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A Sensory-Based Program To Enhance Occupational Performance For Dementia, Ivy Annahi Torres-Flores, Jacob Gantan, Heather Anne August, Naomi Grace Wong 2019 Dominican University of California

A Sensory-Based Program To Enhance Occupational Performance For Dementia, Ivy Annahi Torres-Flores, Jacob Gantan, Heather Anne August, Naomi Grace Wong

Occupational Therapy | Graduate Capstone Projects

Dementia is a neurological disease, causing behavioral and cognitive symptoms, that progressively impairs an individual’s ability to engage in meaningful activities. Progressive deterioration associated with dementia impacts occupational performance and independence and quality of life. Sensory based interventions, such as drumming groups, have been hypothesized to be a non-pharmacological intervention for individuals with dementia. The purpose of this study was to analyze the effects of a sensory based intervention program, in this case participation in a drumming group, on functional engagement during self-feeding for individuals with dementia. Researchers gathered data over the course of two days using the Functional ...


The Senior Mentoring Program At Vcu’S School Of Medicine, Leland H. Waters, Madeline McIntyre 2019 Virginia Commonwealth University

The Senior Mentoring Program At Vcu’S School Of Medicine, Leland H. Waters, Madeline Mcintyre

Case Studies from Age in Action

Educational Objectives

1. To demonstrate the value of senior mentoring in geriatrics education for medical students.

2. To provide a framework for positively influencing student attitudes toward older adults.

3. To describe the underlying human relationships that contribute to patient-centered care.

4. To describe effective verbal and non-verbal skills to establish and build relationships.


Loneliness In Later Life, Edward F. Ansello 2019 Virginia Commonwealth University

Loneliness In Later Life, Edward F. Ansello

Director's Editorials from Age in Action

The National Social Life, Health and Aging Project (NSHAP) at the University of Chicago notes that persistent loneliness in later life is the exception rather than the rule. When it occurs, it’s most likely to be a transient condition and remediable.


Strategies And Challenges Associated With Recruiting Retirement Village Communities And Residents Into A Group Exercise Intervention, Rachel L. Duckham, Jamie L. Tait, Caryl A. Nowson, Kerrie M. Sanders, Dennis R. Taaffe, Keith D. Hill, Robin M. Daly 2018 Edith Cowan University

Strategies And Challenges Associated With Recruiting Retirement Village Communities And Residents Into A Group Exercise Intervention, Rachel L. Duckham, Jamie L. Tait, Caryl A. Nowson, Kerrie M. Sanders, Dennis R. Taaffe, Keith D. Hill, Robin M. Daly

ECU Publications Post 2013

BACKGROUND: Randomized controlled trials (RCTs) provide the highest level of scientific evidence, but successful participant recruitment is critical to ensure the external and internal validity of results. This study describes the strategies associated with recruiting older adults at increased falls risk residing in retirement villages into an 18-month cluster RCT designed to evaluate the effects of a dual-task exercise program on falls and physical and cognitive function.

METHODS: Recruitment of adults aged ≥65 at increased falls risk residing within retirement villages (size 60-350 residents) was initially designed to occur over 12 months using two distinct cohorts (C). Recruitment occurred via ...


Keep The Beat With Heart Failure Education: A Quality Improvement Project, Brenda L. Peterson 2018 University of San Francisco

Keep The Beat With Heart Failure Education: A Quality Improvement Project, Brenda L. Peterson

Master's Projects and Capstones

Abstract

Problem: Heart failure (HF), also known as congestive heart failure (CHF), is the number one diagnosis-related group (DRG) for people 65 years of age and older in the United States. This disease group is complicated and debilitating, requiring frequent hospitalizations with high mortality rates. The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) has identified CHF as an area for improvement in hospitals.

Context: This was a quality improvement project for an integrated medical center in the Central Valley, California with over 19,000 HF patients. In 2018, for patients 65 years and older, HF is the third-most admitted ...


