The PBAR Protocol: Antipsychotic Medication Reduction in the Nursing HomeAbstract Neuropsychiatric symptoms (NPS) occur in almost all persons living with dementia. Antipsychotic medications are often prescribed inappropriately for persons living with dementia who experience NPS. Adverse side effects of antipsychotic medications include falls, sedation, cognitive dysfunction, prol [...] 1786 326117 |
Relax into Yoga for Seniors: An Evidence-Informed Update for Enhancing Yoga Practice Benefits by Reducing Risk in a Uniquely Vulnerable Age GroupAbstract Teaching yoga to seniors is often considered an entry-level job for a yoga instructor since older adults are unlikely to attempt complicated, “advanced” postures. Unfortunately, this ill-informed attitude puts the most vulnerable students with the least-trained instructors who may unknowingly put th [...] 3212 138542 |
The Effect of the Human Plasma Molecule GHK-Cu on Stem Cell Actions and Expression of Relevant Genesby
Loren Pickart
and
Anna Margolina
Abstract 3189 105373 |
New Horizons in Alzheimer Research from Amyloid and Beyondby
Jeffrey T. Apter
and
Kaylee M. White
Abstract The Amyloid and Tau Hypothesis of Alzheimer’s disease once thought to be the key have shown marginal results but are bolstered by the recent revival of the Aducanumab study and some positive data on some anti-Tau drugs. It still behoves us to look at other mechanisms which include whole blood transf [...] 2118 69399 |
Association between Very Low Dietary Protein Intake and Subsequent Falls in Community-Dwelling Older Adults in the United Statesby
Marika Haritos Paul
,
Mary Beth Arensberg
,
Judy R. Simon
,
Satya S. Jonnalagadda
,
Suzette L. Pereira
,
Jamie S. Partridge
and
Joseph A. Rosenthal
Abstract Poor nutrition is linked to frailty and both poor nutrition and frailty are recognized risk factors for falls. This study examined the association between dietary protein intake and subsequent reported falls in community-dwelling older Americans with a history of falls. Other nutritional, functional [...] 1457 68828 |
Andropause: A Neglected Disease Entityby
Ayodeji Folorunsho Ajayi
,
Oluwole Tolulope David
,
Adelakun Ademola Ayodele
,
Ajayi Lydia Oluwatoyin
,
Oyowvi Mega Obukohwo
,
Oyedokun Precious
,
Akanbi Grace Bosede
,
Dare Sarah Nene
and
Adeniran Adebola Magret
Abstract This review aims to bring attention to the growing issue of andropause, a condition that affects men as they age. The literature was identified by searching the major bibliographic databases, including PubMed, Google Scholar, EBSCOhost, Web of Science, and CINAHL. Studies were included if they focus [...] 2743 68578 |
The Positive Power of Perception in Late Life: A Study on Subjective Aging and Health among Ethnic MinoritiesAbstract Background: The world’s aging population is growing and diversifying at an unprecedented rate. In preparation for this, the National Institutes of Health and the Centers for Disease Control and Prevention have issued calls to improve the overall health of older adults. A promising avenue of research [...] 1884 66184 |
The Opportunity for Quality Malnutrition Care to Improve Rural Health Outcomes and Health Equity for Older AmericansAbstract Older adults have a heightened risk of malnutrition that occurs with age. Many factors can increase their risk for malnutrition, including factors associated with disease, function, social and mental health, and hunger and food insecurity. Risk for malnutrition is also linked to disparities and may [...] 1260 58445 |
Double-Blind, Placebo-Controlled, Randomized Clinical Trial Demonstrates Telomerase Activator TA-65 Decreases Immunosenescent CD8+CD28- T Cells in Humansby
Gunasekaran Singaravelu
,
Calvin B Harley
,
Joseph M Raffaele
,
Pratheesh Sudhakaran Sudhakaran
and
Anitha Suram
Abstract TA-65 is a small molecule telomerase activator extracted from Astragalus species. A previous observational study suggested that TA-65 decreased the number of immunosenescent cells in healthy subjects. Here we examined the impact of TA-65 in a much larger randomized, double-blind, and placebo-control [...] 2753 49466 |
Which Physiological Swallowing Parameters Change with Healthy Aging?Abstract Research suggests there are age-related changes in swallowing that do not constitute impairment (“presbyphagia”). The goal of this study was to explore the influence of age on quantitative measures of healthy swallowing by controlling for the effects of sex and sip volume in order to det [...] 3760 49409 |
Aging, Informed Consent and Autonomy: Ethical Issues and Challenges Surrounding Research and Long-Term CareAbstract The history surrounding the notion of ‘informed consent’ is provided in the interest of setting a framework for the emergence of an ethics of aged care. Informed consent negligence is seen as a breach of duty involving potential litigation through the legal concept of ‘failure to warn’. Respect for [...] 3294 37933 |
Cell Senescence, Telomerase, and Senolytic TherapyAbstract The consensus that cell senescence plays a role in age-related disease has prompted a number of potential clinical interventions, including attempts to reset cell senescence and attempts to remove senescent cells from aging tissues. The latter approach, senolytic therapy, has attracted considerable [...] 2366 36755 |
Ageing: The Role of Ageismby
Sheri R. Levy
and
MaryBeth Apriceno
Abstract Worldwide, people are living longer but not necessarily experiencing optimal health since healthy ageing stems from a combination of biological, psychological, and social factors. The growing interdisciplinary literature on ageism from fields such as education, medicine, psychology, and social work [...] 4857 36532 |
Shedding Light on Manic Syndromes and Dementiaby
Gabriele Cipriani
,
Sabrina Danti
,
Cecilia Carlesi
,
Claudio Lucetti
,
Angelo Nuti
and
Mario Di Fiorino
Abstract Background: Mania in older adults is associated with a high rate of medical and neurological disease.
