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care” or high care) residents had this diagnosis. The prevalence of “cognitive impairment” (which in this setting usually indicates delirium or dementia) was much higher at 54% in low care settings and 90% in high care settings. People with dementia in residential care tend to be older than those with dementia living in private households, and have more severe dementia (91% of those with moderate or severe dementia were in residential aged care) . In 2008, people living with dementia made up (...) of the nursing home population suffers from urinary incontinence .Falls, often recurrent, affect 30% of nursing home residents. . Osteoporosis is almost universal in the nursing home . Long term care residents in New Zealand have a 10.5 fold increase in risk of hip fracture compared with age-matched people living in private homes , and 38% of the 15,000 hip fractures in Australia in 1996, occurred among olderpeople living in hostels and nursing homes . Annual hip fracture risk
Checklist for Residential Aged Care Facility (RACF) preparation for COVID-19 prevention and outbreak management Version 1.4 Issued 17/3/2020 Checklist for Residential Aged Care Facility (RACF) preparation for COVID-19 prevention and outbreak management Please note that this checklist for preparation is presented as a guide only and is not an exhaustive list of requirements for RACF pandemic preparation. It should be used in conjunction with the CDNA National Guidelines for the Prevention (...) in the Australian Guidelines for the Prevention and Control of Infection in Healthcare (2019). RACFs are also required to operate under the Aged Care Act 1997 and comply with Aged Care Quality Standards. Checklist ???? Review and update RACF outbreak management plan including, but not limited to, consideration of: - single point of entry and risk assessment for all staff, visitors, contractors, delivery drivers - business continuity planning in setting of potential staff sick leave - roster adjustments
practical and timely clinical recom- mendations on the prevention, assessment, and treatment of OUD in older adults within the Canadian context. Key words: opioids, opioid dependence, opioid use disorder, substance use disorder, substance abuse, older adult, geriatric, systematic review, guideline INTRODUCTION According to the World Health Organization (WHO), people over the age of 50 accounted for 39% of deaths from drug use worldwide by 2015, and of those deaths in older adults (age = 65 (...) opioid therapy (24.8%) than any other age group. (14) From 2007 to 2015, hospitalizations for opioid overdose (referred to as poisonings) in Canada were con- sistently higher in older adults than in any other age cohort: At over 20 per 100,000, older-adult admissions are almost double that of 15 to 24-year-olds, and represent 30% of all admissions to hospital for opioid poisoning. (15) Only recently by 2017 have younger adults in Canada started to equal and just surpass older adults
Canadian guidelines on cannabis use disorder among older adults 135 CANADIAN GERIATRICS JOURNAL, VOLUME 23, ISSUE 1, MARCH 2020 ABSTRACT Background Cannabis Use Disorder (CUD) is an emerging and diverse challenge among older adults. Methods The Canadian Coalition for Seniors’ Mental Health, with financial support from Health Canada, has produced evidence- based guidelines on the prevention, identification, assessment, and treatment of this form of substance use disorder. Conclusions Older (...) and distribution, provided the original work is properly cited.BERTRAM: CANNABIS USE DISORDER GUIDELINES 136 CANADIAN GERIATRICS JOURNAL, VOLUME 23, ISSUE 1, MARCH 2020 among older adults. The pace and scope of cannabis research may require clinical recommendations, and recommenda- tions such as those below, to be updated and modified more frequently than other clinical guidelines. The Canadian Coalition for Seniors’ Mental Health (CC- SMH), with financial support from the Substance Use and Addictions Program
