Severity of Tinnitus Distress Negatively Impacts Quality of Life in Patients With Vestibular Schwannoma and Mimics Primary Tinnitus
Conclusions: To our knowledge, this is the first study to investigate VS-related tinnitus with respect to both patients' hearing status and psychological condition. Our results suggest that tinnitus distress strongly affects VS patients' QoL and that its characteristics are similar to primary tinnitus. An intervention for VS-related tinnitus, therefore, should assess to what extent tinnitus bothers patients, and it should reduce any unpleasant emotions that may exacerbate symptoms. This approach should improve their QoL. Introduction Vestibular schwannoma (VS)—or acoustic neuroma—is a benign, slow-growing tumor of myelin-forming cells of the vestibulo-cochlear nerve. It usually causes progressive firstly unilateral hearing loss, then tinnitus or/and vertigo appear next, and more progressive cases shows facial paresis. An actively growing VS is disabling if it presses against nearby brain structures. Conservative management using a wait-and-scan protocol is adopted for more than half of VS patients (1). The remaining patients receive active treatment, which includes radiotherapy (gamma knife or cyber knife) and microsurgery for tumor excision (1, 2). Regardless of whether conservative management or active treatment is selected, quality of life (QoL) is decreased and anxiety is elevated (3, 4). In recent years, health-related QoL has been the primary measure to assess patient-associated outcomes in patients with VS (1, 3). The Medical Outcom...
Atypical chest pain is of diverse origin. Typically, we initially consider cardiac etiology. When pain appears non-cardiac, there is a tendency to underestimate the illness, especially if the patient has neuropsychiatric illness. Our resident with dementia and anxiety disorder had chest pain; the diagnosis was unexpected.
Chronic pain is common among older adults, as is the use of medications to treat these symptoms. Aging physiology, in combination with a higher likelihood of medication use and declining renal function, makes older adults more susceptible to adverse drug effects. As such, monitoring for side effects and changes in renal function is important to avoid drug toxicity, especially during acute illness when medication errors and acute changes in renal function are more likely to occur among older adults.
The symptom of dizziness reflects a variety of sensations related to disturbances of the individual's sense of equilibrium, which have variously been described or subclassified by terms such as vertigo, presyncope, disequilibrium, wooziness, imbalance, falling sensation, spinning, and disorientation.1 In its various forms, dizziness is one of the most common symptoms in older persons, increasing in prevalence as age advances.2 –4 This increasing prevalence with age reflects the fact that a variety of body systems interact to support one's sense of equilibrium, and that with age the breakdown of multiple systems is co...
Pneumonia is the most common cause of hospitalization for nursing home residents. When deciding whether to treat a resident in the nursing home or transfer to a hospital, it is important to consider risks of hospitalization, including significant functional decline. Little is known about the functional status outcomes of nursing home residents hospitalized for pneumonia.
Up to 38% of individuals with advanced dementia experience clinical depression. Although studies demonstrate lower rates of clinical depression as dementia advances, this may be attributed to the difficulty of assessment at this stage. Clinical interviews are thorough in assessing depression, though they are time- and resource-contingent. As such, healthcare providers often turn to screening tools or scales. However, conventional tools for assessing depression have problems with validity in this population.
There has been a growing emphasis towards emotional well-being in the care of older adults. This is especially important with regards to residents in a nursing home, where they can often feel marginalized or depressed. The aim of this study is to evaluate the effectiveness of pet-therapy in improving the mood and well-being in this subset of the population.
Many patients are discharged to post-acute care facilities (PACFs) following surgery. These patients have either had major surgery and require close monitoring and intensive rehabilitation, or have significant medical co-morbidities. Currently they are transported, sometimes at considerable cost, to the surgeon ’s office for post-surgery visits (PSVs). These trips can be painful and uncomfortable. A staff member from the PACF may need to accompany the patient. During PSVs surgeons observe the patient's incision(s), and assess potential complications following surgery, pain, and functional recovery.
Nursing home (NH) residents are at increased risk for malnutrition compared to community-dwelling older adults. Poor nutrition is associated with depression, functional decline, and higher 1-year mortality. Communal dining environments create a social dining atmosphere that increases the amount of food being consumed.
Parkinson ’s disease (PD) is a multifaceted condition that impacts a wide range of functions, including speech. The effect of loss of communication ability creates a cascade of effects which includes decreased participation in social events, social isolation, and potentially depression. If improvements in v oice occur, the cascade can be diverted. A physiological basis, as well as research evidence, supports use of singing to improve voice of those with PD. The implementation of a choir for those with PD has the potential to provide a socially engaging intervention, which is cost effective.
Chronic pain is among the most common reasons for seeking medical attention. In the United States, 1 in 5 adults had chronic pain in 2016 and it is estimated to cost over $500 billion annually in direct medical costs and disability. It is a prevalent problem among residents in the nursing home. Non-pharmacologic therapies are the most preferred treatment for chronic pain as pharmacological therapies, such as opioids, have proven to be less effective and associated with numerous side effects among older adults.
More News: Academia | Academies | Anxiety | Audiology | Audiometry | Brain | Brain Cancers | Cerebellum | Chronic Pain | Denmark Health | Depression | Disability | Education | Epidemiology | Germany Health | Hawthorn | Italy Health | Japan Health | Laryngoscopy | Medical Ethics | Men | Neurofibromatosis | Neurology | Neurosurgery | Obsessive Compulsive Disorder | Pain | Pain Management | PET Scan | Portugal Health | Primary Care | Psychiatry | Psychology | Rehabilitation | Reproduction Medicine | Statistics | Study | Tinnitus | UK Health | Universities & Medical Training | Vertigo