When Less is More, but Still Not Enough: Why Focusing on Limiting Antipsychotics in People With Dementia Is the Wrong Policy Imperative

Antipsychotic reductions have been the primary focus of efforts to improve dementia care in nursing homes by the Centers for Medicare&Medicaid Services National Partnership. Although significant antipsychotic reductions have been achieved, this policy focus is myopic in 2 ways; there is no evidence for any increases in use of nonpharmacologic interventions, and there are indications for compensatory increases in the use of other (unmeasured) sedating psychotropics. This increased use of other sedating psychotropics is more concerning than the antipsychotics that they replaced, as there is even less support of efficacy for behavioral and psychological symptoms of dementia (BPSD) and ample proof of harms, including mortality.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Controversies in Care Source Type: research

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Publication date: Available online 13 October 2019Source: Alzheimer's &DementiaAuthor(s): Catherine M. Calvin, Tim Wilkinson, John M. Starr, Cathie Sudlow, Saskia P. Hagenaars, Sarah E. Harris, Christian Schnier, Gail Davies, Chloe Fawns-Ritchie, Catharine R. Gale, John Gallacher, Ian J. DearyAbstractIntroductionProspective studies reporting associations between cognitive performance and subsequent incident dementia have been subject to attrition bias. Furthermore, the extent to which established risk factors account for such associations requires further elucidation.MethodsWe used UK Biobank baseline cognitive data (n...
Source: Alzheimer's and Dementia: The Journal of the Alzheimer's Association - Category: Geriatrics Source Type: research
Toronto researchers found patients who have symptoms of aggression as a result of the disorder responded better to outdoor activities than antipsychotic drugs.
Source: the Mail online | Health - Category: Consumer Health News Source Type: news
Severe thalamic injury can determine a particular type of vascular dementia affecting multiple network dysfunctions, considered the central role of thalamus as a hub for afferent and efferent stimuli. A 67-year-old male patient with bilateral thalamic stroke was studied with positron emission tomography, magnetic resonance imaging, and cognitive assessment, performed at baseline and at two follow-up evaluations. A pattern primarily involving thalamo-frontal connections was observed by both PET and tractography analyses. All significant differences between the patient and controls involved the anterior thalamic radiation, o...
Source: Frontiers in Neurology - Category: Neurology Source Type: research
(Reuters Health) - Symptoms of aggression and agitation in dementia patients may respond better to non-drug therapies such as massage, touch therapy and outdoor activities, a new study suggests.
Source: Reuters: Health - Category: Consumer Health News Tags: healthNews Source Type: news
Three women were arrested for encouraging dementia patients to fight and filming it, police say.
Source: Washington Post: To Your Health - Category: Consumer Health News Authors: Source Type: news
(Natural News) Researchers from the University of Southern California found a promising way to restore working memory in people with dementia. In their study, which was published in the Journal of Biological Chemistry, they found that compounds in green tea and carrots might reverse Alzheimer’s-like symptoms. For the study, the researchers examined the effect of...
Source: NaturalNews.com - Category: Consumer Health News Source Type: news
Commentary on "Low Mood and Risk of Dementia: The Role of Marital Status and Living Situation". Am J Geriatr Psychiatry. 2019 Sep 11;: Authors: Monin JK PMID: 31606276 [PubMed - as supplied by publisher]
Source: The American Journal of Geriatric Psychiatry - Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research
Authors: Iliffe S, Gallo JJ PMID: 31606275 [PubMed - as supplied by publisher]
Source: The American Journal of Geriatric Psychiatry - Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research
China is expected to host almost half of the global dementia population by 2050.1 Such projections demand immediate preventive therapies to delay the progression of cognitive decline in the community. Motoric cognitive risk (MCR) syndrome characterized by subjective memory complaints and decreased gait speed (in older adults without dementia and mobility disability) has been shown to predict incident dementia, and hence is referred to as a predementia stage.2,3 MCR has been suggested to be an efficient tool for identifying high-risk individuals and thus could be a useful measure for preventive therapies or studies targeting dementia.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Research Letter Source Type: research
Dear Candid Caregiver: My grandma has had mixed dementia, probably a combination of Alzheimer’s and vascular, for many years. She’s generally sweet and compliant, just wanting to stay comfortable in a world that she seems to have created for herself. The whole family tries to encourage her to tell stories, which she will sometimes do if she’s feeling up to it, but mostly she listens to the old-time music that we play for her or she naps. Grandma hasn’t recognized anyone in the family for a couple of years, but last week my mom and I had a shock. Read the full question and answer on He...
Source: Minding Our Elders - Category: Geriatrics Authors: Source Type: blogs
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