Encouraging the Use of Research to Guide Practice and Policy

We're living in an era in which the credibility of scientific evidence is sometimes challenged —think climate change1—and important research findings don't always impact practice and policy. Regarding the latter point, it remains common to hear nurses who work in long-term care presume the presence of a urinary tract infection when a resident's urine has an offensive odor (despite guideli nes to the contrary)2, and to use antipsychotics for residents with dementia (despite Food and Drug Administration black-box warnings to the contrary).
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Tags: Editorial Source Type: research

Related Links:

This study will test a predictive longitudina...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Elder Adults Source Type: news
This study...
Source: BMC Research Notes - Category: Research Authors: Tags: Research note Source Type: research
ConclusionsAlthough few baseline comorbidities have a direct impact on hospitalization costs, most previous diagnoses increase the risk of in-hospital adverse events, which ultimately influence the hospitalization cost.
Source: Archives of Orthopaedic and Trauma Surgery - Category: Orthopaedics Source Type: research
Authors: Gotoh Y, Aoyama Y, Tsunemine H, Idei Y, Mori A, Kodaka T, Iba S, Tomita A, Itoh T, Takahashi T Abstract IgA-producing lymphoplasmacytic lymphoma (LPL) is rare and IgH/c-myc translocation is rare in LPL. This is the first report of a case of IgA-producing LPL carrying t(8;14). An 86-year-old woman presented inguinal and intra-abdominal lymph node swelling, and lytic bone lesions in the lumbar vertebrae. A diagnosis of IgA-producing LPL was immunohistochemically made by inguinal lymph node biopsy. The serum IgA level was 1,180 mg/dL, which was revealed to be composed of IgA-λ monoclonal protein. Bone ...
Source: Journal of Clinical and Experimental Hematopathology : JCEH - Category: Hematology Tags: J Clin Exp Hematop Source Type: research
Authors: Kakde P, Redkar NN, Yelale A Abstract Objective: Urinary tract infection (UTI) being the most common bacterial infection with considerable morbidity and mortality especially in hospitalized geriatric patients, this study was designed to assess clinical profile, predisposing factors, uropathogen profile causing UTI and to identify associated factors responsible for mortality. Methods: :Prospective observational study was undertaken among elderly patients aged ≥ 60 years in a tertiary care hospital. 95 indoor patients from medicine wards having symptoms of UTI and urine culture showing significant gro...
Source: Journal of the Association of Physicians of India - Category: General Medicine Tags: J Assoc Physicians India Source Type: research
DiscussionEducation did not convey differential survival advantages to individuals with higher genetic risk of AD, but may reduce hospitalization risk associated with AD genetic risk.
Source: Alzheimer's and Dementia: The Journal of the Alzheimer's Association - Category: Geriatrics Source Type: research
AbstractBackgroundOverdiagnosis and overtreatment of urinary tract infection (UTI) with antibiotics is a concern. In older adults, diagnosis of UTI using near-patient urine tests (reagent strip tests, dipsticks) is advised against because the age-related increase in asymptomatic bacteriuria can cause false-positive results. Instead, UTI diagnosis should be based on a full clinical assessment. Previous research lacks systematic information on urine dipstick use in hospitals. The aim of this study was to examine the use of urine dipstick tests and microbiology among older adult hospital admissions in relation to recommended ...
Source: Antimicrobial Resistance and Infection Control - Category: Infectious Diseases Source Type: research
Here are ten communications tips that can help Alzheimer's caregivers improve their daily life.Sometimes it helps to look at each situation from the perspective, or from out of the eyes of the person living with dementia.What's the Difference Between Alzheimer's and Dementiaby Alzheimer's Reading RoomSubscribe to the Alzheimer's Reading - This is a Free Service - Join NowDotty's Ten Tips for Communicating with a Person Living with DementiaYou know what makes me feel safe, secure, and happy?A smile.Did you ever consider this?When you get tense and uptight it makes me feel tense and uptight.Instead of getting all bent o...
Source: Alzheimer's Reading Room, The - Category: Neurology Tags: alzheimer's Alzheimer's Dementia alzheimer's stages alzheimers awareness alzheimers care alzheimers communication care of dementia patients dementia care health how to care memory loss Source Type: blogs
  Answer: No—unless you do it for more than a few months. After a few months, the upfront metabolic and weight benefits will begin to reverse and new health problems arise. We know this with confidence. I raise this question once again because more and more people are coming to me reporting problems. It may take months, even years, but the long-term consequences can be quite serious. Achieving ketosis by engaging in a very low-carbohydrate, high-fat lifestyle is—without a doubt—an effective means of losing weight, breaking insulin and leptin resistance, reversing type 2 diabetes and fatty liver, redu...
Source: Wheat Belly Blog - Category: Cardiology Authors: Tags: ketones bowel flora ketogenic ketotic undoctored wheat belly Source Type: blogs
ConclusionsWe have identified a number of discrete risk factors that are associated with a short- to medium-term risk of contralateral hip fracture that may be useful in screening for patients at risk and provide them with focused medical rehabilitation.
Source: European Journal of Orthopaedic Surgery and Traumatology - Category: Orthopaedics Source Type: research
More News: Dementia | Food and Drug Administration (FDA) | Health Management | Nurses | Nursing | Urinary Tract Infections | Warnings