering the home of LGBTQ+ older adults in inclusive and trauma-informed ways and encourages home-based care teams, organizations, and health systems to utilize existing resources created by the LGBTQ+ aging community to provide universal skills training for the workforce...
May 2024: Clinics in Geriatric Medicine
https://read.qxmd.com/read/38520685/pilot-study-of-the-effectiveness-and-acceptability-of-an-automatic-toothbrush-among-residents-in-long-term-care
#6
JOURNAL ARTICLE
Britteny M Howell, Shellea Trammell, Marin Livingston, Royann Royer
AIMS: Reduced mobility and/or low cognitive functioning may make it difficult for residents with special care needs in long-term care homes to brush their own teeth every day. Demands on caregiving staff in these homes may also result in skipping essential toothbrushing tasks, resulting in poor oral health. METHODS AND RESULTS: This article provides the results of a 6-week pilot study that tested the effectiveness and acceptability of the Willo automatic toothbrush "robot" used among residents in long-term care compared to their regular toothbrush...
March 23, 2024: Special Care in Dentistry
https://read.qxmd.com/read/38520278/incidence-and-risk-factors-for-icu-associated-delirium-in-the-alert-geriatric-trauma-population
#7
JOURNAL ARTICLE
Sarah C Ulderich Williams, Ansam I Qaddoumi, John T Meghreblian, Mary E McBride, Sarah A King, Muhammad A Elahi, Debbie Tuggle, R Eric Heidel, Lou M Smith
BACKGROUND: This study analyzed the overall incidence of delirium, comorbid conditions, injury patterns, and pharmacological risk factors for the development of delirium in an alert, geriatric trauma population. METHODS: IRB-approved, prospective, consecutive cohort series at two Southeastern Level 1 trauma centers from June 11 to August 15, 2023. Delirium was assessed using the Confusion Assessment Method (CAM) score. Comorbidities and medications were detailed from electronic medical records...
March 23, 2024: American Surgeon
https://read.qxmd.com/read/38504155/it-assisted-comprehensive-geriatric-assessment-for-residents-in-care-homes-quasi-experimental-longitudinal-study
#8
JOURNAL ARTICLE
David Attwood, Jim Vafidis, James Boorer, Scarlett Long, Wendy Ellis, Michelle Earley, Jillian Denovan, Gerard 't Hart, Maria Williams, Nicholas Burdett, Melissa Lemon, Suzy Hope
BACKGROUND: Frailty interventions such as Comprehensive Geriatric Assessment (CGA) can provide significant benefits for older adults living with frailty. However, incorporating such proactive interventions into primary care remains a challenge. We developed an IT-assisted CGA (i-CGA) process, which includes advance care planning (ACP). We assessed if, in older care home residents, particularly those with severe frailty, i-CGA could improve access to advance care planning discussions and reduce unplanned hospitalisations...
March 19, 2024: BMC Geriatrics
https://read.qxmd.com/read/38498073/a-pandemic-of-delirium-an-updated-systematic-review-and-meta-analysis-of-occurrence-of-delirium-in-older-adults-with-covid-19
#9
REVIEW
Maria Beatrice Zazzara, Alice Margherita Ornago, Camilla Cocchi, Elisabetta Serafini, Giuseppe Bellelli, Graziano Onder
PURPOSE: Delirium has been recognized as an atypical presenting feature of COVID-19 in older adults and is independently associated with mortality. We aimed to perform an updated systematic review of the literature and proportional meta-analysis to assess prevalence and incidence of delirium in older adults with COVID-19, addressing differences according to sex, frailty status, and settings. METHODS: We searched databases for English-language articles on prevalence and incidence of delirium in older adults with COVID-19, published between March 2020 and January 2023...
March 18, 2024: European Geriatric Medicine
https://read.qxmd.com/read/38497239/place-of-death-in-parkinson-s-disease-and-related-disorders-in-england-and-wales-post-pandemic-trends-and-implications-for-care-planning
#10
JOURNAL ARTICLE
Elisabeth Wilson, Amy Baker, Lauren Stockley, Victoria Allgar, Edward Richfield
BACKGROUND: With growing emphasis on palliative care for neurodegenerative conditions, understanding trends in place of death helps improve quality of end-of-life care for people with Parkinson's disease and related disorders (PDRDs), focusing allocation of resources and training and identifying inequalities. OBJECTIVES: Review national and regional place of death trends for people with PDRD including pre- and post-pandemic trends. METHODS: Mortality data for England and Wales (March 2018 and July 2022) were analysed with summary statistics and interrupted time series, exploring place of death for those who died with PDRD, with and without coexisting dementia, with reference to all deaths in England and Wales...
