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2020 Geriatric Symposium: More Conference Topics

October 2, 2020

Conference Brochure

                                                                                                                                       

Dementia Friendly: The New Lifestyle

1.

Nurses' experiences of delivering acute orthopaedic care to patients with dementia.

Jensen AM, Pedersen BD, Wilson RL, Bang Olsen R, Hounsgaard L.

Int J Older People Nurs. 2019 Dec;14(4):e12271. doi: 10.1111/opn.12271. Epub 2019 Sep 24.

PMID: 31549784

2.

Dementia-friendly prisons: a mixed-methods evaluation of the application of dementia-friendly community principles to two prisons in England.

Treacy S, Haggith A, Wickramasinghe ND, Van Bortel T.

BMJ Open. 2019 Aug 8;9(8):e030087. doi: 10.1136/bmjopen-2019-030087.

PMID: 31399461 Free PMC article.

3.

The place for dementia-friendly communities in England and its relationship with epidemiological need.

Woodward M, Arthur A, Darlington N, Buckner S, Killett A, Thurman J, Buswell M, Lafortune L, Mathie E, Mayrhofer A, Goodman C.

Int J Geriatr Psychiatry. 2019 Jan;34(1):67-71. doi: 10.1002/gps.4987. Epub 2018 Sep 24.

PMID: 30248208 Free PMC article.

4.

The lived neighborhood: understanding how people with dementia engage with their local environment.

Ward R, Clark A, Campbell S, Graham B, Kullberg A, Manji K, Rummery K, Keady J.

Int Psychogeriatr. 2018 Jun;30(6):867-880. doi: 10.1017/S1041610217000631. Epub 2017 May 2.

PMID: 28462764 Free PMC article. Clinical Trial.

5.

Balancing safety and harm for older adults with dementia in rural emergency departments: healthcare professionals' perspectives.

Hunter KF, Parke B, Babb M, Forbes D, Strain L.

Rural Remote Health. 2017 Jan-Mar;17(1):4055. doi: 10.22605/rrh4055. Epub 2017 Feb 9.

PMID: 28186825

6.

Living with dementia in hospital wards: a comparative study of staff perceptions of practice and observed patient experience.

Innes A, Kelly F, Scerri C, Abela S.

Int J Older People Nurs. 2016 Jun;11(2):94-106. doi: 10.1111/opn.12102. Epub 2016 Jan 20.

PMID: 26786566

Practice Changing Articles in Geriatrics: A Round-up of the Last Year’s Most Influential Research

1. Are Older Adults Left Behind in the Migration to Telemedicine? (https://www.jwatch.org/na52167/2020/08/18/are-older-adults-left-behind-migration-telemedicine) Paul S. Mueller, MD, MPH, FACP reviewing:

2.  Remote Telehealth Is Noninferior to In-Person Home-Based Delivery of Dementia Care (https://www.jwatch.org/na51370/2020/04/23/remote-telehealth-noninferior-person-home-based-delivery) Matthew E. Peters, MD reviewing Laver K et al. Am J Geriatr Psychiatry 2020 Mar 2 (https://pubmed.ncbi.nlm.nih.gov/32234275/)

3.  Confusion as the Presenting Symptom of COVID-19 in Elderly Patients FREE (https://www.jwatch.org/na52043/2020/07/31/confusion-presenting-symptom-covid-19-elderly-patients) Matthew E. Peters, MD reviewing Ward CF et al. Am J Geriatr Psychiatry 2020 Aug (https://pubmed.ncbi.nlm.nih.gov/32425470/)

4.  Optimizing Antibiotics Use for Uncomplicated Cystitis in Nursing Home Residents (https://www.jwatch.org/na51556/2020/05/18/optimizing-antibiotics-use-uncomplicated-cystitis-nursing) Hana M. El Sahly, MD reviewing Nace DA et al. JAMA Intern Med 2020 May 11 (https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2764860?resultClick=1)

5.  Deprescribing Acetylcholinesterase Inhibitors for Nursing Home Residents with Advanced Dementia (https://www.jwatch.org/na51529/2020/05/07/deprescribing-acetylcholinesterase-inhibitors-nursing-home) Molly S. Brett, MD reviewing Niznik JD et al. J Am Geriatr Soc 2020 Apr (https://onlinelibrary.wiley.com/doi/abs/10.1111/jgs.16241)

6.  Behavioral Therapy Is More Effective than Drug Therapy for Overactive Bladder Symptoms in Men (https://www.jwatch.org/na50691/2020/01/30/behavioral-therapy-more-effective-drug-therapy-overactive) Thomas L. Schwenk, MD reviewing Burgio KL et al. JAMA Intern Med 2020 Jan 13 (https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2758797)

1. Defining Functional Cognitive Disorder Joel Yager, MD (https://www.jwatch.org/na52299/2020/08/31/defining-functional-cognitive-disorder) reviewing Ball HA et al. Brain 2020 Aug 13 (https://doi.org/10.1093/brain/awaa224)

