A new report released by the Alzheimer’s Society has revealed that many older adults with dementia are increasingly feeling isolated from the rest of society. 35 percent of seniors with dementia said that they leave their home once a week or less while 10 percent left their residence only once a month or less.
Dr. Gitlin is an expert on “person-centered” care for people with Alzheimer’s disease and the originator of a massive open online course (M.O.O.C.) on this condition, which will be offered through Coursera for five weeks starting in mid-October. You can sign up now.
The use of ACE-Is in older adults with AD is associated with a slower rate of cognitive decline independent of hypertension. Future research is needed to explore the role of ACE-Is in long-term AD progression.
via Angiotensin-Converting Enzyme Inhibitors and Alzheimer’s Disease Progression in Older Adults: Results from the Réseau sur la Maladie d’Alzheimer Français Cohort – Soto – 2013 – Journal of the American Geriatrics Society – Wiley Online Library.
September 2013 marks the second annual World Alzheimer’s Month and in honour of the occasion, this week’s web pick is the COPSA Education Channel featuring 3 videos on Alzheimer’s and Dementia care in long-term care homes. The COPSA Institute for Alzheimer’s Disease and Related Disorders is a university-based program that provides a daily care program for older adults with dementia and other related disorders. The Centre has produced the following 3 video that are available to view online:
Polypharmacy and excessive polypharmacy are common among nursing home residents with advanced cognitive impairment. Determinants of polypharmacy status includes not only comorbidities, but also specific symptoms, age, and functional status. A geriatrician in the facility is associated with lower prevalence of excessive polypharmacy.
This review focuses on categories of behavior indicators related to pain in people with IDs. The quality of evidence is critically discussed per category. This set of indicators could potentially help clinicians to recognize pain in this population, especially when unique individual pain responses are also identified.
Interpretation: The health care experience of people with dementia and their caregivers is a complex and dynamic process, which could be improved for many people. Understanding these experiences provides insight into potential gaps in existing health services. Modifying existing services or implementing new models of care to address these gaps may lead to improved outcomes for people with dementia and their caregivers.
Cholinesterase inhibitor use was associated with a reduced risk of MI and death in a nationwide cohort of subjects diagnosed with Alzheimer’s dementia. These associations were stronger with increasing ChEI dose.
Cancer Screening is of little benefit in persons with dementia but can cause very serious harms. Older persons with dementia have limited life expectancies which makes any benefit from cancer screening very unlikely. This is because cancer screening works by identifying a cancer many years (generally at least 5-10 years) before it would threaten health.
A number of caregivers who have left comments or emailed me have asked for my advice on dealing with their loved ones’ dementia. Since I have absolutely no personal experience in that area, I can only offer second-hand advice that I can’t personally vouch for. In two previous posts (here and here), however, I did review the book Contented Dementia, which offers a good general framework for thinking about the issue. I’ve also recently come across a set of “Tips for the Caregiver” from the Bureau of Geriatric Psychiatry in Tuscaloosa, AL. The tips are taken from a larger “Caregiver Packet”* which is also well worth reading.