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

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ConclusionIn a large group of older persons with dementia resident in nursing homes, a low daily consumption of caffeine was associated with greater behavioral symptoms.
Source: The Journal of Nutrition, Health and Aging - Category: Nutrition Source Type: research
Falls have serious consequences for seniors, especially those who live alone. Medical alert devices can notify emergency services, but they are not always worn. In addition, they do not address fall prevention by encouraging active lifestyles and phy...
Source: Medgadget - Category: Medical Devices Authors: Tags: Exclusive Geriatrics Rehab Telemedicine Source Type: blogs
Abstract Among adults ages 65 and older, dementia doubles the risk of hospitalization. Roughly one in four hospitalized patients has dementia, and the prevalence of dementia in the United States is rising rapidly. Patients with dementia have significantly higher rates of hospital-acquired complications, including urinary tract infections, pressure injuries, pneumonia, and delirium, which when unrecognized and untreated can accelerate physical and cognitive decline, precipitating nursing home placement and death. The authors discuss the unique needs of patients with dementia who require acute care, highlighting evi...
Source: The American Journal of Nursing - Category: Nursing Authors: Tags: Am J Nurs Source Type: research
ABSTRACT: Among adults ages 65 and older, dementia doubles the risk of hospitalization. Roughly one in four hospitalized patients has dementia, and the prevalence of dementia in the United States is rising rapidly. Patients with dementia have significantly higher rates of hospital-acquired complications, including urinary tract infections, pressure injuries, pneumonia, and delirium, which when unrecognized and untreated can accelerate physical and cognitive decline, precipitating nursing home placement and death. The authors discuss the unique needs of patients with dementia who require acute care, highlighting evidence-...
Source: AJN - Category: Nursing Tags: Feature Articles Source Type: research
CONCLUSION: Findings highlight opportunities for earlier diagnosis of dementia in hospital, through more targeted screening and follow-up of suspected cases with comprehensive geriatric assessment prior to discharge. This may result in a definitive diagnosis on discharge, allowing for better coordination of ongoing management to prevent unnecessary readmissions. PMID: 31976628 [PubMed - as supplied by publisher]
Source: Australasian Journal on Ageing - Category: Geriatrics Authors: Tags: Australas J Ageing Source Type: research
ConclusionsQREC infection was associated with nineteen risk factors including prior quinolones use, hospitalization, and several comorbidities. Reducing exposure to these risk factors and modification of antibiotic use are important to prevent quinolone resistance.
Source: Antimicrobial Resistance and Infection Control - Category: Infectious Diseases Source Type: research
CONCLUSIONS: Brexpiprazole 2 mg/day has the potential to be efficacious, safe, and well tolerated in the treatment of AAD. PMID: 31708380 [PubMed - as supplied by publisher]
Source: The American Journal of Geriatric Psychiatry - Category: Psychiatry Tags: Am J Geriatr Psychiatry Source Type: research
This report presents the rationale and methodology of TRAIN-AD (Trial to reduce antimicrobial use in nursing home residents with Alzheimer ’s disease and other dementias), a parallel group, cluster RCT evaluating a multicomponent intervention to improve infection management for suspected urinary tract infections (UTIs) and lower respiratory tract infections (LRIs) among NH residents with advanced dementia. TRAIN-AD is being conducted in 28 facilities in the Boston, USA, area randomized in waves using minimization to achieve a balance on key characteristics (N = 14 facilities/arm). The involvement of the...
Source: Trials - Category: Research Source Type: clinical trials
ConclusionThe results will inform health care professionals on whether a reduced number of hospitalisations increases life expectancy and may result in relieving some of the financial strain currently being experienced by the National Health Service.
Source: Age and Ageing - Category: Geriatrics Source Type: research
ConclusionThe evidence reinforces caution when prescribing antipsychotic medications for people with dementia; these medications should only be considered when symptoms are severe or non-pharmacological interventions have failed. Clinicians should closely monitor people with dementia who are prescribed an antipsychotic for side effects, limiting use of these medications to short-term treatment if possible. The forthcoming national clinical guideline for appropriate prescribing of psychotropic medications for non-cognitive symptoms will support clinical decision-making in this regard.
Source: Age and Ageing - Category: Geriatrics Source Type: research
More News: Dementia | Food and Drug Administration (FDA) | Health Management | Nurses | Nursing | Urinary Tract Infections | Warnings