Is increased carer knowledge of the health care system associated with decreased preventable hospitalizations for people in the community diagnosed with dementia? A systematic review protocol
This study aims to assess the effectiveness of interventions focused on reducing avoidable hospitalization for PLWD by supporting carers to manage the health care needs of the PLWD, via improved awareness and understanding of health and the healthcare system.MethodScientific and gray literature will be searched using a combination of keywords pertaining to dementia, caregivers, education, and support. Included studies will involve community-dwelling PLWD and caregivers, with interventions aimed at improving carer ’s understanding of the healthcare system and ability to manage the caregiving role. The primary outcome will be hospitalization related to the PLWD and secondary outcomes will be carer burden, stress, wellbeing, and quality of life. All study designs will be considered. Data from included studies will be analyzed using descriptive statistics and content analysis. If the data permits, we will perform a meta-analysis and subgroup analyses, related to the intervention and participant characteristics.DiscussionThis review will provide a comprehensive picture of the knowledge available on the subject and identify knowledge gaps in existing literature. The findings may highlight the lack of existing interventions for PLWD and their carers who live in the community and will help stakeholders to identify needs and develop programs targeted to carers and care recipients that prevent avoidable hospitalization for PLWD.Systematic review registrationPROSPERO number:49655.
Both reduced cognitive ability and traumatic brain injuries (TBIs) have been proposed as risk factors for dementia later in life. Moreover, a 2008 case-control study comparing 55 controls to 197 TBI patients from the Vietnam War indicated that higher intel...
Whether or not you can read and write could be a factor in your ability to stave off dementia as you grow older, according to a new study from scientists at Columbia University.
ConclusionsThis study demonstrates biomarker-based MCI prognosis and supports its role in clinical decision-making in daily practice.ResumenObjetivoEl objetivo de este estudio fue investigar el rol y pronóstico de los biomarcadores de enfermedad de Alzheimer en pacientes con diagnóstico clínico de deterioro cognitivo leve (DCL) en una clínica de memoria de Latinoamérica.MétodoOchenta y nueve pacientes con DCL, 43 con demencia tipo Alzheimer y 18 controles normales apareados por edad, sexo y escolaridad fueron estudiados con un extenso protocolo demográfico, neurológic...
CONCLUSIONS: Our results indicate that Alzheimer disease medication might contribute to a reduction of the LOS and the number of readmissions in PWD. PMID: 31722770 [PubMed - as supplied by publisher]
CONCLUSION: We found no evidence that long-term exposure to work-related sleep loss had resulted in cognitive decline or early dementia symptoms in this sample of retired maritime pilots. PMID: 31726459 [PubMed - as supplied by publisher]
CONCLUSION: The AD8 is a brief and sensitive screening instrument that may facilitate earlier and more accurate AD diagnosis in a variety of care settings. PMID: 31725472 [PubMed - as supplied by publisher]
Conclusion [18F]FDG PET may be useful as a non-invasive diagnostic modality in differentiating the two posterior cortical dementias, despite significant overlap. Primary visual cortical hypometabolism can serve as an independent diagnostic marker for DLB, even in the absence of TRODAT imaging.
Authors: Hermush V, Ore L PMID: 31713367 [PubMed - in process]
Photo credit Mohammed Elgassier Dear Carol: My mom has moderate dementia and she seems to like the idea of living in a care community. We’ve done all of the preliminary work, but the social worker at the assisted living facility recently told me that they wouldn’t want me to visit Mom for the first two weeks. Their reasoning is that Mom would adjust better if she has no alternative but to depend on them for help. I’m uncomfortable with this idea because I feel that Mom will need my help settling in. I think that I’d feel abandoned if someone just left me like that. Is not letting the fami...
In a survey, researchers found that almost half of Americans in their 50s and 60s believed they were at least "somewhat likely" to develop dementia. Yet few -- 5% -- said they had talked to their doctor about ways to lower their risk.