Article
Geriatrics & Gerontology
Meghan Hendricksen, Susan L. Mitchell, Ruth Palan Lopez, Kathleen M. Mazor, Ellen P. McCarthy
Summary: This study aims to identify the facility factors associated with nursing homes providing high-intensity care to residents with advanced dementia and determine whether these factors differ within and across hospital referral regions. The study found that in high-intensity regions, high-intensity nursing homes were more likely to be urban, lack a dementia unit, have a nurse practitioner or physician on staff, and have a higher proportion of certain characteristics among residents. In low-intensity regions, a higher proportion of Black residents was the only associated characteristic with high-intensity nursing homes.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Oncology
Amandine Bertrand, Veronique Veyet, Florence Goy, Marie Cervos, Matthias Schell
Summary: The study found that home nurses play a crucial role in pediatric palliative care, with most of them having reservations about accepting these duties but also showing significant personal involvement in the cases. Key influencing factors include the availability and proactiveness of the HCU team, as well as communication and planning with the families.
SUPPORTIVE CARE IN CANCER
(2022)
Article
Geriatrics & Gerontology
Meghan Hendricksen, Daniel Habtemariam, Erika M. C. D'Agata, Susan L. Mitchell
Summary: Around 13.7% of nursing home residents with advanced dementia received antimicrobials in the 2 months prior to the study. Facility-level characteristics, such as having a full time nurse practitioner/physician assistant and fewer existing infectious disease practices, were significantly associated with antimicrobial use, while resident characteristics were not independently associated.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Nursing
Angela M. H. J. Mengelers, Vincent R. A. Moermans, Michel H. C. Bleijlevens, Hilde Verbeek, Elizabeth Capezuti, Frans Tan, Koen Milisen, Jan P. H. Hamers
Summary: This study aimed to investigate the demand, use, and associated factors of involuntary treatment in people with dementia (PwD) receiving professional home care in the Netherlands and Belgium. The findings revealed that more than half of the PwD living at home received involuntary treatment, including nonconsensual care, psychotropic medication, and physical restraints. The use of involuntary treatment was influenced by living status, ADL dependency, cognitive ability, caregiver burden, and the country where home care was received. The study highlights the need for further research on variations in prevalence and the prevention of involuntary treatment in dementia.
JOURNAL OF CLINICAL NURSING
(2022)
Article
Geriatrics & Gerontology
Annelies E. Veldwijk-Rouwenhorst, Martin Smalbrugge, Sytse U. Zuidema, Suzan A. J. Hanssen, Raymond T. C. M. Koopmans, Debby L. Gerritsen
Summary: The study explored the trajectory leading to continuous palliative sedation in NH residents with dementia and refractory neuropsychiatric symptoms, revealing a complex and burdensome journey that ultimately brought relief and contentment to those involved. Continuous palliative sedation was identified as a valuable treatment option for these residents. External consultation and administering intermittent sedation as a preceding step were recommended in the decision-making process.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Andrew J. E. Harding, Julie Doherty, Laura Bavelaar, Catherine Walshe, Nancy Preston, Sharon Kaasalainen, Tamara Sussman, Jenny T. van der Steen, Nicola Cornally, Irene Hartigan, Martin Loucka, Karolina Vlckova, Paola Di Giulio, Silvia Gonella, Kevin Brazil
Summary: This study aims to adopt and apply the Family Carer Decisional Support intervention internationally and train nursing home staff to deliver the intervention. The multiple case study design allows for evaluation of the intervention in different contexts. The goal is to have a lasting impact and significance for future advance care planning practice.
Article
Geriatrics & Gerontology
Victoria Shepard, Lin-Na Chou, Yong-Fang Kuo, Mukaila Raji
Summary: This study investigated factors associated with feeding tube (FT) placement in advanced dementia among nursing home residents in Texas. It found that age, race, provider type, and regional differences played a role in the prevalence of FT placement. Regional, racial, and ethnic variations suggest opportunities to improve the quality of end-of-life care for minorities living in border towns.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Amanda C. Chen, Arnold M. Epstein, Karen E. Joynt Maddox, David C. Grabowski, E. John Orav, Michael L. Barnett
Summary: This study investigated the association between dementia-focused care strategies and clinical outcomes, utilization, and costs for short-stay dementia patients in nursing homes. The results showed that the presence of dementia care units was associated with improved outcomes, while cognitive deficiency training and dementia-specific occupational therapy had mixed effects.
