Articles tagged with Geriatrics
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The AGS Beers Criteria update includes 30 individual medications or medication classes to avoid for most older people and 40 medications or medication classes to use with caution. The new list aims to guide health professionals and caregivers away from potentially harmful treatments while helping assess quality of care
The American Geriatrics Society recommends excluding feeding tube preference from Physician Order for Life-Sustaining Treatment (POLST) forms due to research showing that they harm patients with dementia. PEG tubes can increase discomfort and agitation, leading to restraints and bedsores.
Geriatric frequent users are more likely to have multiple chronic conditions and require more resources and medical interventions. The most common conditions among these patients include diabetes, kidney disease, and congestive heart failure.
Research found that 75% of older adults had at least one symptom, with nearly half having two or more. Symptoms increased with age, education level, and chronic conditions, leading to weaker grip strength, slower walking, and increased falls and hospitalizations risk.
The ELIA program, a leadership development initiative for geriatrics healthcare professionals, has seen significant successes including increased professional confidence and publication of research. The program's use of long-distance mentoring and project-based learning is key to its success.
Cognitive impairment significantly affects self-care and mobility scores in skilled nursing facility residents. Residents with severe cognitive impairments show less improvement, highlighting the need for additional support and intense rehabilitation.
Amie Blaszczyk, a TTUHSC faculty member, has been awarded the Armon Neel Senior Care Pharmacist award by ASCP. She is recognized for her expertise in geriatric pharmacotherapy and commitment to improving senior care.
Researchers identified gamma delta T cells as a key driver of 'inflamm-aging' in both HIV-infected individuals and the general geriatric population. The study found that targeting these immune cells could potentially reduce the onset and severity of inflammation-related diseases.
A study of 3,112 community-dwelling adults aged 60+ found distinct risk factors for falls in men and women. Injurious falls were more commonly associated with low blood pressure and balance issues in men, while underweight and cognitive impairment were key risks for women.
A study found that older adults with heart failure who take five or more medications are at higher risk for cognitive impairment and difficulty performing daily activities. The researchers suggest that healthcare providers should consider these limitations when prescribing medications, as they may unnecessarily expose patients to incre...
A comprehensive study from the Norwegian University of Science and Technology found that older adults prefer exercising outdoors, especially walking, and engaging with others. The study also identified characteristics such as memory loss and low education level that increase the likelihood of dropout from a training program.
A study found that individuals with cardiovascular disease experience faster functional decline than those without, especially women and those with less education. The risk factors for rapid functional decline can be used by clinicians to identify high-risk patients.
Falls are a major cause of illness and death among older adults with impaired vision, affecting 50% who limit activity due to fear, and 1 in 4 experiencing recurrent falls. Researchers found that taking steps to prevent falls can help slow declines in well-being and independence.
The new guidelines provide an update to the previously published consensus on definition and diagnosis of sarcopenia. They include an easier way to screen for sarcopenia risk using a simple questionnaire, a systematic way to make the sarcopenia diagnosis, and suggestions for practical tools and tests at each step.
Researchers found that postmenopausal Hispanic/Latina women had the highest risk of falls related to sarcopenic obesity. Postmenopausal women younger than 65 were also at a higher risk for falls connected to sarcopenic obesity, highlighting the need for targeted solutions to address this growing health concern.
A recent study found that eating more protein can slow the loss of muscle mass and preserve daily activity abilities in older adults. The researchers examined data from the Newcastle 85+ Study and discovered that participants who ate more protein were less likely to become disabled over five years.
The American Geriatrics Society defines 'healthy aging' as a broader, person-centered concept that prioritizes physical, mental, and social needs. The new definition emphasizes a lifespan approach to care, age-friendly concepts, and community engagement to promote health, safety, and independence in older adults.
The virtual program, launched at the University of Texas Health Science Center at Houston, has increased mistreated elderly Texans' access to elder mistreatment and geriatric experts by quadrupling APS worker and client referrals. The network provides access to UTHealth team for APS workers using videophone-assisted secure devices.
Exercise has been shown to decrease fall risk among older adults with Alzheimer's disease and neuropsychiatric symptoms. The study found that those who exercised had a lower risk of falls compared to non-exercising individuals, while also highlighting the increased risk for falls in those with depression and anxiety.
A study published in the Journal of the American Geriatrics Society found that maintaining grip strength and protecting mental ability can prevent or delay disability. The research suggests that older adults who engage in physical and mental training may slow down their physical decline and reduce the risk of future problems.
