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Caring for the Ages
January 1, 2016

Balancing potential benefit and burden of nutritional interventions and providing support should be an integral part of dementia management, according to experts from the European Society of Clinical Nutrition and Metabolism (ESPEN). In new evidence-based guidelines, the panelists recommended screening and monitoring of body weight as well as adequate nursing support around eating and a pleasant dining environment for patients with the condition.

Caring for the Ages
January 1, 2016

Any conversation about innovative models of community-based care delivery eventually references the Veterans Health Administration's (VHA) Home-Based Primary Care (HBPC) model as a basis of comparison, if not the “gold standard.” In the Sept. 2015 Caring for the Ages column [“Geriatric Med Ed Preps New Recruits for a Fast-Changing Future”], the two geriatric fellowship programs cited (University of South Dakota Sanford School of Medicine and University of Louisville School of Medicine) both include VHA HBPC rotations.

Caring for the Ages
January 1, 2016

BARCELONA — A combination of cognitive and physical training plus omega-3 fatty acid supplements boosted cognitive performance significantly in a group of people with subjective memory complaints.

Caring for the Ages
January 1, 2016

BARCELONA — RVT-101, a novel small molecule that increases acetylcholine release, is poised for what its developers say could be its pivotal trial for U.S. approval.

Caring for the Ages
January 1, 2016

Urologic problems are common in elderly patients with terminal illnesses and for them, researchers from the University of Kansas recommended palliation plans that balance life expectancy with the time it will take to get benefit from proposed therapies. Taking into consideration an individual's goals and looking at a wide range of options, they said, are important for lowering the burden of care while managing symptoms.

Caring for the Ages
January 1, 2016

Pain may be a factor in malnutrition in nursing home residents, according to a recent study published in Clinical Nutrition. The report points to a need for prompt assessment and treatment of pain to prevent appetite loss in this population, and consideration of the nutritional impact of drugs when selecting analgesics.

Caring for the Ages
January 1, 2016

ORLANDO — Optimal blood pressure in patients with asymptomatic mild to moderate aortic stenosis is 140–159 mm Hg for systolic and 70–89 mm Hg for diastolic, according to an analysis of all-cause mortality in the world's largest data set of such patients with longitudinal follow-up and endpoint evaluation.

Caring for the Ages
January 1, 2016

A low incidence of antibiotic-resistant Enterobacteriaceae bacteria was found in a study of Rhode Island nursing home residents admitted to acute care facilities, but researchers said a better understanding of risk factors associated with carriage of carbapenem-resistant gram-negative bacteria among nursing home patients is needed.

Caring for the Ages
January 1, 2016

NEW ORLEANS — Suicidal thoughts and actions are not rare among the elderly and seem to have diverse drivers, including physical disability, pain, and loneliness.

Caring for the Ages
January 1, 2016

Change is always unsettling, and challenges await regarding new payment and delivery models, according to David Grabowski, PhD, professor of health care policy at Harvard Medical School. However, with change comes opportunity. Accountable care organizations, bundled payments, and other changes present opportunities for assisted living communities to be part of the new payment paradigms and to be rewarded for providing quality, cost-effective care. Dr. Grabowski offered some tips on how senior living practitioners can excel as the health care system continues to move away from traditional...