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New Taxonomy of Health Would Improve Outcomes, Reimbursement

Caring for the Ages
May 1, 2017
An evolving taxonomy of health in older people predicated not on specific medical diagnoses but upon a more integrated portrait of the patient’s overall health — including mental status, sensory and physical function, and previous history of falls...

Delirium Acts Independently on Cognitive Decline

Caring for the Ages
May 1, 2017
Delirium appears to act independently of the pathologic processes of classic dementia — and “multiplicatively” — in driving cognitive decline, according to findings from a novel neuropathological study combining data from three population-based...

Preconditions for Successful Advance Care Planning in Nursing Homes

Caring for the Ages
May 1, 2017
Evidence is growing that advance care planning (ACP) interventions can improve the quality of end-of-life care, family satisfaction, and concordance between preferences for care and the care actually received.

My Mom, Nearing the End

Caring for the Ages
May 1, 2017
Not long ago it fell to me to deliver some unhappy news to my 92-year-old mother. I have been doing that a lot lately. Her 91-year-old cousin, Rita — my mother’s last first cousin and lifelong best friend — had passed away in her sleep. Although...

Caring for the Cognitively Intact

Caring for the Ages
May 1, 2017
Dear Dr. Jeff:

Expanding Population of Elders With HIV May Catch Nursing Homes Off Guard

Caring for the Ages
May 1, 2017
An increasing number of individuals infected with HIV are living longer and are expected to need long-term care. Will nursing homes be ready to accommodate them?

Learning to Just Say No

Caring for the Ages
May 1, 2017
I spent much of February and March attending (and sometimes presenting at) a variety of professional meetings, starting with the Idaho Health Care Association, then the American Academy of Hospice & Palliative Medicine’s annual meeting, then the...

Practicing in the New World: From Perplexed to Proactive

Caring for the Ages
May 1, 2017
Everyone wants to know what’s ahead for health care, but currently no one has the answers. However, Diane E. Meier, MD, director of the Center to Advance Palliative Care in New York City, has some words of advice and of comfort for those practicing...

Dollars vs. Ethics: Resisting the Influence of Big Pharma

Caring for the Ages
May 1, 2017
Funding from pharmaceutical companies and device manufacturers is crucial for medical research and education. By 2001, industry sources accounted for as much as $60 billion in research and funding development. Study results published in 2007 showed...

Reference Values of Grip Strength, Prevalence of Low Grip Strength, and Factors Affecting Grip Strength Values in Chinese Adults

JAMDA
April 29, 2017
The objectives of this study were to update the reference values of grip strength, to estimate the prevalence of low grip strength, and to examine the impact of different aspects of measurement protocol on grip strength values in Chinese adults.