Objective: The goal of this review is to des [...] 2086 35893 |
Adoption of a Patient-Tailored Fall Prevention Program in Academic Health Systems: A Qualitative Study of Barriers and Facilitatorsby
Eileen J. Carter
,
Srijesa Khasnabish
,
Jason S. Adelman
,
Michael Bogaisky
,
Mary Ellen Lindros
,
Lois Alfieri
,
Maureen Scanlan
,
Ann Hurley
,
Megan Duckworth
,
Alexandra Shelley
,
Kenrick Cato
,
Shao P Yu
,
Dianne L Carroll
,
Emily Jackson
,
Stuart Lipsitz
,
David W Bates
and
Patricia C. Dykes
Abstract Falls represent a persistent and costly patient safety issue. Fall TIPS (Tailored Interventions for Patient Safety) is a patient-centered and clinical decision-supported, fall prevention program that has led to fewer falls and related injuries among hospitalized patients. We aimed to identify domina [...] 2995 34479 |
Intermittent Fasting and Brain Health: Efficacy and Potential Mechanisms of ActionAbstract Despite continuous efforts to combat neurodegenerative diseases, researchers have been unable to find an intervention that reverses degeneration and/or improves cognition in dementia or healthy aging. Therefore, it is considerably important to identify lifestyle factors that could potentially aid in [...] 2504 33191 |
Personalised Medicine for Dementia: Collaborative Research of Multimodal Non-pharmacological Treatment with the UK National Health Service (NHS)by
Garuth Chalfont
,
Jane Simpson
,
Sarah Davies
,
David Morris
,
Ruth Wilde
,
Leigh Willoughby
and
Christine Milligan
Abstract The dominant narrative around dementia argues that progression cannot be halted or reversed. However, evidence on multimodal non-pharmacological treatments formulated around a ‘personalised medicine’ approach challenges this view. This paper reviews the current evidence for dementia prevention utili [...] 2651 31389 |
Evaluation of the Prevalence of Screening for Dysphagia among Older People Admitted to Medical Services – An International SurveyAbstract Background: With the increasing age of the world population, the number of old and frail people is increasing. Respiratory disease is a common reason for hospital admission for older people. Aspiration of saliva, which is [...] 2378 29758 |
AI Literacy for an Ageing Workforce: Leveraging the Experience of Older Workersby
Krish Chetty
Abstract This study delves into the potential benefits of Artificial Intelligence (AI) literacy training for late-career-stage workers approaching retirement. These workers often possess extensive experience but may lack the necessary digital and AI skills. AI literacy training can empower them to leverage t [...] 5989 29094 |
Osteoporosis Etiology, Epidemiology, Diagnosis, Diet, and Treatment: A Narrative ReviewAbstract This narrative review aimed to select, gather, and present inclusive evidence about osteoporosis etiology, epidemiology, diagnosis, diet, and treatment. We searched PubMed and Google using these terms: osteoporosis AND etiology, osteoporosis AND epidemiology, &l [...] 3147 26436 |
Online Dating Profiles and Problems in Older Adults: A ReviewAbstract This narrative review is based on literature searches of PubMed and PsycINFO using the terms online dating in older adults. The papers that met inclusion criteria include content analyses of online dating profiles and interviews with online dating individuals. The issues that emerged from this liter [...] 2129 25551 |
Treatments and Management of Menopausal Symptoms: Current Status and Future Challengesby
Ciro Comparetto
and
Franco Borruto
Abstract In the United States (US), menopause occurs at an average age of 52. Menopausal symptoms tend to be maximal during the few years before and the year after menopause (during perimenopause), except for symptomatic vulvovaginal atrophy, which may worsen over time. Up to 20% of bone density loss occurs [...] 4260 25043 |
The Role of Fatigue in the Aging Swallow: A ReviewAbstract Fatigue is a term commonly used to describe patient performance and/or subjective experience in the evaluation and management of swallowing disorders (known as dysphagia). There is an association between fatigue and aging, as well as fatigue and many dysphagia-causing diseases/dis [...] 2694 24753 |
Telomerase and Cancer: A Complex Relationshipby
Michael Fossel
and
Kurt Whittemore
Abstract Telomere elongation is protective of genomic stability, whereas telomere shortening increases genomic instability and thereby increases cancer risk. Long telomeres lower the risk of clinical cancer, while short telomeres are part of a causal cascade of intracellular events that result in oncogenesis [...] 1830 24517 |
Sexual Orientation and Risk for Elder Abuse: Findings from the Canadian Longitudinal Study on AgingAbstract This study addresses knowledge gaps concerning prevalence and risk factors for elder abuse among sexual minority (SM) compared to heterosexual Canadians aged 65+. Data derive from the Canadian Longitudinal Study on Aging, a national cohort study. Outcome variables include self-reports of psychologic [...] 1571 22962 |
Elder Abuse Around the World: An International PerspectiveAbstract Elder abuse is a hidden epidemic, with millions of older adults experiencing physical, psychological, or financial harm each year. However, the true extent of the problem is unknown due to under-reporting and lack of reliable data. This paper aims to provide an international perspective [...] 1964 21985 |