March 1, 2024: Age and Ageing
https://read.qxmd.com/read/38497236/delirium-is-more-common-and-associated-with-worse-outcomes-in-parkinson-s-disease-compared-to-older-adult-controls-results-of-two-prospective-longitudinal-cohort-studies
#11
JOURNAL ARTICLE
Florence Gerakios, Alison J Yarnall, Gemma Bate, Laura Wright, Daniel Davis, Blossom C M Stephan, Louise Robinson, Carol Brayne, Glenn Stebbins, John-Paul Taylor, David J Burn, Louise M Allan, Sarah J Richardson, Rachael A Lawson
BACKGROUND: Inpatient prevalence of Parkinson's disease (PD) delirium varies widely across the literature. Delirium in general older populations is associated with adverse outcomes, such as increased mortality, dementia, and institutionalisation. However, to date there are no comprehensive prospective studies in PD delirium. This study aimed to determine delirium prevalence in hospitalised PD participants and the association with adverse outcomes, compared to a control group of older adults without PD...
March 1, 2024: Age and Ageing
https://read.qxmd.com/read/38485282/community-paramedicine-in-dementia-care
#12
JOURNAL ARTICLE
Colby Parsons, Christian Escobar, Amy Jasani, Duzhi Zhao, Peter Gliatto, Erik Blutinger, Katherine A Ornstein
BACKGROUND: Novel hospital diversion strategies are needed to support a growing number of patients with dementia living in the community. One promising model is community paramedicine (CP), which deploys paramedics to the home, who consult with a physician to coordinate treatment and assess disposition. While evidence suggests CP can manage many patients without escalation to the emergency department (ED), no studies have evaluated optimal CP utilization for patients with dementia. Therefore, we compare the use and outcomes of CP for homebound patients with and without dementia...
March 14, 2024: Journal of the American Geriatrics Society
https://read.qxmd.com/read/38483450/cardiac-rehabilitation-during-the-covid-19-pandemic-and-the-potential-for-digital-technology-to-support-physical-activity-maintenance-qualitative-study
#13
JOURNAL ARTICLE
Linda G Park, Serena Chi, Susan Pitsenbarger, Julene K Johnson, Amit J Shah, Abdelaziz Elnaggar, Julia von Oppenfeld, Evan Cho, Arash Harzand, Mary A Whooley
BACKGROUND: Social distancing from the COVID-19 pandemic may have decreased engagement in cardiac rehabilitation (CR) and may have had possible consequences on post-CR exercise maintenance. The increased use of technology as an adaptation may benefit post-CR participants via wearables and social media. Thus, we sought to explore the possible relationships of both the pandemic and technology on post-CR exercise maintenance. OBJECTIVE: This study aimed to (1) understand CR participation during the COVID-19 pandemic, (2) identify perceived barriers and facilitators to physical activity after CR completion, and (3) assess willingness to use technology and social media to support physical activity needs among older adults with cardiovascular disease...
March 14, 2024: JMIR Cardio
https://read.qxmd.com/read/38482985/virtual-wards-for-people-with-frailty-what-works-for-whom-how-and-why-a-rapid-realist-review
#14
REVIEW
Maggie Westby, Sharea Ijaz, Jelena Savović, Hugh McLeod, Sarah Dawson, Tomas Welsh, Hein Le Roux, Nicola Walsh, Natasha Bradley
BACKGROUND: Virtual wards (VWs) deliver multidisciplinary care at home to people with frailty who are at high risk of a crisis or in crisis, aiming to mitigate the risk of acute hospital admission. Different VW models exist, and evidence of effectiveness is inconsistent. AIM: We conducted a rapid realist review to identify different VW models and to develop explanations for how and why VWs could deliver effective frailty management. METHODS: We searched published and grey literature to identify evidence on multidisciplinary VWs...
March 1, 2024: Age and Ageing
https://read.qxmd.com/read/38480582/home-telemonitoring-in-smart-rurality-results-from-the-his2r-interreg-feasibility-pilot-study
#15
JOURNAL ARTICLE
Didier Schoevaerdts, Marie-Paule Lerude, Véronique Tellier, Marie Pierard, Dimitri Voilmy, Jean-Luc Novella
AIMS: The Health in Smart Rurality Interreg project aims to assess the feasibility of telemonitoring in rural areas across the Franco-Belgian border among patients affected by heart failure or chronic obstructive pulmonary disease. The objectives were to better understand strengths or barriers to implementing telemonitoring for early detection of potential adverse events, for improving quality of life, communication, and care coordination. METHODS: Using a prospective 6-month observational design, interconnected pads were provided to community-dwelling adults aged over 60 years...