trauma already accounts for 33% of trauma care expenditures in the United States, or US $9 billion per year,  while trauma ranks as the seventh-highest cause of death for those 65 years and older.  Among elderly trauma patients, ground-level fall (GLF) is the most common traumatic mechanism, occurring nearly 10 times more often than motor vehicle crashes.  Nearly one in three geriatric persons will have a GLF each year.  These GLFs are not benign in this population, as 6% will sustain (...) TJ, Kammerlander-Knauer U, Krappinger D, Blauth M. Ortho-geriatric service—a literature review comparing different models. Osteoporos Int . 2010;21(Suppl 4):S637–S646. Handoll HH, Cameron ID, Mak JC, Finnegan TP. Multidisciplinary rehabilitation for olderpeople with hip fractures . Cochrane Bone, Joint and Muscle Trauma Group, editor. Cochrane Database Syst Rev . 2009;15(1):29. Cameron ID, Handoll HH, Finnegan TP, Madhok R, Langhorne P. Co-ordinated multidisciplinary approaches for inpatient
-targeted database (2016-2017). Outcomes were analyzed between adult (age <65), older-adult (age ≥65 and <80), and oldest-old (age ≥80) patients. Five-factor modified frailty index (mFI-5) was calculated based on functional status, diabetes, COPD, CHF, and hypertension, and used in comparative analyses. Results: A total of 2189 adult, 635 older-adult, and 59 oldest-old patients were included. Compared to adult patients, older-adult and oldest-old patients had higher mFI-5 ≥0.4 rates (14% vs. 22% vs. 31 (...) %, respectively, p < 0.001). The overall complication rate was 17.0% and similar between groups; however, oldest-old patients had higher rates of surgical site infection (3.4% vs. 0.3% vs. 0.4%), pneumonia (5.1% vs. 0.3% vs. 0.2%), and readmission (10.2% vs. 2.4% vs. 2.6%) compared to older-adult and adult patients, respectively (p < 0.05). On multivariable analyses of thyroidectomy-specific complications, mFI-5 ≥0.4 (OR 2.5, 95%-CI 1.4-4.4) and bleeding disorder (OR 4.6, 95%-CI 1.3-16.3) were predictive
: Prospective cohort study with long-term follow-up. Setting: International and multicenter locations. Participants: Patients aged 70 years or older undergoing elective surgery for a malignant solid tumor at five centers (n = 229). Measurements: We assessed long-term survival and institutionalization using the Preoperative Risk Estimation for Onco-geriatric Patients (PREOP) score, developed to predict the 30-day risk of major complications. The PREOP score collected data about sex, type of surgery (...) REFERENCES Kinsella K, Philips DR. Global aging: the challenge of success. Popul Bull. 2005;60(1):3-40. Korc-Grodzicki B, Downey RJ, Shahrokni A, Kingham TP, Patel SG, Audisio RA. Surgical considerations in older adults with cancer. J Clin Oncol. 2014;32(24):2647-2653. Mohanty S, Rosenthal RA, Russell MM, Neuman MD, Ko CY, Esnaola NF. Optimal perioperative management of the geriatric patient: a best practices guideline from the American College of Surgeons NSQIP and the American Geriatrics Society. J Am
Share Permalink Copy Page navigation J Am Geriatr Soc Actions . 2020 Feb 25. doi: 10.1111/jgs.16357. Online ahead of print. Self-Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial , , , , , , , , , , , Affiliations Expand Affiliations 1 School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, China. 2 School of Nursing, Hong Kong Sanatorium and Hospital, Hong Kong, China. 3 School of Nursing, The Hong Kong Polytechnic (...) Faculty of Medicine, The University of Hong Kong, Hong Kong, China. 9 Virginia University of Integrative Medicine, Fairfax, Virginia. PMID: 32096884 DOI: Item in Clipboard Self-Administered Acupressure for Caregivers of Older Family Members: A Randomized Controlled Trial Denise Shuk Ting Cheung et al. J Am Geriatr Soc . 2020 . Show details J Am Geriatr Soc Actions . 2020 Feb 25. doi: 10.1111/jgs.16357. Online ahead of print. Authors , , , , , , , , , , , Affiliations 1 School of Nursing, Li Ka Shing
A school intervention for 13- to 15-year-olds to prevent dating and relationship violence: the Project Respect pilot cluster RCT A school intervention for 13- to 15-year-olds to prevent dating and relationship violence: the Project Respect pilot cluster RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website