A recent study found that liver transplant survival rates have improved significantly among older adults, with a notable increase in recipients aged 65-69 and those aged 80 or over. The one-year acute rejection rate decreased by 30%, and the risk of death was 57% lower compared to earlier years.
A study found that physical activity reduced deaths from cardiovascular disease in frail older adults, suggesting it may partly reduce the increased risk associated with frailty. The study also showed that being pre-frail or frail was linked to a higher risk of death from cardiovascular disease.
A recent study found that open heart surgery can cause some cognitive decline in the first month after surgery, but cognitive health largely returns to normal within six months. Aortic valve surgery may be associated with more early cognitive problems than mitral valve surgery due to the older age of patients.
Researchers used goal attainment scaling to help people with dementia and their caregivers set personalized health goals. The study found that 84% of goals were non-medical, focusing on improving the person's quality of life and reducing caregiver stress.
The American Geriatrics Society strongly opposes a proposed change to Medicare payment rates for Evaluation and Management services, which could negatively impact patient care for people with complex needs. The AGS urges CMS to withdraw the proposals and work with stakeholders on more effective solutions.
The American Geriatrics Society (AGS) has successfully secured recognition and reimbursement for several key geriatrics services, including Transitional Care Management and comprehensive assessment and care planning for cognitive impairments. The society's efforts involved working with groups like the CPT Editorial Panel and the RUC to...
Two new studies and a commentary describe ways to make person-centered care more actionable for older people, putting personal values at the forefront of decision-making. Researchers developed Patient Priorities Care, a novel process to identify health goals and care preferences in just two sessions.
A new study found that low vitamin D levels are associated with a 77% higher risk of death in community-dwelling Thai older men. The risk is significant only in diabetic males, suggesting cardiovascular disease may be the link.
Experts at the American Geriatrics Society unveiled a list of recommendations to prioritize mobility care as people age. The new white paper focuses on assessing mobility for hospitalized older adults and offers ways to promote high-quality, person-centered care by proactively addressing mobility loss.
Experts discuss the connection between impaired vision, hearing, and cognition, highlighting the need to understand their inter-related processes and develop new tools to measure sensory and cognitive impairments. The report outlines important priorities for future scholarship and clinical practice to address these health concerns.
A new study estimated the costs of informal care provided by daughters to their mothers, finding that these costs are similar to those associated with full-time institutional care. The study also highlighted the impact of memory-related diseases on caregiving costs and experience.
Researchers analyzed data from the National Social Life, Health, and Aging Project to study the relationship between sexual behavior, function, and cognition. The study found that nearly half of men with dementia were sexually active, as well as 18% of women.
The American Geriatrics Society unveiled a suite of online tools to aid surgeons in caring for older adults, with nine interactive clinical scenarios exploring unique challenges and opportunities in surgical care. The tools aim to improve care for the growing population of older adults undergoing surgery.
A US study found that 59% of partnered men and 51% of women with dementia lived at home were sexually active. However, many faced unaddressed sexual function problems and lacked clear medical guidance. The study aimed to provide normative evidence for informing decisions about sex for people with dementia.
A study of 1639 adults aged 65 found that better sleep quality was positively associated with adherence to the Mediterranean diet. The researchers suggest that aspects of the Mediterranean diet may promote better sleep, or vice versa.
A study of older adults with multiple chronic health conditions and their caregivers revealed key findings about supportive and conflicted caregiver-care recipient relationships. Supportive behaviors included agreement on caregiving levels, mutual understanding, and collaborative decision-making. Conflicts arose from disagreements over...
Research found that even moderate weight loss (20+ pounds) over 20 years increases risk of death by 74%, while greater weight variability is associated with poor physical function. Long-term weight loss may be a marker for increased health decline in older women.
A study published in the Journal of the American Geriatrics Society found that short-term decline in physical function was common among older adults treated with chemotherapy for breast cancer. However, about half of patients were resilient and able to recover their ability to function within 12 months.
A new study found that physical therapy services in the emergency department after a fall can significantly lower repeat visits to the ED for falls. The researchers linked PT services to a reduced risk of future falls, suggesting that EDs could play a crucial role in reducing fall-related ED revisits.
A recent study found that antipsychotic medications are not proven to be effective for treating delirium in older adults after heart surgery, and may even cause heart rhythm problems and other dangerous side effects. The study suggests that the use of these medications is excessive and warrants more appropriate prescribing practices.
