Showing posts with label Risk Factors For Dementia. Show all posts
Showing posts with label Risk Factors For Dementia. Show all posts

Sunday, January 15, 2012

Alzheimers Disease, #Dementia & #Senility Resources, (#Bedside #Nursing) #Patient #healthcare #nursefriendly

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Alzheimers Disease, #Dementia & #Senility Resources, (#Bedside #Nursing) #Patient #healthcare #nursefriendly

See also:

Saturday, June 4, 2011

Are senior citizens being overmedicated? – The Chart - CNN.com Blogs

Strong, antipsychotic drugs are being prescribed more often to senior citizens in U.S. nursing homes, setting off a debate about whether it's the right treatment for the elderly suffering from dementia.

Daniel Levinson, inspector general for the Department of Health and Human Services, believes this increase - detailed in a recent study by his office - is a cause for alarm.  "The report found that too often, elderly residents are prescribed antipsychotic drugs in ways that violate government standards for unnecessary drug use," he wrote in a commentary for CNN.com.

Psychiatrist Daniel Carlat disagrees, saying the study Levinson cites is a "blizzard of statistics" that doesn't tell the entire story.  "When these drugs are successful, they soothe the inner turmoil that makes life intolerable for these patients, improving their quality of life dramatically," Carlat wrote in his commentary for CNN.com.

Click on the "Via" link for the full article.

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Monday, May 16, 2011

Caring for an Ill Spouse, and for Other Caregivers

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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Sunday, May 15, 2011

Alzheimers Disease, Dementia & Senility, Direct (Bedside Nursing) Patient Care

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Andrew Lopez, RN
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Thursday, May 5, 2011

Extra Pounds at Midlife May Boost Dementia Risk Later: MedlinePlus

Being overweight during middle age may increase your risk of developing dementia later on, a new Swedish study suggests.

Several studies have already linked obesity in middle age to dementia in later life, but it was unclear whether merely carrying some extra pounds in midlife was a risk factor. The new research suggests that even being overweight -- defined as having a body mass index (BMI) of 25 to 30 -- is linked with a higher risk of dementia.

"Being overweight at midlife increased the risk of dementia in late life by more than 70 percent," said lead study author Dr. Weili Xu, a postdoctoral researcher at Karolinska Institute in Stockholm.

Being obese raised the risk even more, to nearly fourfold.

"Although the effect of midlife overweight on dementia is not as substantial as that of obesity, its impact on public health is significant," Xu said, noting that 1.6 billion adults worldwide are obese or overweight, including 50 percent of adults in the United States and Europe.

The study is published in the May 3 issue of Neurology.

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Andrew Lopez, RN
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Friday, April 22, 2011

HealthNewsReview.org | Independent Expert Reviews of News Stories | Holding Health and Medical Journalism Accountable

Like the NPR story we also reviewed, this story about revised guidance on diagnosing Alzheimer’s disease does a nice job of clearly distinguishing what is relevant to readers and what is of interest only to researchers.

Our Review Summary

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This report tells readers the stark reality, that lab tests and brain scans for Alzheimer’s are not ready for clinical use and even when the tests are validated, they will have limited value to patients until effective treatments are developed.

This story includes a comment about how early diagnosis could help patients and families plan for the future; but it would have been nice to see an acknowledgment of the potential psychological and social consequences.

Like the NPR story, this report fails to tell readers about the ties between quoted experts and companies that are developing tests and treatments, even though those ties were disclosed. This story quoted several experts, but none who are independent of the panel that issued the revised diagnosis guidance.


Why This Matters:

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It is more than just validation of the new diagnostic approaches being described that will be needed before these can influence clinical practice. All of the diagnostic test characteristics will need to be examined, including the ability of the test results to accurately predict which patients are likely to develop AD (the false positive, false negative, positive and negative predictive value, etc). Additionally, the reliability of the measures will need to be determined. From a clinical perspective, until there are treatments that can alter progression, other than helping patients understand what to expect in the future, currently there is not a lot of benefit and there are potential harms for knowing early on if a patient has this condition.