2. Delirium and Long-Term Cognitive Decline: Real Data (https://www.jwatch.org/na52034/2020/07/23/delirium-and-long-term-cognitive-decline-real-data) Matthew E. Peters, MD reviewing Goldberg TE et al. JAMA Neurol 2020 Jul 13 (https://jamanetwork.com/journals/jamaneurology/article-abstract/2768000)

3. Framingham Risk Score Predicts Dementia Risk Kirsten E. Fleischmann, MD, MPH, FACC reviewing (https://www.jwatch.org/na51990/2020/07/09/framingham-risk-score-predicts-dementia-risk):

4. Incident Dementia and Cognitive Impairment Are Less Likely When Blood Pressure Is Controlled
Thomas L. Schwenk, MD (https://www.jwatch.org/na51617/2020/06/02/incident-dementia-and-cognitive-impairment-are-less-likely) reviewing Hughes D et al. JAMA 2020 May 19 (https://pubmed.ncbi.nlm.nih.gov/32427305/)

Falls intervention—not all bad news
5. Failure of a Multifactorial Intervention to Prevent Serious Falls Allan S. Brett, MD (https://www.jwatch.org/na51926/2020/07/08/failure-multifactorial-intervention-prevent-serious-falls) reviewing Bhasin S et al. N Engl J Med 2020 Jul 9 (https://www.nejm.org/doi/10.1056/NEJMoa2002183)

Bisphosphonates and fractures—sorting out the yin and yang
6. Weighing Bisphosphonate-Linked Prevention of Osteoporotic Fractures Against Risk for Atypical Femur Fractures
Andrew M. Kaunitz MD (https://www.jwatch.org/na52205/2020/08/19/weighing-bisphosphonate-linked-prevention-osteoporotic) reviewing Black DM et al. N Engl J Med 2020 Aug 20 (https://www.nejm.org/doi/10.1056/NEJMoa1916525)

End-of-Life Discussions: Practical Approaches for Difficult Conversations

1.

End-of-life discussions in practice: survey among Canadian radiation oncologists.

Oh J, Dennis K, Lefresne S, Livergant J, McKenzie M.

Ann Palliat Med. 2019 Sep;8(4):420-427. doi: 10.21037/apm.2019.06.01. Epub 2019 Jun 20.

PMID: 31280579

2.

A Patient-Reported Outcome Instrument to Assess Symptom Burden and Predict Survival in Patients with Advanced Cancer: Flipping the Paradigm to Improve Timing of Palliative and End-of-Life Discussions and Reduce Unwanted Health Care Costs.

Goldberg SL, Paramanathan D, Khoury R, Patel S, Jagun D, Arunajadai S, DeVincenzo V, Benito RP, Gruman B, Kaur S, Paddock S, Norden AD, Schultz EV, Hervey J, Jordan T, Goy A, Pecora AL.

Oncologist. 2019 Jan;24(1):76-85. doi: 10.1634/theoncologist.2018-0238. Epub 2018 Sep 28.

PMID: 30266893 Free PMC article.

3.

'The Future is Probably Now': Understanding of illness, uncertainty and end-of-life discussions in older adults with heart failure and family caregivers.

Im J, Mak S, Upshur R, Steinberg L, Kuluski K.

Health Expect. 2019 Dec;22(6):1331-1340. doi: 10.1111/hex.12980. Epub 2019 Sep 27.

PMID: 31560824 Free PMC article.

4.

End-of-Life Discussions in Patients With Heart Failure.

Young KA, Redfield MM, Strand JJ, Dunlay SM.

J Card Fail. 2017 Nov;23(11):821-825. doi: 10.1016/j.cardfail.2017.08.451. Epub 2017 Aug 31.

PMID: 28842378 Free PMC article. Clinical Trial.

5.

Effects of End-of-Life Discussions on the Mental Health of Bereaved Family Members and Quality of Patient Death and Care.

Yamaguchi T, Maeda I, Hatano Y, Mori M, Shima Y, Tsuneto S, Kizawa Y, Morita T, Yamaguchi T, Aoyama M, Miyashita M.

J Pain Symptom Manage. 2017 Jul;54(1):17-26.e1. doi: 10.1016/j.jpainsymman.2017.03.008. Epub 2017 Apr 24.

PMID: 28450216

6.

Promoting End-of-Life Discussions in Advanced Cancer: Effects of Patient Coaching and Question Prompt Lists.

Rodenbach RA, Brandes K, Fiscella K, Kravitz RL, Butow PN, Walczak A, Duberstein PR, Sullivan P, Hoh B, Xing G, Plumb S, Epstein RM.

J Clin Oncol. 2017 Mar 10;35(8):842-851. doi: 10.1200/JCO.2016.68.5651. Epub 2017 Jan 30.

PMID: 28135140 Free PMC article. Clinical Trial.

7.

End-of-Life Discussions with Older Adults.

Kale MS, Ornstein KA, Smith CB, Kelley AS.

J Am Geriatr Soc. 2016 Oct;64(10):1962-1967. doi: 10.1111/jgs.14285. Epub 2016 Aug 22.

PMID: 27549494 Free PMC article.

8.

Patient-Physician End-of-Life Discussions in the Routine Care of Medicare Beneficiaries.