A Review of Oral Health in Older Adults: Key to Improving Nutrition and Quality of Lifeby
Ezekiel Ijaopo
and
Ruth Ijaopo
Abstract With increased life expectancy coupled with falling birth rate, issues concerning population ageing have vital outcomes and effects for all aspects of human life particularly as it relates to older people’s health and health care. Among these issues are oral health diseases which present as major pu [...] 2469 21908 |
Behavioural and Complementary Interventions for Healthy Neurocognitive AgingAbstract Background: While the percent of persons 65 and older is expected to increase to 17% of the world’s population by 2050, this increase in longevity does not necessarily suggest a parallel increase in health status. While aging is an inevitable aspect of living, there are factors which can accelerate [...] 3605 21476 |
Examining the Effectiveness of Two Types of Forgiveness Intervention to Enhance Well-Being in Adults from Young to Older AdulthoodAbstract Background: Interventions that facilitate positive actions and attitudes seem to play an important role in enhancing psychological health. This study examines the effectiveness of two self-guided interventions with the aim to enhance adults’ well-being through the cultivation of forgiveness skills. [...] 2035 21312 |
Take a Seat for Yoga with Seniors: A Scoping Reviewby
Diana Veneri
and
Mary Gannotti
Abstract Chair yoga is a specific form of yoga practiced while seated on a chair, or standing using a chair for support; this adaptation allows those with impaired standing ability to practice safely. The purpose of this scoping review was to analyze the published literature regarding the use of chair/adapte [...] 1800 21039 |
The Safety of Oral Telomerase Activator in UV-Induced Skin Cancer with A Review of Telomerase in Aging and Skin CarcinogenesisAbstract The supplement telomerase activator TA-65 (purified from Astragalus membranaceus) has been shown to retard cellular senescence, boost the aging immune system, and retard age-related symptoms. Lengthened telomeres retard aging, but because cancers often maintain longevity by leng [...] 1331 20714 |
Dysphagia in the Elderly, A Tough Issue to SwallowAbstract Dysphagia in the geriatric population, age 65 or older, is increasingly common and a growing concern among healthcare providers. Not only can it critically impact quality of life, but it can also lead to clinically significant malnutrition, hospitalizations, increased length of stays, and has been s [...] 3622 20381 |
The Value Given and Presupposed in Person-Centred Dementia Careby
Stephen Ames
Abstract Thirty years ago, Tom Kitwood proposed a change in the care of people with dementia, from ‘warehousing’ to ‘person-centred care’. The change had noticeable benefits for those with dementia. Kitwood set out his presuppositions for this change. For example, Kitwood understood personhood as the standin [...] 2359 20290 |
Wisdom and Curiosity Among Older Learners: Elucidating Themes of Well-Being from Beautiful Questions in Older Adulthoodby
Craig A Talmage
and
Richard C Knopf
Abstract Background: Wisdom and curiosity require greater attention in the lifelong learning literature pertaining to older adulthood. Lifelong learning can assist older adults in amalgamating wisdom and pursuing their curiosities, but how wisdom is amalgamated and how curiosity is pursued in older adulthood [...] 2271 20272 |
Overview of Practical Applications of Healthcare Ethics for Older Adultsby
Maggi A Budd
and
Michelle E Mlinac
Abstract Identifying and addressing ethical issues in the care of older adults can be complex and challenging in clinical settings. This article reviews specific ethical principles including autonomy, beneficence, non-maleficence, dignity, and justice, and explores them in the context of interprofessional ge [...] 2823 20222 |
Naming and Framing the Behavioural and Psychological Symptoms of Dementia (BPSD) Paradigm: Professional Stakeholder PerspectivesAbstract Background: Behavioural and Psychological Symptoms of Dementia and Challenging Behaviour in dementia are just two of a variety of terms for a complex paradigm that covers the most distressing and costly aspects of the condi [...] 2446 19777 |
Dysphagia in Inclusion Body Myositis, A Disease of the Elderlyby
Namita A. Goyal
and
Tahseen Mozaffar
Abstract Inclusion body myositis is one of the most common acquired myopathies seen in the aging population. The muscle weakness is of insidious onset, frequently starting in the legs, but over time gradually progresses to eventually involve all skeletal muscles of the limbs, face, swallowing and respiratory [...] 2438 19507 |
Kampo Medicine for Older People: A ReviewAbstract Several countries have entered the super-aging era. In Japan, the recently reported average life expectancy is approximately 90 years. Kampo medicine (a form of traditional Japanese medicine) is a part of the official medical service in Japan and is widely used for treating various illnesses of olde [...] 1840 19303 |
Polymyalgia Rheumatica, an Age-Related Rheumatic Diseaseby
Zsuzsanna M. Schmidt
and
Gyula Poor
