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From Pot to Pods: Accidental Ingestions in the Elderly

JAMDA
March 1, 2017
Accidental ingestions in the geriatric population are likely more common than recognized. In Virginia, 2.3% of the exposures reported to a poison center in a 6 months period involved adults aged ≥60 years and 84% of those were unintentional. A...

Challenges of Differential Diagnosis

JAMDA
March 1, 2017
Behavioral symptoms in the setting of dementia can be difficult to interpret as to whether they are a sign of dementia progression or of another medical condition.Too often other diagnoses are not considered, a complete work-up is not done, and...

A Case of Mistaken Hematochezia: Charles Bonnet Syndrome as a Mimicker of Gastrointestinal Bleed

JAMDA
March 1, 2017
Charles Bonnet syndrome (CBS) is an under-recognized condition characterized by three clinical features: visual release hallucinations, acute or chronic ocular pathology causing visual deterioration, and preserved cognitive status. It is associated...

A Case of Mistaken Capacity: Medical Decision-Making Capacity & Informed Consent in Nonagenarian Cousins

JAMDA
March 1, 2017
The following case describes specific circumstances of a life-threatening surgical decision by an older woman and her cousin, both nonagenarians.

Is Mild Cognitive Impairment Really Reversible?

JAMDA
March 1, 2017
We thank Dr. Canevelli et al1 for their thoughtful review. However, we do not agree with their suggestion that reversion to normal cognition is a common outcome with mild cognitive impairment (MCI). Furthermore, though we agree that MCI should not...

News From the Society

Caring for the Ages
March 1, 2017
The Core Curriculum on Medical Direction has always received great reviews from participants, but that never stopped Society staff and Core faculty from seeking ways to improve, update, and enhance it. Recently, they have moved more of the program...

Journal Highlights From the March Issue of JAMDA

Caring for the Ages
March 1, 2017
Individuals who have cognitive frailty — that is, frailty along with cognitive impairment but not dementia — have a much greater risk of functional impairment, impaired quality of life, and mortality, according to a longitudinal study in Singapore.

How to Help a Grieving Grandparent

Caring for the Ages
March 1, 2017
Medical director and geriatrician David Smith, MD, CMD, talks about how to help an elder loved one through the grieving process when they suffer a loss.

Sigma 1 Agonist Presses Forward After Positive Results in Small Alzheimer’s Trial

Caring for the Ages
March 1, 2017
SAN DIEGO — A novel Alzheimer’s disease drug candidate appeared to stabilize cognition and function over 57 weeks in a small, early-phase, open-label trial.

CMS Issues Guidance FAQs for Wandering and Exit-Seeking Behavior

Caring for the Ages
March 1, 2017
The Centers for Medicare & Medicaid Services recently posted a FAQ sheet on guidance for wandering and exit-seeking behavior in Medicaid recipients in home and community-based settings (HCBS). The criteria requires HCBS institutions to...