March 13, 2024: Aging Clinical and Experimental Research
https://read.qxmd.com/read/38480484/effectiveness-of-oral-health-interventions-among-children-and-adolescents-with-mental-disorders-a-systematic-review
#16
REVIEW
Noor Baiti Bab, Raja Nur Adilah Raja Abdul Rahman, Salina Mohamed, Nawwal Alwani Mohd Radzi, Norashikin Yusof
BACKGROUND: The rising percentage of children and adolescents experiencing mental disorders brought attention to the emerging opportunities for proactive oral health interventions in this population. Currently, existing guidelines focus mainly on oral health in general practice and on adults residing in care homes. This report aims to provide a broad overview of the effectiveness of oral health interventions for children and adolescents with mental disorders. METHOD: This review followed the PRISMA (Preferred Reporting Items for Systematic Review and Meta-Analyses 2020) statement...
March 13, 2024: Special Care in Dentistry
https://read.qxmd.com/read/38468319/personalized-interdisciplinary-patient-pathway-for-cross-sector-care-of-multimorbid-patients-elipfad-trial-study-protocol-for-a-randomized-controlled-trial
#17
JOURNAL ARTICLE
Christoph Heinrich Lindemann, Volker Burst, Linus Alexander Völker, Sebastian Brähler, Dusan Simic, Ingrid Becker, Martin Hellmich, Clarissa Kurscheid, Nadine Scholten, Ruben Krauspe, Kerstin Leibel, Stephanie Stock, Paul Thomas Brinkkoetter
BACKGROUND: Multimorbid and frail elderly patients often carry a high burden of treatment. Hospitalization due to the onset of an acute illness can disrupt the fragile balance, resulting in further readmissions after hospital discharge. Current models of care in Germany do not meet the needs of this patient group. Rather lack of coordination and integration of care combined with a lack of interdisciplinary approaches result in fragmented and inadequate care and increase the burden of treatment even more...
March 11, 2024: Trials
https://read.qxmd.com/read/38459495/feasibility-and-usefulness-of-cognitive-monitoring-using-a-new-home-based-cognitive-test-in-mild-cognitive-impairment-a-prospective-single-arm-study
#18
JOURNAL ARTICLE
Kyung Won Lee, Yun Jeong Hong, Eun Jin Yang, Si Baek Lee, Seong Hoon Kim, Seunghee Na, Young-Do Kim, Jeong Wook Park
BACKGROUND: The risk of dementia is increased in subjects with mild cognitive impairment (MCI). Despite the plethora of in-person cognitive tests, those that can be administered over the phone are lacking. We hypothesized that a home-based cognitive test (HCT) using phone calls would be feasible and useful in non-demented elderly. We aimed to assess feasibility and validity of a new HCT as an optional cognitive monitoring tool without visiting hospitals. METHODS: Our study was conducted in a prospective design during 24 weeks...
March 8, 2024: BMC Geriatrics
https://read.qxmd.com/read/38457647/the-health-outcomes-of-a-telegeriatrics-follow-up-model-on-dementia-patients-and-their-caregivers-in-cairo
#19
JOURNAL ARTICLE
Nora Ali Mossad, Sarah Ahmed Hamza, Hoda Mohamed Farid Wahba, Heba Youssif Youssif, Mohammad Fahmy Tolba
Background/Purpose: Older patients living with dementia and their caregivers are ideal beneficiaries of telemedicine, cost-effectiveness, caregiver satisfaction, and physician acceptance. The aim is to study the effect of a telemedicine dementia enabled program on the health outcome of dementia patients and their caregivers, as regard the patient outcome, caregiver stress, and caregiver satisfaction. Methods: Ninety-seven ( n  = 97) elderly subjects were recruited from the outpatient clinics and inpatient ward of Geriatrics Hospital, Ain Shams University Hospitals...
March 8, 2024: Telemedicine Journal and E-health
https://read.qxmd.com/read/38453208/home-based-mobile-guided-exercise-based-cardiac-rehabilitation-among-patients-undergoing-transcatheter-aortic-valve-replacement-rehab-tavr-protocol-for-a-randomised-clinical-trial
#20
JOURNAL ARTICLE
Zhiyun Shen, Shouling Mi, Chenxu Huang, Daxin Zhou, Wenzhi Pan, Xiaohua Xu, Ying Lin, Yuxia Zhang
INTRODUCTION: Transcatheter aortic valve replacement (TAVR) is a standard treatment for aortic stenosis, particularly in older adults. Reduced exercise capacity and frailty significantly impact outcomes in TAVR patients, yet current management lacks strategies to address these issues. This study aims to assess the effectiveness of home-based mobile-guided exercise-based cardiac rehabilitation in TAVR patients, led by a multidisciplinary team with clear progression milestones. METHODS AND ANALYSIS: The study involves 90 patients aged 60-89 in a single centre who will be randomised to a 3-month novel multidomain exercise intervention or routine care...
March 7, 2024: BMJ Open
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