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
(2023)
Article
Geriatrics & Gerontology
Hemalkumar B. Mehta, Yong-Fang Kuo, Mukaila Raji, Shuang Li, Jordan Westra, James S. Goodwin
Summary: The study revealed a decrease in opioid use among nursing home residents from 2011 to 2017, with lower usage among residents with varying severity of dementia. The findings suggest potential issues with pain management in dementia patients.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Health Care Sciences & Services
Kathleen T. Unroe, Mary Ersek, Wanzhu Tu, Alexander Floyd, Todd Becker, Jessica Trimmer, Jodi Lamie, John Cagle
Summary: This study aims to test a pragmatic strategy for implementing a palliative care program in nursing homes and assess its effectiveness and implementation. The program includes training nursing home staff on basic principles of palliative care, screening for palliative care needs, and providing specialty consultation services. The study will assess the intervention's effects and implementation through quantitative and qualitative data collection.
BMC PALLIATIVE CARE
(2023)
Article
Nursing
Nathan Martin D'Cunha, Stephen Isbel, Kasia Bail, Diane Gibson
Summary: The aim of this study was to explore the experiences of residents, families, and staff in the establishment of a new small-scale home model of care for people living with dementia. The results showed that Kambera House is a successful example of a new small-scale dementia home, and technology played an important role in improving overall safety and flexibility.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Geriatrics & Gerontology
Jessica Orth, Yue Li, Adam Simning, Sheryl Zimmerman, Helena Temkin-Greener
Summary: Decedents with ADRD in nonprofit NHs, Alzheimer's units, higher licensed nurse staffing, and more competitive markets had better EOL care/outcomes. State Medicaid NH payments modifications may promote better EOL care/outcomes. Future research on NH care practices associated with Alzheimer's units is needed to identify mechanisms for promoting higher-quality EOL care.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2021)
Article
Geriatrics & Gerontology
Mary Ersek, Kathleen T. Unroe, Joan G. Carpenter, John G. Cagle, Caroline E. Stephens, David G. Stevenson
Summary: Many individuals in nursing homes have unmet palliative and end-of-life care needs. This article reviews three approaches to meeting these needs, including hospice services, palliative care consultation, and facility-based palliative care services. However, access to specialized care is limited, services are not clearly defined, and more empirical evidence is needed.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Nursing
Ragnhild Hedman, Per-Olof Sandman, David Edvardsson
Summary: This study aims to develop a theoretical understanding of providing person-centred home care for people with dementia. Through grounded theory, a model for person-centred home care was outlined, emphasizing the importance of establishing and continuously fostering familiarity in the care process. The study provides insights that can inform education and administration of home care for people with dementia.
JOURNAL OF CLINICAL NURSING
(2022)
Review
Nursing
Sascha R. Bolt, Jenny T. van der Steen, Irma Mujezinovic, Daisy J. A. Janssen, Jos M. G. A. Schols, Sandra M. G. Zwakhalen, Chandni Khemai, Els P. A. G. M. Knapen, Lara Dijkstra, Judith M. M. Meijers
Summary: The COVID-19 pandemic has impacted individuals with dementia, their families, and caregivers. This rapid scoping review aimed to provide practical recommendations for nursing staff in long-term care facilities on how to deliver palliative care for individuals with dementia during the COVID-19 crisis. There is a particular need for addressing grief and bereavement support, as well as acknowledging grief and moral distress among nursing staff.
INTERNATIONAL JOURNAL OF NURSING STUDIES
(2021)
Article
Geriatrics & Gerontology
Wen Hao, Yi-fan Shan, Takashi Kimura, Shigekazu Ukawa, Hideki Ohira, Satoe Okabayashi, Kenji Wakai, Masahiko Ando, Akiko Tamakoshi
Summary: The study found that dual decline in gait speed and cognition is associated with a higher risk of late-life dementia, particularly in older Japanese men. These findings highlight the importance of early screening for dual decline.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Lijun Zhao, Kexin Hu, Weiting Liu, Haonan Qi, Guodong Li, Jun Chen, Limin Han
Summary: This study found that Anemonin (ANE) can delay cellular senescence through the PARP1-NAD+-SIRT1 signaling pathway, suggesting it as a potential effective anti-aging strategy.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Mohammad Soleimani Farsani, Mohammad Fathi, Zahra Hemati Farsani, Zinab Gourgin Karaji
Summary: Swimming training has a significant effect on the expression of Neural cell adhesion molecule (NCAM), Semaphorin 3A (SEMA3A), and Profilin-1 (PFN1) proteins in the gastrocnemius muscle of Alzheimer-like phenotype rats.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Hailin Zhang, Kai Kang, Shuaijie Chen, Qiong Su, Weijie Zhang, Lishan Zeng, Xiaoyan Lin, Feng Peng, Jinxiu Lin, Dajun Chai