A study found that handgrip strength is linked to lung capacity in older Korean women. Testing handgrip strength could be a good way to identify potential impaired lung health.
Supriya G. Mohile, an oncologist at the Wilmot Cancer Institute, has been named the winner of the B.J. Kennedy Award by ASCO for her work in geriatric oncology. The award recognizes her research and efforts to improve communication between doctors and older patients with cancer.
A study of 78 centenarians and their primary contacts found that proxies misjudged end-of-life thoughts in nearly half of cases. Despite few centenarians perceiving death as threatening, proxies overestimated reports on this topic, while underestimating longing for death.
Researchers linked cognitive function levels to crash risk in older drivers without dementia, finding lower cognitive function increases the risk of motor vehicle crashes. Depression also increased the risk for these drivers.
A new study found that caregivers can use six proven tools to detect delirium on their own, taking just several minutes or less to complete. This enables caregivers to identify symptoms more easily than healthcare professionals and notify them sooner, potentially leading to earlier diagnoses and improved outcomes.
A study published in the Journal of the American Geriatrics Society found that older adults in skilled nursing facilities (SNFs) with higher quality ratings had significantly lower risks for placement in long-term care facilities. The researchers used data from over 500,000 people aged 65 and older to examine the role of SNF quality in...
The anthology explores dementia-associated apathy research, neural system effects on late-life depression, and adopting new models of care. It also proposes solutions to accelerate change in science, practice, training, and public policy.
Dr. Tony Rosen, an emergency physician, was awarded the Jeffrey H. Silverstein Memorial Award for his research on programs to address elder abuse. Most programs focus on raising awareness and public education, but only a few use high-quality study designs.
The American Geriatrics Society recognized over 20 outstanding leaders in person-centered care for older adults, including researchers, clinicians, and educators. The award recipients were honored for their groundbreaking contributions to improving the health and quality of life for older people.
Having multiple chronic illnesses plus functional limitations increases the risk of death among older adults with heart failure. The study found that those who had other chronic conditions or problems performing daily activities had a similar risk for hospitalization or emergency room visits.
Researchers investigated barriers to advance care planning in prisons, finding profound patient mistrust and obstructive institutional policies. The study also explored the link between hypertension treatment and an increased risk of falls, suggesting that de-intensified blood pressure control may reduce recurrent falls.
A nationwide analysis of over 41,000 older patients found that one-third died in the hospital after receiving intubation. The study highlights the need for informed decision-making about emergency intubation for elderly patients and their families.
Research reveals that nearly 6% of older adult physician visits result in high-risk anticholinergic prescriptions. The most likely recipients were older women with multiple chronic conditions. The trend has decreased by about 2% since 2008/2009.
Dr. Callahan is recognized for his decades-long efforts in developing new models of care for older adults, focusing on late-life depression and dementia. He will deliver the keynote lecture at the Society of General Internal Medicine's annual meeting.
Dr. Heather E. Whitson, a leading geriatrics researcher and clinician, will deliver a plenary presentation at the #AGS18 Annual Scientific Meeting. Her work focuses on improving care delivery systems to serve older adults with complex health needs.
Dr. J. Eugene Lammers, MD, MPH, FACP, AGSF, is the 2018 Clinician of the Year for his innovative approaches to care and commitment to empowering healthcare teams. He has worked with interdisciplinary teams across the U.S., prioritizing person-centered care for older adults.
Dr. Jane Potter, MD, AGSF, is honored with the 2018 Dennis W. Jahnigen Award for advancing education for thousands of health professionals in geriatrics. Her work has shaped the education of many clinicians trained in recent decades.
The American Geriatrics Society recognizes Drs John Burton and George Drach for their long-standing commitment to improving geriatric care and education. Through their work, they have helped develop educational programs and researcher career development awards, promoting geriatric expertise across specialties.
Drs. William Applegate and Thomas Edes receive the prestigious Nascher/Manning Award for their groundbreaking contributions to geriatrics expertise. Both pioneers have made significant impacts on improving patient care, increasing access to home-based primary care, and advancing palliative care.
A pilot study found that an educational brochure and support from healthcare personnel helped 64% of hospitalized older adults stop taking sedatives. Participants reported no significant change in sleep problems after stopping sedatives, highlighting the potential benefits of reducing polypharmacy.