Abstract Polymyalgia rheumatica (PMR) is an age-related chronic inflammatory disease with rheumatic features at the fore. In addition to the high-grade systemic inflammation, it is characterized by typical "polymyalgic" musculoskeletal symptoms, including diffuse and severe pain and prolonged morni [...] 1578 19149 |
Using a Rocking Chair in the Care of People with Dementia: A Single-Case Research StudyAbstract The people with dementia experience a progressive loss of cognition, while more than 90% of them develop behavioral and psychological symptoms of dementia (BPSD). BPSD may result in physical injuries and psychological distress among people with dementia and their family/caregivers. First-line care s [...] 2589 18466 |
Rheumatic Diseases in the Elderlyby
Chiara Castellani
,
Emanuele Molteni
,
Serena Colafrancesco
,
Fabrizio Conti
,
Roberta Priori
and
Rossana Scrivo
Abstract Musculoskeletal conditions represent one-third to more than one-half of all non-communicable disease multimorbidities in the elderly, worsening their disability because of pain and limited physical function, often concurring with their mental decline. Musculoskeletal conditions significantly contrib [...] 2457 18386 |
Omega-3 Long-Chain Polyunsaturated Fatty Acids in the Elderly: A ReviewAbstract The omega-3 long-chain polyunsaturated fatty acids (omega-3 LC-PUFAs) family includes eicosapentaenoic acid (EPA), docosahexaenoic acid (DHA), and docosapentaenoic acid (DPA). Although seafood is the richest source of omega-3 LC-PUFAs, because diet alone is often insufficient in older pe [...] 1894 18234 |
Role of Artificial Intelligence (AI) Art in Care of Ageing Society: Focus on DementiaAbstract Background: Art enhances both physical and mental health wellbeing. The health benefits include reduction in blood pressure, heart rate, pain perception and briefer inpatient stays, as well as improvement of communication skills and self-esteem. In a [...] 2329 18065 |
Dysphagia in the Older Age SettingAbstract Dysphagia, or difficulty swallowing, is a common condition, especially among the elderly population and can become debilitating. As we age, there are subtle changes in esophageal motility, but by no means is dysphagia ever considered to be a normal result of aging. Dysphagia usually pres [...] 1970 17990 |
Admiral Nurse Case Management: A Model of Caregiver Support for Families Affected by DementiaAbstract There has been a strong thrust to identify the needs of people with dementia against a background of person-centred care, however, people with dementia do not exist in isolation; they live within relational contexts with family members. Case management is a model of care that has its origins in supp [...] 2336 17752 |
Biological Age versus Chronological Age in the Prevention of Age Associated Diseasesby
Gian Andrea Rollandi
,
Aldo Chiesa
,
Nicoletta Sacchi
,
Mauro Castagnetta
,
Matteo Puntoni
,
Adriana Amaro
,
Barbara Banelli
and
Ulrich Pfeffer
Abstract Aging is associated with an increased incidence of major diseases, including cancer, cardiovascular, neurodegenerative, metabolic and autoimmune diseases. Primary prevention and early diagnosis of these diseases have a dramatic impact on incidence, outcome, quality of life and are commonly applied a [...] 2567 17636 |
Successful Aging and Positive Psychology: Two Empirically Related PerspectivesAbstract Background: In the last two decades, successful aging (SA) and positive psychology (PP), the two paradigms of health have received great attention. They originate from different approaches, theoretical background, and obj [...] 2458 17474 |
Dysphagia and Oral Health in Older PeopleAbstract Dysphagia is a term that is used for the difficulty in moving liquid/food from mouth to the stomach. Dysphagia is very common in elders, which makes them susceptible to malnutrition, infection, institutionalization, and death. Consequently, it is categorized as a geriatric syndrome. Therefore, multi [...] 2178 17187 |
The Impact of Climate Change on Older Adults’ Mental Health: A Primer for CliniciansAbstract Climate change is a major public health emergency. Natural disasters (earthquakes, floods, hurricanes, tornadoes, tsunamis, landslides, wildfires, and volcanic eruptions) have been increasing in frequency and severity and can cause lasting psychological sequelae. Older adults are highly vulnerable t [...] 2440 17168 |
New Holistic Enrichment Program Utilizing Maslow’s Hierarchy of Needs Designed for Institutionalized Residential Care Facilitiesby
Chrisann Fahy
and
Lisa Hollis-Sawyer
Abstract Background: The growing aging population requires care support resources which engage older adults in many different aspects of human functioning and experiences [1]. The purpose of this applied research project was to develop, and pilot test a holistic enrichment program manual used with Institutio [...] 2469 17051 |
Key Dimensions of Therapeutic Lies in Dementia Care: A New TaxonomyAbstract Background: Research suggests that the use of lies and deception is prevalent within dementia care settings, despite ongoing debates raised about the ethics of this approach. There has been increasing exploration of when and why deceptive practices should be used, but the lack of clarity as to what [...] 2185 17000 |