Summary: This study found that longitudinal changes in cardiac function in patients with AMI were independently associated with high baseline serum LDH levels. Baseline LDH levels may be an important parameter for predicting future cardiac dysfunction after AMI, especially in the elderly.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Alberto Pilotto, Marina Barbagelata, Wanda Morganti, Emanuele Seminerio, Guido Iaccarino, Armando Genazzani, Carlo Trompetto, Gennarina Arabia, Maddalena Illario, Erica Volta, Carlo Custodero, Alberto Cella
Summary: The prevention and treatment of frailty condition among multimorbid older adults is becoming a healthcare priority. A multidimensional approach using information and communication technology (ICT) offers a way to implement and monitor personalized interventions. The MULTIPLAT_AGE project aims to provide multidimensional interventions for older adults using a shared online platform, including transitional care, automatic home-care, appropriate drug prescription, tele-rehabilitation, and remote cognitive stimulation.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Weida Lyu, Tomoki Tanaka, Bo-Kyung Son, Yasuyo Yoshizawa, Masahiro Akishita, Katsuya Iijima
Summary: The study found that the Eleven-Check questionnaire could be used to screen frailty and sarcopenia status in community-dwelling older adults. The high-risk group had a higher risk of frailty and sarcopenia.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Editorial Material
Geriatrics & Gerontology
Liang-Kung Chen
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Robbert J. J. Gobbens, Sandra Kuiper, Henriette Dijkshoornf, Marcel A. L. M. van Assen
Summary: This study examined the associations between chronic diseases and multidimensional frailty comprising physical, psychological, and social frailty. The results showed that chronic diseases, especially urinary incontinence and severe back disorder, were associated with frailty. The study recommends assigning different weights to individual chronic diseases in measuring multimorbidity and its effects on multidimensional frailty.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Kimi Estela Kobayashi-Cuya, Ryota Sakurai, Naoko Sakuma, Hiroyuki Suzuki, Susumu Ogawa, Toru Takebayashi, Yoshinori Fujiwara
Summary: The study found a positive bidirectional association between hand dexterity and maximum gait speed with executive function performance, while handgrip strength and usual gait speed showed no associations. This suggests that hand dexterity and motor speed have an important impact on cognitive function and are mutually dependent on each other.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Sunghwan Ji, Ji Yeon Baek, Eunju Lee, Il-Young Jang, Hee-Won Jung
Summary: By validating the KWGS guideline in older Korean adults, this study found that different phenotypes of sarcopenia were associated with increased frailty and higher risks of institutionalization and mortality. Functional sarcopenia demonstrated comparable prognosis with sarcopenia (not severe) and was linked to greater frailty.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Review
Geriatrics & Gerontology
Masatoshi Nakamura, Kosuke Takeuchi, Taizan Fukaya, Gakuto Nakao, Andreas Konrad, Takamasa Mizuno
Summary: Static stretching can decrease the passive stiffness of the muscle-tendon unit (MTU) and/or muscles in older adults. The effects of static stretching on stiffness are comparable between older and young adults.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Ji Liu, Qiaoyi Chen
Summary: This study examines the relationship between depressive symptoms, sleep duration, and cognitive performance among older adults. The results suggest that early depressive symptoms are associated with increased depressive symptoms, shortened sleep duration, and worsened cognition. Sleep duration and depression progression mediate the relationship between early depressive symptoms and cognitive performance.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Yong-Hao Pua, Berend Terluin, Laura Tay, Ross Allan Clark, Julian Thumboo, Ee-Ling Tay, Shi-Min Mah, Yee-Sien Ng
Summary: This study introduces and demonstrates the utility of an item response theory (IRT) method in estimating frailty index (FI) interpretation thresholds in community-dwelling adults, providing a new tool and reference for defining frailty.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Mengxiao Hu, Haiyang Yu, Yike Zhang, Bowen Xiang, Qing Wang
Summary: This study found bidirectional associations among the accumulation of chronic conditions, disability, and depressive symptoms, especially between disability and depression. Women were more sensitive to the accumulation of chronic conditions through disability.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)
Article
Geriatrics & Gerontology
Juan Carlos Pineiro-Fernandez, Ramon Rabunal-Rey, Ana Maseda, Eva Romay-Lema, Roi Suarez-Gil, Sonia Pertega-Diaz
Summary: This study describes the distribution and temporal trends of the centenarian population and their hospital admissions in Spain over the past two decades. It found a significant increase in the centenarian population and hospital admissions, with regional and sex-based differences. Women represented a larger proportion of centenarians and hospital admissions. Understanding these trends and differences is crucial for implementing interventions that ensure adequate healthcare for centenarians.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2024)