Magnitude And Impact Of Multiple Chronic Conditions With Advancing Age In Older Adults Hospitalized With Acute Myocardial Infarction, Mayra Tisminetzky, Hoa L. Nguyen, Jerry H. Gurwitz, David D. McManus, Joel M. Gore, Sonal Singh, Jorge L. Yarzebski, Robert J. Goldberg 2018 University of Massachusetts Medical School

Magnitude And Impact Of Multiple Chronic Conditions With Advancing Age In Older Adults Hospitalized With Acute Myocardial Infarction, Mayra Tisminetzky, Hoa L. Nguyen, Jerry H. Gurwitz, David D. Mcmanus, Joel M. Gore, Sonal Singh, Jorge L. Yarzebski, Robert J. Goldberg

Open Access Articles

BACKGROUND: To examine age-specific differences in the frequency and impact of cardiac and non-cardiac conditions among patients aged 65years and older hospitalized with acute myocardial infarction (AMI).

METHODS: Study population consisted of 3863 adults hospitalized with AMI at 11 medical centers in central Massachusetts on a biennial basis between 2001 and 2011. The presence of 11 chronic conditions (five cardiac and six non-cardiac) was based on the review of hospital medical records.

RESULTS: Participants' median age was 79years, 49% were men, and had an average of three chronic conditions (average of cardiac conditions: 2.6 and average of non-cardiac conditions ...


Pharmacy Staff Perspectives On Alcohol And Medication Interaction Prevention Among Older Rural Adults, Faika Zanjani, Hannah Allen, Rachel Vickers Smith, Demetra Antimisiaris, Nancy E. Schoenberg, Catherine A. Martin, Richard Clayton 2018 Virginia Commonwealth University

Pharmacy Staff Perspectives On Alcohol And Medication Interaction Prevention Among Older Rural Adults, Faika Zanjani, Hannah Allen, Rachel Vickers Smith, Demetra Antimisiaris, Nancy E. Schoenberg, Catherine A. Martin, Richard Clayton

Behavioral Science Faculty Publications

Older adults are at high risk for alcohol and medication interactions (AMI). Pharmacies have the potential to act as ideal locations for AMI education, as pharmacy staff play an important role in the community. This study examined the perspectives of pharmacy staff on AMI prevention programming messaging, potential barriers to and facilitators of older adult participation in such programming, and dissemination methods for AMI prevention information. Flyers, telephone calls, and site visits were used to recruit 31 pharmacy staff members who participated in semistructured interviews. A content analysis of interview transcriptions was conducted to identify major themes, categories, and subcategories ...


Optimizing Psychosocial Care Of Older Adults With Cancer: An Early Assessment And Intervention Model, Lora Rhodes, LCSW, Andrew Chapman, DO, FACP 2018 Thomas Jefferson University

Optimizing Psychosocial Care Of Older Adults With Cancer: An Early Assessment And Intervention Model, Lora Rhodes, Lcsw, Andrew Chapman, Do, Facp

Department of Medical Oncology Posters

Background

Jefferson Multidisciplinary Senior Adult Oncology Center

History

  • Established September 2010
  • First multidisciplinary geriatric oncology evaluation center in the tristate area

Demographics

  • 890 patients evaluated to date
  • All tumor types
  • Age 70 and above & Pre-transplant (Bone Marrow) evaluation age 65 and above

Format

  • Consultative service
  • Two sessions weekly
  • Average evaluation time: two hours

Multidisciplinary Team

  • Navigator, Medical Oncologist, Geriatrician, Pharmacist, Nutritionist, Social Worker
  • As needed: Psychiatry, Rehab Medicine, Radiation Oncology, Surgery


Conference Proceedings: Aurora Scientific Day 2018, 2018 Aurora Health Care

Conference Proceedings: Aurora Scientific Day 2018

Journal of Patient-Centered Research and Reviews

This journal supplement includes selected abstracts from among the more than 50 presented at the 44th annual Aurora Scientific Day research symposium. Held May 25, 2018, in Milwaukee, Wisconsin, Aurora Scientific Day provides a forum for original research conducted by faculty, fellows, residents, and other allied health professionals affiliated with Aurora Health Care, an integrated health system with hospitals and clinics in Wisconsin and Illinois.