Does Dementia Increase the Risk of Dental Decay?Abstract The amount of patients who suffer with dementia is set to rise with an ageing population. As well as living longer, patients will be retaining their natural teeth into their later life and will be less reliant on dentures. From both the current evidence available in the literature, and anecdotally f [...] 1872 16952 |
Aging and the Art of Happiness: Time Effects of A Positive Psychology Program with Older Adultsby
Elizabeth Orsega-Smith
,
Stephen Goodwin
,
Melissa Ziegler
,
Katie Greenawalt
,
Jennie Turner
and
Erica Rathie
Abstract Background: Research has shown that positive psychology interventions can enhance subjective well-being and reduce depression. However, the efficacy of these programs with older adult populations has been minimally studied. The present study studied the short and long term impact of an intervention [...] 2193 16665 |
OBM Geriatrics—An International Open Access Journal for 21st Century Geriatrics MedicineAbstract Geriatrics, and much of clinical medicine, is on the verge of a profound transformational shift. Until now, there has been a sharp conceptual divide between diseases which can be readily and effectively treated, and diseases which we have thought to be beyond clinical intervention. In the first dise [...] 1554 16461 |
Behaviors of Persons with Dementia: A Review and New Perspective for Future ResearchAbstract Through the assessment of previous and current literature on the behaviors experienced by persons with dementia, this review discusses the terminology, conceptual models, measurement techniques, and non-pharmacological interventions employed within behavioral research. Additionally, this review cons [...] 1893 16224 |
Spousal Dementia Grief: A Research Report from the Two-Track Model of Dementia Grief Projectby
Alexander Manevich
,
Simon Shimshon Rubin
,
Rachel Ben-Hayun
,
Judith Aharon-Peretz
and
Michael Katz
Abstract Caregiving for a loved one suffering from cognitive decline involves coping with many challenges and losses. This experience increases the risk of worsening the physical and mental health of the caregiver and has been the subject of a substantial number of studies focusing on the stress and burden o [...] 1927 16162 |
Cognitive and Physical Indicators of Gait Speed in the Community-dwelling Older AdultAbstract Gait speed has been correlated to quality of life and has been called the sixth vital sign. The purpose of this study was to understand the factors that comprise fast and comfortable gait speed. 90 older adults provided demographic, cognitive, and functional performance data. Hierarchical linear reg [...] 1492 16039 |
A Delirium Monitoring Program for Hospitalized Older Adults: An Approach to Age-Friendly Health SystemsAbstract Delirium is an acute change in mental status with key features of inattention and disorganized thinking. It is particularly common in older adults, with multiple and varied causes. Delirium increases the risk of morbidity, mortality, institutionalization, and healthcare costs; however, it is often m [...] 2272 15929 |
Diagnosis and Therapy of Atrial Fibrillation in Geriatric Patientsby
Giuseppe Cocco
and
Philipp R. Amiet
Abstract Atrial fibrillation is very common in most old patients who need an adapted therapy due to their comorbidities. Before initiating an antiarrhythmic therapy, possible adverse effects, especially iatrogenic proarrhythmia, and extracardiac side-effects, must be considered. In geriatric pati [...] 1693 15547 |
Regulation of Membrane Phospholipid Homeostasis in Neurodegenerative Diseasesby
XinRan Quan
and
Marica Bakovic
Abstract Neurodegenerative diseases (NDs) are a diverse group of neuropathological diseases that are currently incurable due to the irreversible neuronal loss. At the present rate of the world population growth, it is projected that the number of ND cases will double by the year of 2050. With tre [...] 2316 15218 |
Neuroimaging in Dementiaby
Kevin T Ong
Abstract Amyloid positron emission tomography (PET), fluorodeoxyglucose (FDG) PET, and magnetic resonance imaging (MRI) are three modalities in the imaging of Alzheimer’s disease (AD). This article reviews the experience and data obtained from AD research using these techniques to understand the natural hist [...] 2138 15215 |
An Examination of How the ‘Household Model' of Care Can Contribute to Positive Ageing for Residents in the ‘Fourth Age’Abstract Background: Promoting a good quality of life for the oldest members of society has become a top priority as evidenced in UK policy. The ‘household’ model is a departure from traditional approaches to care provision since it offers person-centred support - combing health and social care - to older pe [...] 2325 15152 |
Spotlight on Older Adults in Swallowing ResearchAbstract Generalisations and misconceptions about ageing and swallowing can influence clinical opinion. Assumptions about swallowing function based on someone’s age risk overmedicalising or, conversely, undertreating older patients. Evidence suggests that increased prevalence of swallowing problems in older [...] 2175 15089 |