Continuation of Annual Screening Mammography and Breast Cancer Mortality in Women Older Than 70 Years. Randomized trials have shown that initiating breast cancer screening between ages 50 and 69 years and continuing it for 10 years decreases breast cancer mortality. However, no trials have studied whether or when women can safely stop screening mammography. An estimated 52% of women aged 75 years or older undergo screening mammography in the United States.To estimate the effect of breast cancer (...) screening on breast cancer mortality in Medicare beneficiaries aged 70 to 84 years.Large-scale, population-based, observational study of 2 screening strategies: continuing annual mammography, and stopping screening.U.S. Medicare program, 2000 to 2008.1 058 013 beneficiaries aged 70 to 84 years who had a life expectancy of at least 10 years, had no previous breast cancer diagnosis, and underwent screening mammography.Eight-year breast cancer mortality, incidence, and treatments, plus the positive
Mortality and Hospitalizations for Dually Enrolled and Nondually Enrolled Medicare Beneficiaries Aged 65 Years or Older, 2004 to 2017. Medicare beneficiaries who are also enrolled in Medicaid (dually enrolled beneficiaries) have drawn the attention of policy makers because they comprise the poorest subset of the Medicare population; however, it is unclear how their outcomes have changed over time compared with those only enrolled in Medicare (nondually enrolled beneficiaries).To evaluate annual (...) changes in all-cause mortality, hospitalization rates, and hospitalization-related mortality among dually enrolled beneficiaries and nondually enrolled beneficiaries.Serial cross-sectional study of Medicare fee-for-service beneficiaries aged 65 years or older between January 2004 and December 2017. The final date of follow-up was September 30, 2018.Dual vs nondual enrollment status.Annual all-cause mortality rates; all-cause hospitalization rates; and in-hospital, 30-day, 1-year hospitalization
& Development Management eBrief no. 170 » Issue 170 March 2020 The report is a product of the VA/HSR&D Evidence Synthesis Program. Deprescribing for Older Veterans: A Systematic Review More than 40% of people in the United States age ≥65 years take five or more prescription medications on a regular basis to control or prevent disease symptoms and complications. The number of medications a person is taking may be the single most important predictor of adverse drug effects. Efforts have been underway for more (...) medications, and medications known to pose risks in the elderly. The VA Center for Medication Safety in Aging was charged with the development and implementation of deprescribing approaches in VA settings. Commissioned by the National Center for Patient Safety and endorsed by VA Pharmacy Benefits Management and the Geriatrics and Extended Care Services, the purpose of this evidence review is to inform that work. Specific questions to be addressed included: What are the effectiveness, comparative
" OR AB "Health promotion") 1236 4. 1 OR 2 OR 3 5690 Population: 5. DE "OLDERpeople" 7927 6. (TI (elderly OR aged OR old*) N2 (person* OR people* OR m#n OR wom#n OR patient*)) OR (AB (elderly OR aged OR old*) N2 (person* OR people* OR m#n OR wom#n OR patient*)) 29086 7. (TI (geriatric* OR "senior citizen*")) OR (AB (geriatric* OR "senior citizen*")) 4799 8. 5 OR 6 OR 7 36564 Study types: 9. DE "Systematic reviews (Medical research)" OR DE "Cochrane reviews" OR DE "Meta-analysis" 5181 10. (TI (...) Population: 5. exp Aged/ 3041480 6. ((elderly or aged or old$) adj2 (person$ or people$ or m?n or wom?n or patient$)).ti,ab. 714320 7. (geriatric$ or senior citizen$).ti,ab 46885 8. 5 OR 6 OR 7 3469976 Study types: 9. Exp systematic review/ OR cochrane library.mp OR exp meta analysis/ 191889 10. ((systematic* ADJ3 review) OR meta analy* OR metaanaly*).ab,ti,kw 255856 11. 9 OR 10 282791 Combined sets: 12. 4 AND 8 5311 Final 11 AND 12 102 Cochrane Library via Wiley 2020-01-14 Preventive home visits