How decline in memory, gait speed are associated with dementia risk
(JAMA Network) The risk of dementia in adults 60 and older who experience declines in both memory and gait speed was compared with adults who experience no decline or decline in either memory or gait speed only in this observational meta-analysis that included six studies with about 8,700 participants from the US and Europe.
This article explores live discharge from hospice for caregivers of adults with dementia through a theoretical lens of Symbolic Interactionism (SI) and Attachment Theory (AT). The theories of SI and AT support and assist in understanding the experience of caregivers who lose hospice support due to ineligibility. In addition, caregivers watch the gradual deterioration and psychological loss of someone with dementia while they remain alive described as an ambiguous loss. Ambiguous loss as a subset of traditional bereavement theories provides a framework for this exploration and provides a relevant illustration of the complex...
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Conclusions: The results of this study suggest a difference in perspective between the more optimistic view of persons with dementia and their informal caregivers and the more critical view of physiotherapy experts regarding the most important factors that influence PA participation. In addition, there was a strong focus on the individual characteristics that influence PA behavior that warrant personalized interventions to promote PA in persons with dementia.
Heart failure, ischemic heart disease, stroke may contribute to link between air pollution and dementia
Mrs. S is an 85-year-old woman who moved into the nursing home five years ago when her husband could no longer provide care for her due to her progressive weakness and failure to thrive. She has a history of Barrett ’s esophagus and significant reflux and subsequent dysphagia, a long history of depression, allergic rhinitis, dementia with a Brief Interview for Mental Status (BIMS) score of 12, basal cell carcinoma, insomnia, iron deficiency anemia, and a pneumonitis due to aspiration. She is oxygen dependent.
Hospitals can be dangerous places for older adults. One of these dangers is inappropriate medications — the most common of which is proton pump inhibitors (PPIs). Patients who are discharged taking a PPI often continue to receive it after their admission to a skilled nursing facility. But care needs to be taken: if the PPI is inappropriate, it must be discontinued. As this article highlights, PPIs have many risks to be considered when assessing their continued use with long-term care patients.
To examine the potential association of atrial fibrillation (AF) to syncope and falls, we undertook a systematic review and meta-analysis given the increasing prevalence of AF in older adults as well as emerging data that it is a risk factor for dementia.
Conclusion: 18F-FDG PET, amyloid PET, and nonimaging variables represent complementary predictors of conversion from MCI to AD. Especially in combination, they enable an accurate stratification of patients according to their conversion risks, which is of great interest for patient care and clinical trials.
Publication date: Available online 30 March 2020Source: Aggression and Violent BehaviorAuthor(s): Meghan C. Gilmore, Lisa Stebbins, Soledad Argüelles-Borge, Brizel Trinidad, Charles J. Golden
Grants to support dementia-capable home and community-based services in tribal communities that help individuals living with dementia and their caregivers remain independent and safe. Geographic coverage: Nationwide -- Administration for Community Living, U.S. Department of Health and Human Services