Re: France removes state funding for dementia drugs

Source: BMJ Comments - Category: General Medicine Source Type: forums

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Conditions:   Dementia;   Alzheimer Disease;   Dementia, Vascular;   Lewy Body Disease;   Frontotemporal Lobar Degeneration;   Memory Disorders Intervention:   Behavioral: Navigated Care Sponsors:   University of California, San Francisco;   University of Nebraska;   National Institute on Aging (NIA);   Centers for Medicare and Medicaid Services Active, not recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Conclusions: PLWH with mood disorders were at increased risk of incident NCDs and multimorbidity, particularly metabolic syndrome. Focused prevention and treatment of NCDs may reduce the burden of multimorbidity in this high-risk group.
Source: JAIDS Journal of Acquired Immune Deficiency Syndromes - Category: Infectious Diseases Tags: Clinical Science Source Type: research
Early-onset dementia and Alzheimer ’s disease jumped 200% among commercially insured Americans between the ages of 30 and 64 over a recent five-year period, a new analysis of Blue Cross and Blue Shield health insurer claims shows.
Source: Forbes.com Healthcare News - Category: Pharmaceuticals Authors: Source Type: news
Objectives: Hearing impairment (HI) in midlife may increase the risk of dementia. However, epidemiological research on the association between HI and mild cognitive impairment (MCI) is very limited. Design: The present cross-sectional study investigated the relationship between HI and MCI using baseline data from the Aidai Cohort Study. Study subjects were 995 Japanese adults aged 36 to 84 years. We used the audiometric definition of HI adopted by the World Health Organization, which identifies the speech-frequency pure-tone average hearing thresholds at 0.5, 1, 2, and 4 kHz tones. HI was defined as present when pure-...
Source: Ear and Hearing - Category: Audiology Tags: Research Article Source Type: research
CONCLUSION: Only a small proportion of residents in LTCFs received hospice care. Further investigation of standardized assessment of terminal status is needed as accuracy of end-stage diagnosis continues to be challenging and criteria for hospice eligibility are narrow. Special attention should be paid to improve access to hospice care among residents with dementia or other progressive chronic diseases with severe and complex clinical needs. PMID: 32093589 [PubMed - as supplied by publisher]
Source: Journal of Palliative Care - Category: Palliative Care Tags: J Palliat Care Source Type: research
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.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
Psychotropic medications are often prescribed to manage behavioral and psychological symptoms of dementia (BPSD) in nursing home (NH) residents, although these medications may lack efficacy for BPSD and can have adverse effects. NHs can receive a deficiency of care citation for inappropriate psychotropic medication use (F-758 tag). To promote more effective dementia care, some states specify dementia-specific training requirements for NH nursing staff. The occurrence of F-758 citations related to care of residents with dementia was examined in relation to the presence of state-level dementia-specific in-service training re...
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
Many older adults do not plan for their LTSS needs. When older adults experience a health crisis (e.g. hospitalization, worsening dementia), family members must often react to the crisis. With PCORI funding, we developed PlanYourLifespan.org (PYL.org) as a national, free, publicly available website that enables older adults and families to understand future needs and plan for what they will need as they age. Different than end-of-life planning, PYL.org focuses on what LTSS people will need when they are in their 80 ’s, 90’s, and 100’s.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
Most behaviour assessment tools used in long-term care (LTC) involve retrospective reports. These assessments are prone to errors in recall and provide little opportunity to identify the context of behaviours. Furthermore, these assessments are often underused, prone to incomplete and inaccurate data collection, and the results can be difficult to analyze. To address these problems, we developed a Dementia Observations (DObs) mobile application for direct observation of behaviour symptoms. Direct observation of behaviour provides more detail about the frequency, duration, precipitants, and patterns.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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.
Source: Journal of the American Medical Directors Association - Category: Health Management Authors: Source Type: research
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