Admiral Nursing in Primary Care: Peri and Post-Diagnostic Support for Families Affected by Dementia within the UK Primary Care Network ModelAbstract The population of the United Kingdom is ageing. In 2017 approximately 18% of the UK population were aged 65 years or over and projected to grow to almost 21% by 2027 according to the Office of National Statistics. Increased age is the greatest risk factor for developing dementia. It is estimated tha [...] 1847 14949 |
Behavioral versus Biological Definitions of Dementia Symptoms: Recognizing that Worthwhile Interventions already ExistAbstract 3332 14819 |
Engagement and Utilization of Advance Care Planning and Hospice in Different Older Asian American PopulationsAbstract This research review sought to examine the patterns of engagement in advance care planning (ACP) and utilization of end-of-life (EoL) care treatment services including, but not limited to hospice care, in distinct older Asian American ethnic groups. The review of existing research suggested evidence [...] 2086 14762 |
Impact of Osteophytectomy on Swallowing Function in a Patient with Chronic DysphagiaAbstract Anterior cervical osteophytes are common in the geriatric population. Dysphagia can occur in individuals suffering from these spinal abnormalities. Surgical intervention is an uncommon course of treatment for these patients, but is often utilized as a last resort with the hope of swallow [...] 1755 14548 |
GAPcare: The Geriatric Acute and Post-Acute Fall Prevention Intervention for Emergency Department Patients – A Qualitative EvaluationAbstract Background: Three million US emergency department (ED) visits occur for falls each year. The mortality of falls is increasing and only one fourth of older adults report their fall to their primary care provider, suggesting [...] 3208 14508 |
Management of Neuropsychiatric Symptoms of Dementia: A Comprehensive Review of the Current LiteratureAbstract Background: Dementia is a progressive and debilitating condition that affects millions of patients in the United States with an enormous impact on healthcare costs, caregivers, and society. Patients with dementia often expe [...] 1891 14374 |
A Call to Arms for the Aged Care Sector: A Spotlight on Systematic Abuse and Neglect of Older Disabled PersonsAbstract With rapidly aging populations worldwide there will be an increasing need to focus attention on the expected increase in disability with advancing age. Drawing upon established literature this paper aims to highlight the contribution of anthropology including selected research findings and contempor [...] 2053 14310 |
The CITIDEMAGE Study: Combined Treatment with a Cholinergic Precursor in Dementia Patientsby
Pietro Gareri
,
Antonino Maria Cotroneo
,
Giuseppe Orsitto
,
Nicola Veronese
and
Salvatore Putignano
Abstract Certain previous studies have demonstrated the benefits of the addition of citicoline, a cholinergic precursor, to acetylcholinesterase inhibitors (AchEIs) or memantine in patients with Alzheimer's disease (AD). The present study showed the effectiveness of oral citicoline plus AchEIs plus memantine [...] 2116 14286 |
Bridging Biomedical and Person-centered Care Approaches via Namaste Care with Family Participation: An Asian Experience in Advanced Dementia Treatmentby
Noorhazlina Ali
,
Cai Ning Tan
,
Jasmine Kang
,
Aik Phon Chew
,
Caroline Caroline
,
Mary Lee
and
Wee Shiong Lim
Abstract A locally-adapted, multisensory, psychosocial intervention called Namaste Care program was developed to improve the daily life of persons with advanced dementia (PwAD) through arranging meaningful activities and physical interactions by healthcare staff (Namaste Carers). Congruent with Asian values, [...] 2320 14162 |
Effects of Enriched Thematic Multi-Sensory Stimulation on BPSD in A Beach Room: A Pilot Study among Nursing-Home Residents with Dementiaby
Renate Verkaik
,
Iris van der Heide
,
Eugenie van Eerden
,
Peter Spreeuwenberg
,
Erik Scherder
and
Anneke L. Francke
Abstract Background: Studies conducted on the effectiveness of psychosocial interventions have indicated that sensory stimulation represents a promising approach to reduce the psychological and behavioral disturbances in people wi [...] 2526 14140 |
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Open Access Short Communication Evolution of Psychosomatic Diagnosis: From Masked Depression to Somatic Symptoms and Related DisordersAbstract This paper discusses the history and the concept of somatization from masked depression to somatic symptoms and related disorders in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Evaluating the evolution of these terms and concepts along the time course is very interesting. DSM 5 [...] 2080 14102 |
The Effects of Loneliness on the Aged: A Reviewby
Ami Rokach
Abstract Social support has been shown to have many positive effects on our lives, health, and ability to grow and flourish. Lack, or diminished social support results in loneliness. This thematic review focuses on the elderly, and the loneliness that is part of the life of many of them. The revi [...] 1636 14031 |
Exploring Older Adults' Perceptions of Stair Hazards and an m-health Fall Prevention App: A Focus Group StudyAbstract Older adults are disproportionately susceptible to hospitalizations and fatalities due to stair-related falls. While many intrinsic risk factors, such as mobility and vision, may increase the likelihood of falls on stairs, features of the stairs that increase the risk of falls are understudied. This [...] 1323 14018 |