Click on the "via" link for the rest of the article.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Friday, April 15, 2011

The Alzheimer List, Washington University

As Director of the Alzheimer’s Disease Research Center at Washington University, I reluctantly have decided to phase out the Alzheimer List, effective February 1, 2011.  I have made this decision based on two factors.  First, the use of the list has been steadily declining.  In January 2005, there were 1,057 monthly posts to the List, but in May 2010 there only were 175 posts. This declining use possibly reflects the fact that, since the List was originated in 1994, many more resources now are available for families and caregivers of persons affected by Alzheimer’s disease and other dementing disorders.  Indeed, many of the current posts to the List do not address caregiver or related issues. Second, for us to support the List requires resources such as personnel, hardware, and maintenance of archives.  Although the List is not a major resource burden, in this period of constrained research funding we must manage any expenditures very carefully.  We have notified our funding agency, the National Institute on Aging, of our decision to end the List and they are in agreement.

At end of this message, please find links to other online support groups that may be useful for some of you. The publicly accessible archive of all posts to the List will be maintained after February 1, 2011, (i.e., after the List itself is halted) as the archive has proven valuable for several reasons, including for caregiving research.             

Finally, I would like to thank all of you who have made the List a vital initiative for sharing and supporting caregiver interests.  I also want to recognize Geri Hall for her tremendous contributions to the List over many years; her caring and insightful comments have been of great help to many people and we very gratefully acknowledge her efforts.

Sincerely,

John C. Morris, MD (morrisj@abraxas.wustl.edu)

Alternative Online Support Groups:

Alzheimer’s Association message boards and chat rooms:
http://www.alz.org/apps/we_can_help/support_groups.asp

ElderCare Online Forum:
http://eldercare.infopop.cc/6/ubb.x

Alzheimer's Care Giver Support Group (started by former members of the ADRC Alzheimer List:
http://health.groups.yahoo.com/group/AlzheimerSupport/


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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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Tuesday, April 5, 2011

Five new genes linked to Alzheimer's | ABS-CBN News | Latest Philippine Headlines, Breaking News, Video, Analysis, Features

Scientists said Sunday they had uncovered 5 genes linked to the onset of Alzheimer's disease, doubling the number of genetic variants known to favor the commonest form of dementia.

The findings, published in the journal Nature Genetics, may provide clues on the causes of this incurable and complex disease and help doctors predict who is most at risk, they said.

In the largest such studies to date, some 300 scientists in two consortia combed the genomes of 54,000 people -- some afflicted, others not -- to tease out the newly identified genetic variations.

The two projects started out independently but later swapped their data, enabling each group to confirm the overall findings.

Click on the "via" link to read the rest of the article.

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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Tuesday, March 15, 2011

Reversible causes of memory loss | cdaamerica

Reversible causes of memory loss

It’s important to be aware of ways that your health, environment, and
lifestyle may contribute to memory loss. Sometimes, even what looks like
significant memory loss can be caused by treatable conditions and reversible
external factors.

  • Side effects of medication. Many prescribed and over-the-counter drugs or combinations of drugs can cause cognitive problems and memory loss as a side effect. This is especially common in older adults because they break down and absorb medication more slowly. Common medications that affect memory and brain function include sleeping pills, antihistamines, blood pressure and arthritis medication, antidepressants, anti-anxiety meds, and painkillers.
  • Depression. Depression can mimic the signs of memory loss, making it hard for you to concentrate, stay organized, remember things, and get stuff done. Depression is a common problem in older adults—especially if you’re less social and active than you used to be or you’ve recently experienced a number of important losses or major life changes (retirement, a serious medical diagnosis, the loss of a loved one, moving out of your home).

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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Reversible causes of memory loss | cdaamerica

Reversible causes of memory loss

It’s important to be aware of ways that your health, environment, and
lifestyle may contribute to memory loss. Sometimes, even what looks like
significant memory loss can be caused by treatable conditions and reversible
external factors.

  • Side effects of medication. Many prescribed and over-the-counter drugs or combinations of drugs can cause cognitive problems and memory loss as a side effect. This is especially common in older adults because they break down and absorb medication more slowly. Common medications that affect memory and brain function include sleeping pills, antihistamines, blood pressure and arthritis medication, antidepressants, anti-anxiety meds, and painkillers.
  • Depression. Depression can mimic the signs of memory loss, making it hard for you to concentrate, stay organized, remember things, and get stuff done. Depression is a common problem in older adults—especially if you’re less social and active than you used to be or you’ve recently experienced a number of important losses or major life changes (retirement, a serious medical diagnosis, the loss of a loved one, moving out of your home).