Keary S, Moorman SM.

J Aging Health. 2015 Sep;27(6):983-1002. doi: 10.1177/0898264315569458. Epub 2015 Feb 2.

PMID: 25649675 Free PMC article.

9.

What really matters in end-of-life discussions? Perspectives of patients in hospital with serious illness and their families.

You JJ, Dodek P, Lamontagne F, Downar J, Sinuff T, Jiang X, Day AG, Heyland DK; ACCEPT Study Team and the Canadian Researchers at the End of Life Network (CARENET).

CMAJ. 2014 Dec 9;186(18):E679-87. doi: 10.1503/cmaj.140673. Epub 2014 Nov 3.

PMID: 25367427 Free PMC article.

10.

Opportunity lost: end-of-life discussions in cancer patients who die in the hospital.

Zaros MC, Curtis JR, Silveira MJ, Elmore JG.

J Hosp Med. 2013 Jun;8(6):334-40. doi: 10.1002/jhm.1989. Epub 2012 Nov 20.

PMID: 23169553 Free PMC article.

Deprescribing to Reduce Medication Overload

1.

Use of an electronic decision support tool to reduce polypharmacy in elderly people with chronic diseases: cluster randomised controlled trial.

Rieckert A, Reeves D, Altiner A, Drewelow E, Esmail A, Flamm M, Hann M, Johansson T, Klaassen-Mielke R, Kunnamo I, Löffler C, Piccoliori G, Sommerauer C, Trampisch US, Vögele A, Woodham A, Sönnichsen A.

BMJ. 2020 Jun 18;369:m1822. doi: 10.1136/bmj.m1822.

PMID: 32554566 Free PMC article. Clinical Trial.

2.

A survey on medications received by elderly persons with dysphagia living at home or in a nursing home.

Matsumura E, Nohara K, Tanaka N, Fujii N, Sakai T.

J Oral Sci. 2020;62(2):239-241. doi: 10.2334/josnusd.19-0370.

PMID: 32224575

3.

Daily Medication Management and Adherence in the Polymedicated Elderly: A Cross-Sectional Study in Portugal.

Gomes D, Placido AI, Mó R, Simões JL, Amaral O, Fernandes I, Lima F, Morgado M, Figueiras A, Herdeiro MT, Roque F.

Int J Environ Res Public Health. 2019 Dec 27;17(1):200. doi: 10.3390/ijerph17010200.

PMID: 31892177 Free PMC article. Clinical Trial.

4.

Patient safety in primary health care and polypharmacy: cross-sectional survey among patients with chronic diseases.

Araújo LU, Santos DF, Bodevan EC, Cruz HLD, Souza J, Silva-Barcellos NM.

Rev Lat Am Enfermagem. 2019 Dec 5;27:e3217. doi: 10.1590/1518-8345.3123.3217. eCollection 2019.

PMID: 31826159 Free PMC article.

5.

Relationship Between Potentially Inappropriate Medications And The Risk Of Hospital Readmission And Death In Hospitalized Older Patients.

Wang P, Wang Q, Li F, Bian M, Yang K.

Clin Interv Aging. 2019 Nov 4;14:1871-1878. doi: 10.2147/CIA.S218849. eCollection 2019.

PMID: 31806945 Free PMC article.

6.

Impact of number of medications and age on adherence to antihypertensive medications: A nationwide population-based study.

Kim SJ, Kwon OD, Han EB, Lee CM, Oh SW, Joh HK, Oh B, Kwon H, Cho B, Choi HC.

Medicine (Baltimore). 2019 Dec;98(49):e17825. doi: 10.1097/MD.0000000000017825.

PMID: 31804305 Free PMC article. Clinical Trial.

7.

Reducing Potentially Inappropriate Prescriptions for Older Patients Using Computerized Decision Support Tools: Systematic Review.

Monteiro L, Maricoto T, Solha I, Ribeiro-Vaz I, Martins C, Monteiro-Soares M.

J Med Internet Res. 2019 Nov 14;21(11):e15385. doi: 10.2196/15385.

PMID: 31724956 Free PMC article.

8.

Polypharmacy in older patients: identifying the need for support by a community pharmacist.

Beuscart JB, Petit S, Gautier S, Wierre P, Balcaen T, Lefebvre JM, Kambia N, Bertoux E, Mascaut D, Barthélémy C, Cuny D, Puisieux F, Décaudin B.

BMC Geriatr. 2019 Oct 21;19(1):277. doi: 10.1186/s12877-019-1276-y.

PMID: 31638909 Free PMC article.

9.

Polypharmacy and medication errors on admission to palliative care.

Grądalski T.

Pol Arch Intern Med. 2019 Oct 30;129(10):659-666. doi: 10.20452/pamw.14969. Epub 2019 Sep 10.

PMID: 31502585

10.

Psychopharmacological Treatment in Older People: Avoiding Drug Interactions and Polypharmacy.

Kratz T, Diefenbacher A.

Dtsch Arztebl Int. 2019 Jul 22;116(29-30):508-518. doi: 10.3238/arztebl.2019.0508.

PMID: 31452508 Free PMC article. Review.