Estimating Potential Cost Containment through Provision of Unplanned Institutional Respite Services to Support Home-Based Care within Japan’s Long-Term Care Insurance SystemAbstract Background: Many informal caregivers providing at-home care to older family members want to continue serving as the primary caregiver if they get sufficient support. A key service enabling continued at-home care is access to unplanned respite care fa [...] 1714 13885 |
Improving the HealthCare of People with Dementia beyond the Diagnosis: The “Carlo Poma Dementia Care Pathway” Study Protocolby
Vincenza Frisardi
,
Sara Faroni
,
Angela Bellani
,
Felice Biagi
,
Emanuela Galante
,
Alida Balzanelli
,
Erika Talassi
,
Lorella Frittoli
,
Giancarla Capiluppi
,
Claudia D'angelis
,
Antonella Taragnani
,
Donatella Terzi
,
Elena Podavini
,
Graziana Gazzoni
,
Graziana Simoncelli
,
Carmine Matarazzo
,
Mirko Avesani
,
Antonio Ventura
,
Consuelo Basili
,
Maurizio Galavotti
,
Carlo Maria Stucchi
,
Maria Cristina Cilia
and
Alfonso ciccone
Abstract The WHO global action plan on the public health response to dementia 2017-2025 stressed the need to have a comprehensive approach with deep interconnections and cross-cutting elements through several action areas. As the elderly population grows worldwide, the number of patients with dementia increa [...] 1623 13833 |
Research Recommendations to Address Dementia Workforce Development Needsby
Joan Weiss
,
Nina Tumosa
,
Robert Espinoza
,
Elizabeth Bragg
,
Jennifer Craft Morgan
,
Jason D. Flatt
,
Eleanor S. McConnell
and
Grace Whiting
Abstract This policy paper presents workforce development recommendations for research, clinical care and public stakeholders as they plan future research activities to strengthen the workforce to support the healthcare and social needs of persons living with dementia and their families and caregivers. To cr [...] 2032 13766 |
An Overview of Osteoporosis ManagementAbstract Osteoporosis is one of the most common disorders around the world. Osteoporotic fracture especially hip fracture are associated with an increased mortality rate in elders. However, elders with osteoporosis or at high risk of fractures remain largely underdiagnosed and undertreated. The s [...] 1646 13706 |
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Surgical Treatment of Zenker’s Diverticulum in Older PatientsAbstract Zenker’s diverticulum is a cause of benign dysphagia. The main symptoms include dysphagia and regurgitation and require diagnostics to exclude neoplastic disease. Surgical treatment is recommended for symptomatic patients. The methods of treatment include endoscopic and open transcervica [...] 1565 13463 |
Heart Failure in Elderly People: From Pathophysiology to Diagnosis and Managementby
Elisa Martinelli
,
Angelo Di Stefano
,
Pietro Gareri
,
Pasqualina Sapone
,
Rosaria Carlucci
,
Massimo Brandino
,
Ettore Maina
,
Sara Piscioneri
,
Giada Cagnoli
and
Antonino Maria Cotroneo
Abstract As the older population increases, there is an increase in age-related chronic diseases, especially heart failure. It affects 25% of over 75-year-old outpatients and represents the leading cause of hospitalization and death in older people. This review aimed to point out the main charact [...] 1471 13438 |
Association between Oral Frailty and Geriatric ConditionsAbstract In Japan, the amount of aged hospitalized patients has been steadily increasing. Elderly people are susceptible to poor health, and the rise of elderly patients increases medical care expenses, which can cause economic strain. Therefore, it is clinically and socially important to reduce the occurren [...] 2434 13402 |
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The “PRIMING, TIMING, MIMING” Model of Individualized Behavioural Care Planning for Residents with DementiaAbstract The current paper introduces the “Priming/Timing/Miming” Model of Behavioural Care Planning for persons with Dementia. This simple heuristic provides a quick, easy and systematic way to select from the vast number of behavioural strategies offered in the BPSD literature and to organize these in a wa [...] 1745 13374 |
Dysphagia Aortica: A Case Report and Review of Treatment OptionsAbstract A 64-year-old, cachectic man with body mass index (BMI) <19 visited in clinic with the chief complaint of dysphagia for 6 months. He reported a 2-year history of reflux and heartburn, for which he has been taking pantoprazole but reported only 40% relief of reflux symptoms. He reported progressiv [...] 1546 13333 |
The Relationship between Caregiver Stress and Behavioural Changes in Dementiaby
Lindy A. Kilik
and
Robert W. Hopkins
Abstract Background: Clinical studies have shown that caregivers of dementia patients often experience a great deal of stress related to caregiving. This paper examines caregiver stress within the context of behaviour change in dementia using the Kingston Car [...] 2299 13282 |
Pharmacological Management of Spontaneous Intracerebral Hemorrhage in Older AdultsAbstract Pharmacological management of intracerebral hemorrhage in adult patients over 65 years of age requires special considerations due to differing clinical presentations, underlying organ dysfunction, and more complex medical histories and medication profiles. A literature review of articles focusing on [...] 1651 13264 |
