Under-detection of pain in elderly nursing home residents with moderate to severe dementia
Conclusion Pain is highly prevalent among nursing home residents with moderate to severe dementia and is associated with the use of restraints. However, only half of the patients in this study were treated with analgesic drugs. An improvement in the caregivers' knowledge of pain assessment together with the provision of adequate treatment for pain is necessary in the care of these groups of patients with dementia. (Source: Journal of Clinical Gerontology and Geriatrics)
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Effect of physical activity at midlife on skeletal muscle mass in old age in community-dwelling older women: A cross-sectional study
Conclusion Physical activity at midlife may be associated with a higher muscle mass in old age and physical activity in old age may be associated with higher walking speeds in old age. (Source: Journal of Clinical Gerontology and Geriatrics)
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Functional decline and mortality in long-term care settings: Static and dynamic approach
Conclusion Physical function decline within 6 months predicted the subsequent 1-year mortality, whereas increased sum of RAP triggers and positive trigger for cognitive loss and mood were associated with functional decline. (Source: Journal of Clinical Gerontology and Geriatrics)
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Acute kidney injury in the elderly: Only the tip of the iceberg
Publication date: March 2014 Source:Journal of Clinical Gerontology and Geriatrics, Volume 5, Issue 1 Author(s): Chia-Ter Chao , Hung-Bin Tsai , Yu-Feng Lin , Wen-Je Ko The incidence of acute kidney injury (AKI) is rising in individuals of all ages; however, elderly patients (older than 65 years) are particularly susceptible to the development of AKI due to the structural and functional deterioration of the kidneys associated with the aging process, a decreased renal reserve, the presence of comorbidities, and the reduced ability to recover. Older patients with AKI carry an elevated risk of both short-term and long...
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

The aging gut and the role of prebiotics, probiotics, and synbiotics: A review
Publication date: March 2014 Source:Journal of Clinical Gerontology and Geriatrics, Volume 5, Issue 1 Author(s): Pragnesh J. Patel , Shailesh K. Singh , Siddak Panaich , Lavoisier Cardozo The United States (US) Census Bureau estimates the current US population at 301 million with elderly people (>65 years old) accounting for 36 million. Within this group, the fastest growing segment of the population is >85 years of age, which currently numbers ∼5 million and is expected to rise to ∼20 million by 2050. Over the decades there has been speculation that gastrointestinal structure and function decline...
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Evidence on the role of prebiotics, probiotics, and synbiotics in gut health and disease prevention in the elderly
Publication date: March 2014 Source:Journal of Clinical Gerontology and Geriatrics, Volume 5, Issue 1 Author(s): Patrick Alexander Wachholz , Paulo José Fortes Villas Boas , Vânia dos Santos Nunes , Edison Iglesias de Oliveira Vidal (Source: Journal of Clinical Gerontology and Geriatrics)
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Acute intestinal pseudo-obstruction (Ogilvie's syndrome): A case report
Publication date: Available online 13 April 2014 Source:Journal of Clinical Gerontology and Geriatrics Author(s): Navas Nadukkandiyil , Hanadi Khamis Alhamad , Luay Abdel Wahab , Essa Mubarak Al Sulaiti , Anoop Sankaranarayanan Acute colonic pseudo-obstruction, also known as Ogilvie's syndrome, is an acute clinical condition with clinical and radiological features of an acute large bowel obstruction in the absence of any mechanical cause. Patients presenting with Ogilvie's syndrome usually have underlying medical and surgical conditions predisposing them to the syndrome. In this article, we describe an elderly pat...
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Biomechanics and clinical implications of complete edentulous state
Publication date: Available online 27 May 2014 Source:Journal of Clinical Gerontology and Geriatrics Author(s): Lalit Kumar The edentulous state represents a compromise in the integrity of the masticatory system. It is frequently accompanied by adverse functional and esthetic sequelae, which are varyingly perceived by the affected patient. Perceptions of the edentulous state may range from feelings of inconvenience to feelings of severe handicap because many regard total loss of teeth as equivalent to the loss of a body part. Consequently, the required treatment addresses a range of biomechanical problems that involve...
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Management of geriatric mania complicated by hyponatremia and psychogenic adipsic hypernatremia
Publication date: June 2014 Source:Journal of Clinical Gerontology and Geriatrics, Volume 5, Issue 2 Author(s): Rashmin Achalia , Yogesh Lakkas , Om Prakash A 70-year-old male presented with first episode mania and hyponatremia, which were later corrected with an infusion of hypertonic saline. His clinical condition deteriorated because of adipsic hypernatremia associated with hypokalemic periodic paralysis. Hypernatremia correction and potassium supplementation were started but could not be achieved because of manic symptoms as the patient's oral intake was poor. He was restarted on sodium valproate and olanzapine....
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Interrelationships between body mass to waist circumference ratio, body mass index, and total body muscularity in older women
Conclusion These results suggest that, compared to BMI, BM:W ratio may provide a simple and potential index for assessing muscularity in Japanese older underweight women. However, in normal and overweight women, BMI and BM:W ratio are both preferred in assessing muscularity. (Source: Journal of Clinical Gerontology and Geriatrics)
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Happy pills in nursing homes in Belgium: A cohort study to determine prescribing patterns and relation to fall risk
Conclusion Despite recommendations against chronic use and a growing body of evidence showing the risk of side effects, the use of psychotropic drugs currently is still alarmingly high in Flemish nursing home residents without dementia. Strategies to optimize prescribing are discussed. (Source: Journal of Clinical Gerontology and Geriatrics)
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Intersecting pentagon copying and clock drawing test in mild and moderate Alzheimer's disease
Conclusion The IPC seems to operate more as a screening tool rather than a dementia staging instrument and assists in identifying normal patients. (Source: Journal of Clinical Gerontology and Geriatrics)
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Sarcopenia, but not sarcopenic obesity, predicts mortality for older old men: A 3-year prospective cohort study
Conclusion The mortality risk of sarcopenia significantly outweighed the survival benefits of obesity in old age. The unfavorable impact of SO may eventually result from sarcopenia, but not obesity. (Source: Journal of Clinical Gerontology and Geriatrics)
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Differential development strategies of aged care support and continuity services in China, Japan, and Australia
Publication date: June 2014 Source:Journal of Clinical Gerontology and Geriatrics, Volume 5, Issue 2 Author(s): Zheng Chen , Yuetao Song , Jia Yu , Jintang Wang Facing the unprecedented ever-increasing healthcare demands of its aging population, Beijing municipal government has been endeavoring to improve the continuity of medical services for the elderly in the People's Republic of China. In this article, a comparison of the healthcare services for the aged in China with those in Japan and Australia was performed, indicating the feasibility in China of the Japanese health insurance policy and Australian geriatric ...
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research

Relevance of balance measurement tools and balance training for fall prevention in older adults
Publication date: June 2014 Source:Journal of Clinical Gerontology and Geriatrics, Volume 5, Issue 2 Author(s): Majumi M. Noohu , Aparajit B. Dey , Mohammed E. Hussain Approximately one in three older people fall each year owing to gait/balance disorder/weakness, the second leading cause of falls in older adults. This review evaluates the capability of different balance measurement tools to predict falls in the elderly, which are used routinely for assessing balance impairment. Balance measurement tools reviewed are the Timed Up and Go test, Berg Balance Scale, Tinetti Performance Oriented Mobility Assessment, Funct...
Source: Journal of Clinical Gerontology and Geriatrics - November 3, 2014 Category: Geriatrics Source Type: research