--

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Monday, February 28, 2011

Medical News: AAN: Third Language a Charm in Warding Off Dementia - in Meeting Coverage, AAN from MedPage Today

Speak English? Parlez français? Habla español?

Those who can say yes, oui, or sí to all three questions are significantly more likely to avoid cognitive problems late in life than those who speak only two languages, according to Magali Perquin, PhD, of the Public Research Center for Health in Luxembourg, and colleagues.

Moreover, the effect appears to add up -- more languages equal a lower risk of cognitive impairment, Perquin and colleagues reported in a study to be presented at the American Academy of Neurology meeting in Honolulu in April.

Action Points  
  • Note that this study was to be published as an abstract and presented at a conference. These data and conclusions should be considered to be preliminary until published in a peer-reviewed journal.

  • Note that in this study multilingualism was protective against cognitive impairment in seniors, and the more languages spoken the better.
  • Point out that this study cannot determine causality.
  • "It appears speaking more than two languages has a protective effect on memory in seniors who practice foreign languages over their lifetime or at the time of the study," Perquin said in a statement.

    The findings, from a study of 230 people with an average age of 73, fit into the context of a growing body of literature that suggests a so-called "cognitive reserve" -- developed by intellectual activities -- protects against dementia.

    Click on the "Via" link to read the full article.

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    Creative Storytelling Intervention Helps Dementia Patients | National Nursing News

    Participation in a creative storytelling intervention improves communications skills and demeanor in people with dementia, according to a study by University of Missouri researchers.

    The program, TimeSlips, encourages participants to use their imaginations to create short stories as a group. Participation does not require factual recall, but rather responses to humorous images presented by facilitators. The facilitators record the responses and read narratives to further develop or conclude the stories.

    “TimeSlips provides rich, engaging opportunities for persons with dementia to interact with others while exercising their individual strengths,” said Lorraine Phillips, RN, PhD, FNP-BC, assistant professor in the Sinclair School of Nursing.

    Click on the "Via" link to read the full article.

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    Andrew Lopez, RN
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    38 Tattersall Drive, Mantua New Jersey 08051
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    Thursday, February 3, 2011

    Online tool can help seniors determine risk for dementia | Johns Hopkins University - The Gazette

    A quick online assessment tool developed by Johns Hopkins researchers can help worried seniors find out if they are at risk of developing dementia and determine whether they should seek a comprehensive, face-to-face diagnosis from a physician, according to a new study.

    The tool, which is being refined and validated, is not meant to replace a full evaluation from a doctor that includes a physical exam, blood work, imaging studies and more. Instead, this assessment provides a scientific way to help a person educate himself about a disease that doctors now believe is best managed if caught early.

    “As the population ages and dementia becomes more prevalent, it’s important to get people diagnosed early,” said Jason Brandt, a professor of psychiatry and behavioral sciences at the Johns Hopkins University School of Medicine and the leader of the study appearing online in the journal Alzheimer’s & Dementia. “Alzheimer’s disease and other types of dementia don’t just creep up on you. They’re incubating for decades in the brain. This tool is potentially very useful in determining who is at risk.”

    Among the questions asked on the Dementia Risk Assessment are whether a person has a history of high blood pressure, depression, diabetes, high cholesterol or head injury, all of which are considered well-documented risk factors for dementia. The assessment also includes a simple memory test that could point to a subtle cognitive decline, Brandt says.

    The study analyzed responses from 357 people over the age of 50 who took the assessment at www.alzcast.org. Those who scored lowest on the memory test were significantly older and were more likely to be men, have hypertension and report severe memory problems. And while only 9 percent of respondents reported they had severe memory problems, more than one-third said they had a first-degree relative with dementia or severe memory loss—a major risk factor for the condition.

    The assessment takes just five to 10 minutes to complete online, and the questions have been borrowed from other scientifically valid assessments.

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    Andrew Lopez, RN
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    38 Tattersall Drive, Mantua New Jersey 08051
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