A Model for Understanding Hispanic/Latino Family Caregiving for Older Adultsby
Hsueh-Fen S. Kao
and
Maria A. Amaya
Abstract Background: In 2016, Hispanic/Latino (H/L) Americans made up 8% of the older population (≥65) and 22.9% of the oldest population (≥85) in the United States. It is projected that the older H/L population will grow to 21% by 2060. Currently the older H/L population depends primarily on their families [...] 1720 13230 |
Bone Health in the Elderly with Type 2 Diabetes Mellitus–A Systematic Reviewby
Zheer Al-Mashhadi
,
Rikke Viggers
,
Rasmus Fuglsang-Nielsen
,
Bente Langdahl
,
Peter Vestergaard
,
Søren Gregersen
and
Jakob Starup-Linde
Abstract Type 2 diabetes mellitus (T2DM) and osteoporosis are two major public health concerns worldwide, contributing to morbidity and mortality in the elderly. Aging is one of the most significant risk factors for low bone mass, bone fragility, and fractures. Among the several comorbidities that affect the [...] 1859 13162 |
Implementation of a Geriatric Patient-Centered Medical Home: the Geriatric Patient – Aligned Care Team (GeriPACT)by
James S. Powers
,
Michelle Moseley
,
Lovely Abraham
,
Jennifer Buckner
,
Nkechi Azubike
and
Catherine Xie
Abstract Background: A Veterans Health Administration (VHA) patient centered medical home, the Geriatric Patient- Aligned Care Team (GeriPACT). Methods: Plan-Do-Study-Act (PDSA) cycles regarding strategy, resource development, patient and caregiver experience of care, and clinical care pro [...] 2145 13082 |
Physical Activity’s Impact on Quality of Life in Older Adults with Dementia: A Systematic ReviewAbstract Individuals with dementia frequently report poor quality of life (QOL), which declines as their disease progresses. Some evidence suggests that physical activity may help maintain cognitive function in older age, but it is unclear whether physical activity affects quality of life in older adults wit [...] 1581 13049 |
Association of Telomere Length, a Cellular Aging Marker, with Depression, PTSD and HostilityAbstract Depression, PTSD, and hostility are common mental conditions that are associated with aging. A growing body of research has highlighted the possible effects of depression, PTSD, and hostility on aging and telomere length (TL), a cellular aging marker. Individuals who exhibit excessive responses to s [...] 2168 12981 |
Views of Conventional Medicine and Integrative Medicine among Informal Dementia Caregivers and Healthcare Professionals in NW EnglandAbstract The urgent need for innovative approaches to dementia treatment that are acceptable, effective and affordable underlies this research. Growing evidence supports ‘integrative medicine’ as a potential treatment approach aligned with and including conventional medicine. However, success will depend on [...] 1631 12947 |
Living in an Age of Longevity: Enduring Insights and Perspectives for Embarking on a Quest for Health and Well-Being in Later LifeAbstract While increases in life expectancy along with extended longevity can be seen as a success story, there remains the central issue surrounding the health and quality of life for increasing numbers of older people. As populations live longer the idea that older people should be empowered to [...] 1682 12902 |
Admiral Nurse Case Management within Enhanced Health in Care HomesAbstract The United Kingdom’s (UK) older population is higher than the global average. Over the next 20 years, England will see an increase in the number of older people who have higher levels of dependency, dementia, and comorbidity many of whom may require 24-hour care. Currently It is estimated that 70% o [...] 1866 12808 |
Design Guidelines to Reduce Extrinsic Fall Risks in the Built EnvironmentAbstract As people age, environments supporting changing needs can potentially impact their quality of life. Aging often leads to a decrease in the ability of people to interpret sensory cues within their environment. Using Pastalan's Empathic Model as a framework, a list of guidelines for the physical envir [...] 1657 12800 |
The Positive Effect of Long-Term Repetitive Transcranial Magnetic Stimulation Therapy for Mild Cognitive Impairment: Three Case Studiesby
Florence Durand
,
Noomane Bouaziz
,
Sonia Braha-Zeitoun
,
Clémence Isaac
,
Palmyre Schenin-King Andrian
and
Dominique Januel
Abstract Background: Mild Cognitive Impairment [MCI] is a transition stage between normal aging and dementia. It seems to be useful to treat MCI before the onset of early dementia, though no pharmacological treatment is recommended [1]. These case studies aimed to assess the efficacy of long-term repetitive [...] 1854 12768 |
Ageing, Comorbidity and Frailty-Synergistic Risk Factors for Covid-19 Adverse OutcomesAbstract With life-expectancy rising globally, the prevalence of ageing, comorbidity and frailty is likely to increase especially in the low and middle income countries. The emergence of the new COVID-19 pandemic has been concentrated in this group of patients and has led to worse outcomes compared to younge [...] 2029 12686 |
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