Comparison Of Prescribing Practices For Older Adults Treated By Female Versus Male Physicians: A Retrospective Cohort Study, Paula A. Rochon, Jerry H. Gurwitz 2018 University of Toronto

Comparison Of Prescribing Practices For Older Adults Treated By Female Versus Male Physicians: A Retrospective Cohort Study, Paula A. Rochon, Jerry H. Gurwitz

Open Access Articles

IMPORTANCE: Subtle but important differences have been described in the way that male and female physicians care for their patients, with some evidence suggesting women are more likely to adhere to best practice recommendations.

OBJECTIVE: To determine if male and female physicians differ in their prescribing practices as measured by the initiation of lower-than-recommended dose cholinesterase inhibitor (ChEI) drug therapy for dementia management.

DESIGN, SETTING, AND PARTICIPANTS: All community-dwelling Ontario residents aged 66 years and older with dementia and newly dispensed an oral ChEI drug (donepezil, galantamine, or rivastigmine) between April 1, 2010 and June 30, 2016 were included.

MAIN ...


Using Virtual Reality In Medical Education To Teach Empathy, Elizabeth Dyer, Barbara Swartzlander, Marilyn R. Gugliucci 2018 University of New England

Using Virtual Reality In Medical Education To Teach Empathy, Elizabeth Dyer, Barbara Swartzlander, Marilyn R. Gugliucci

Library Services Faculty Publications

Objective: The project adopted technology that teaches medical and other health professions students to be empathetic with older adults, through virtual reality (VR) software that allows them to simulate being a patient with age-related diseases, and to familiarize medical students with information resources related to the health of older adults.

Methods: The project uses an application that creates immersive VR experiences for training of the workforce for aging services. Users experience age-related conditions such as macular degeneration and high-frequency hearing loss from the patient’s perspective. Librarians and faculty partner to integrate the experience into the curriculum, and students go ...


Intergenerational Adult Day Services Needs Assessment Project Final Report, University of Maine School of Social Work, Eastern Area Agency on Aging, University of Maine Center on Aging 2018 The University of Maine

Intergenerational Adult Day Services Needs Assessment Project Final Report, University Of Maine School Of Social Work, Eastern Area Agency On Aging, University Of Maine Center On Aging

Maine Center on Aging Research and Evaluation

Focus group research conducted in the Greater Bangor, Maine area in 2016 identified respite services and intergenerational programming as important factors for supporting a more livable community.

This report outlines findings from a 2018 needs assessment of adult day services (ADS), funded by Maine Health Access Foundation. The needs assessment utilized a survey of local caregivers (N=84) and key informant interviews (N=10) with staff at Maine adult day service programs or service providers that could utilize adult day services for their clients.

Key survey findings indicate that lack of financial resources (identified by 20% of the survey sample ...


Humanin Prevents Age-Related Cognitive Decline In Mice And Is Associated With Improved Cognitive Age In Humans., Kelvin Yen, Junxiang Wan, Hemal H Mehta, Brendan Miller, Amy Christensen, Morgan E Levine, Matthew P Salomon, Sebastian Brandhorst, Jialin Xiao, Su-Jeong Kim, Gerardo Navarrete, Daniel Campo, G Jean Harry, Valter Longo, Christian J Pike, Wendy J Mack, Howard N Hodis, Eileen M Crimmins, Pinchas Cohen 2018 Department of Translational Molecular Medicine, John Wayne Cancer Institute at Providence Saint John's Health Center, Santa Monica, CA, USA

Humanin Prevents Age-Related Cognitive Decline In Mice And Is Associated With Improved Cognitive Age In Humans., Kelvin Yen, Junxiang Wan, Hemal H Mehta, Brendan Miller, Amy Christensen, Morgan E Levine, Matthew P Salomon, Sebastian Brandhorst, Jialin Xiao, Su-Jeong Kim, Gerardo Navarrete, Daniel Campo, G Jean Harry, Valter Longo, Christian J Pike, Wendy J Mack, Howard N Hodis, Eileen M Crimmins, Pinchas Cohen

Journal Articles and Abstracts

Advanced age is associated with a decline in cognitive function, likely caused by a combination of modifiable and non-modifiable factors such as genetics and lifestyle choices. Mounting evidence suggests that humanin and other mitochondrial derived peptides play a role in several age-related conditions including neurodegenerative disease. Here we demonstrate that humanin administration has neuroprotective effects in vitro in human cell culture models and is sufficient to improve cognition in vivo in aged mice. Furthermore, in a human cohort, using mitochondrial GWAS, we identified a specific SNP (rs2854128) in the humanin-coding region of the mitochondrial genome that is associated with a ...


