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Dementia Prevalence Increased in Heart Failure Patients

Caring for the Ages
March 1, 2017
NEW ORLEANS — Elderly patients with heart failure had a significantly increased prevalence of both dementia and mild cognitive impairment, compared with similar people without heart failure, in an analysis of data collected from more than 6,000 U.S...

When the Snake Oil Salesman Knocks on Your Door

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

Higher Morale in Elders Associated With Lower Rates of Depression

Caring for the Ages
March 1, 2017
Older people with higher morale than their peers have lower rates of depression 5 years later, a population-based study has shown. The results could hold clues for how to protect those most at-risk for the blues as they age, according to researchers.

Vitamin D and Depression: Still More Questions Than Answers

Caring for the Ages
March 1, 2017
Some observational data suggest that vitamin D deficiency or insufficiency may be a risk factor for depression, but well-designed longitudinal research and randomized controlled trials are needed for definitive evidence of risk and its management,...

Nominees for Medical Director of the Year Are All Heart

Caring for the Ages
March 1, 2017
The team leaders who nominate their physician leaders for the Society Medical Director of the Year always speak with such passion and pride. They share stories of how their medical directors have implemented programs and initiatives that maximize...

Conversation Project Eases End-of-Life Conversations

Caring for the Ages
March 1, 2017
ORLANDO — End-of-life care and wishes often are the elephant in the room for elders and their loved ones. Even many practitioners avoid these topics. But at the annual meeting of the Florida Society for Post-Acute and Long-Term Care Medicine late...

Facing Deconstructive Criticism

Caring for the Ages
March 1, 2017
I knew January’s “On My Mind” column (“Dealing with the post-election blues”), with more of a partisan-political slant than usual, might get some responses — but I didn’t realize that it would strike such a nerve with some of our readers. I concede...

From Antagonist to Ally: Dealing With Conflicted Surrogates

Caring for the Ages
March 1, 2017
Imagine a patient comes into your facility who, on the surface, doesn’t seem unusual or challenging. Then you learn more about his spouse: She has called the state’s toll-free complaint line hundreds of times. Because of her behavior, her husband...

The Fault in Our Stars: Does the Five-Star System Fall Short?

Caring for the Ages
March 1, 2017
The Five-Star Quality Rating System was established in 2008 by the Centers for Medicare & Medicaid Services and added to the Nursing Home Compare website to help consumers understand nursing home quality and “distinguish between high- and low-...

Magnitude of Hypotension Based on Office and Ambulatory Blood Pressure Monitoring: Results From a Cohort of 5066 Treated Hypertensive Patients Aged 80 Years and Older

JAMDA
February 26, 2017
Elderly patients can be particularly susceptible to the adverse effects of excessive blood pressure (BP) lowering by antihypertensive treatment. The identification of hypotension is thus especially important. Ambulatory BP monitoring (ABPM) is a...