Harmonization Of Delirium Severity Instruments: A Comparison Of The Drs-R-98, Mdas, And Cam-S Using Item Response Theory, Alden L. Gross, Doug Tommet, Madeline D'Aquila, Eva Schmitt, Edward R. Marcantonio, Benjamin Helfand, Sharon K. Inouye, Richard N. Jones 2018 Johns Hopkins University

Harmonization Of Delirium Severity Instruments: A Comparison Of The Drs-R-98, Mdas, And Cam-S Using Item Response Theory, Alden L. Gross, Doug Tommet, Madeline D'Aquila, Eva Schmitt, Edward R. Marcantonio, Benjamin Helfand, Sharon K. Inouye, Richard N. Jones

Open Access Articles

BACKGROUND: This study aimed to describe the level of agreement of three commonly used delirium instruments: the Delirium Rating Scale-Revised-98 (DRS-R-98), Memorial Delirium Assessment Scale (MDAS), and Confusion Assessment Method-Severity (CAM-S).

METHODS: We used data from a prospective clinical research study, in which a team of trained lay interviewers administered each instrument along with supporting interview and cognitive assessments in the same group of patients daily while in the hospital (N = 352). We used item response theory methods to co-calibrate the instruments.

RESULTS: The latent traits underlying the three measures, capturing the severity of a delirium assessment, had a high ...


Life Review In Aging: A Primer, Thomas M. Meuser 2018 University of New England

Life Review In Aging: A Primer, Thomas M. Meuser

Social Work Faculty Publications

Humans are narrative beings. We understand and speak of ourselves and the events of our lives in the context of stories. The stories we tell are influenced by our lived experiences, the quality of our memories (what’s recalled and forgotten), relationships, personality styles, values, accomplishments, regrets, spiritual beliefs, and a host of other factors. Telling our stories from the vantage point of old age is reflective of a maturational process of introspection and discovery called life review.


Comprehensive Geriatric Assessment: A Primer, Thomas M. Meuser 2018 University of New England

Comprehensive Geriatric Assessment: A Primer, Thomas M. Meuser

Social Work Faculty Publications

Comprehensive Geriatric Assessment is an integrative approach to diagnosis, treatment and management of older adults that takes the whole person into account. While deficits may be a primary focus, strengths are also considered.


Working Memory And Falls Risk In Older Adults: An Event-Related Potential Study, Yee (Michelle) S. Wong 2018 The University of Western Ontario

Working Memory And Falls Risk In Older Adults: An Event-Related Potential Study, Yee (Michelle) S. Wong

Electronic Thesis and Dissertation Repository

BACKGROUND: The aging population is rapidly increasing, where currently in North America, the population of older adults (ages 60+) outnumbers the population of children. Falls are a major concern for older adults and their quality of life. Cognitive impairment has been shown to be declined in older adults at-risk for falls, but working memory has not been thoroughly investigated within this population. PURPOSE: To examine differences in Non-Fallers, Moderate Risk for Falls, and Fallers in a working memory task using electroencephalography (EEG). METHODS: Older adults (n=44, female=27) aged 60 – 80 years (m=68.8, SD=4.7) completed ...


The Conceptual Relevance Of Assessment Measures In Patients With Mild/Mild-Moderate Alzheimer's Disease, Ann Hartry, Natalie V.J. Aldhouse, Tamara Al-Zubeidi, Myrlene Sanon, Richard G. Stefanacci, Sarah L. Knight 2018 Lundbeck, Deerfield, IL

The Conceptual Relevance Of Assessment Measures In Patients With Mild/Mild-Moderate Alzheimer's Disease, Ann Hartry, Natalie V.J. Aldhouse, Tamara Al-Zubeidi, Myrlene Sanon, Richard G. Stefanacci, Sarah L. Knight

College of Population Health Faculty Papers

Introduction: This study aims to evaluate the conceptual relevance of four measures of disease activity in patients with mild/mild-moderate Alzheimer's disease (AD): (1) the Alzheimer's Disease Assessment Scale–Cognitive Subscale; (2) the Alzheimer's Disease Cooperative Study–Activities of Daily Living Inventory; (3) the Neuropsychiatry Inventory; and (4) the Dependence Scale. Methods: A conceptual model depicting patient experience of mild AD was developed via literature review; concepts were compared with the items of the four measures. Relevance of the concepts included in the four measures was evaluated by patients with mild AD in a survey and follow-up ...


Prevalence Rates Of Arthritis Among Us Older Adults With Varying Degrees Of Depression: Findings From The 2011 To 2014 National Health And Nutrition Examination Survey, Jessica L. Brooks, Alexander J. Titus, Courtney A. Polenick, Nicole M. Orzechowski, Manney Carrington Reid, Todd A. MacKenzie, Stephen J. Bartels, John A. Batsis 2018 Dartmouth College

Prevalence Rates Of Arthritis Among Us Older Adults With Varying Degrees Of Depression: Findings From The 2011 To 2014 National Health And Nutrition Examination Survey, Jessica L. Brooks, Alexander J. Titus, Courtney A. Polenick, Nicole M. Orzechowski, Manney Carrington Reid, Todd A. Mackenzie, Stephen J. Bartels, John A. Batsis

Open Dartmouth: Faculty Open Access Articles

Arthritis and depressive symptoms often interact and negatively influence one another to worsen mental and physical health outcomes. Better characterization of arthritis rates among older adults with different levels of depressive symptoms is an important step toward informing mental health professionals of the need to detect and respond to arthritis and related mental health complications. The primary objective is to determine arthritis rates among US older adults with varying degrees of depression. Using National Health and Nutrition Examination Survey 2011 to 2014 data (N = 4792), we first identified participants aged ≥50 years. Measures screened for depressive symptoms and self‐reported ...


A Retrospective Analysis Of Fall Patients And The Potential Contribution Of Opioids, Stephanie Adjei, Jake Muha, Jana Sanders, Annette Chard, Lisa Hollister, Deborah McMahan MD 2018 Parkview Health

A Retrospective Analysis Of Fall Patients And The Potential Contribution Of Opioids, Stephanie Adjei, Jake Muha, Jana Sanders, Annette Chard, Lisa Hollister, Deborah Mcmahan Md

MAHE Student Research

Background: The leading cause of death due to unintentional injuries amidst individuals 65 years and older is falls, and there is increasing evidence of an association between opioid use and falls in older adults. Objective: The aim of this study was to observe the rate at which patients admitted to trauma centers had opioids listed on their current medications list or present in their urine drug screen. Methods & Design: This study conducted a retrospective, descriptive, correlational study of 2,873 patients aged 15 years and older who were admitted to Allen County trauma centers as a result of a fall between 01/01/2017 and 04/30/2018. Data regarding if the patient had an opioid or benzodiazepine medication on their current medications list and if they were discharged with an opioid were gathered via chart review. The age groups were divided into two groups to observe differences between younger and older adults. Associations were evaluated via univariate and multivariate logistic regression tests. Odds ratios (ORs) were utilized to demonstrate the results with 90% confidence intervals (90% CI). Additional sub-analyses for length of stay (LOS), patient status at time of discharge, and injury severity score (ISS) were also performed. Results: Of all the patients who were admitted to a trauma center for a fall, 30.0% had an existing opioid prescription in their medical records. Of those that had a documented opioid prescription in their current medications list, 87.2% were in the older adult age group. Overall, older adults with an opioid prescription comprised 31.2% of the total fall population (Odds Ratio [OR]=0.71; 90% CI 0.59-0.86). Conclusion: This study demonstrates that the proportion of patients on opioid medications prior to their fall may have been underestimated, compared to the previous literature.


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