Author Archives: HIA Guest Blog

Some Frail Older Adults May Receive Potentially Inappropriate Medications When Admitted to Nursing Homes

Posted on by

JAGS graphicJournal of the American Geriatrics Society Research Summary

Medical experts know that older adults who have dementia or other mental health concerns that impact thinking or decision making should avoid certain “potentially inappropriate medications” (PIMs). PIMs can worsen confusion and raise the risks for falls, fractures, and even death, particularly for people with complex health needs.

PIMs may include treatments like:

  • Benzodiazepines (medications sometimes called “tranquilizers” and used to treat sleep problems, anxiety, or to relax muscles)
  • Antipsychotics (medications sometimes used to address mental health conditions)
  • H2-blockers (medications sometimes used to decrease the production of stomach acid)
  • Anticholinergics (medications that block a substance called acetylcholine, a “neurotransmitter” that transfers signals between certain cells to impact how your body functions. Anticholinergics have been used to treat several different conditions, including incontinence and chronic obstructive pulmonary disorder, or COPD).

A Canadian research team investigated how often healthcare providers prescribed PIMs to older adults living with dementia or other mental health concerns and who were being admitted to nursing homes. The research team examined records from more than 40,000 people with dementia or cognitive impairments who were over the age of 66 and had been admitted to nursing homes between 2011 and 2014. The team published their study in the Journal of the American Geriatrics Society.

Continue reading →

Poor Appetite and Food Intake in Older Adults

Posted on by

JAGS graphicJournal of the American Geriatrics Society Research Summary

Having a poor appetite is a serious health concern for older adults. It can lead to inadequate nutrition, which can shorten your life or reduce your quality of life. Between 11 percent and 15 percent of older adults who live independently are estimated to have poor appetites.

Strategies to improve our appetites as we age include reducing portion size, increasing meal frequency, and using flavor enhancers. Until recently, however, these options have not proven to improve food intake or quality of life for older people. That’s part of the reason why a team of researchers designed a study to examine the differences in food intake among older adults with varied appetite levels. Their study was published in the Journal of the American Geriatrics Society.

The researchers looked at data from 2,597 people between the ages of 70 and 79. Nearly 22 percent of the people in the study described their appetite as “poor.” The researchers interviewed the participants using a 108-item survey to estimate how much food they ate. Continue reading →

Touring Senior Centers, Interacting with Older Adults Positively Impacts Medical Residents’ Careers, Enhances Knowledge of Issues & Needs

Posted on by

JAGS graphicJournal of the American Geriatrics Society Research Summary

A new study has found that a community-based service learning experience involving greater interaction with older adults had a positive impact on career development for medical residents (physicians who have graduated from medical school and are starting work at a healthcare facility under supervision). Researchers who designed the program published their findings in the Journal of the American Geriatrics Society.

Eighty third-year Internal Medicine residents at the University of Pennsylvania participated in the study; 71 residents completed follow-up surveys. As part of the program, medical residents engaged in several different activities at residential facilities serving older adults:

  • Participants toured the building or center, including apartments, and learned about the facility’s purpose, operations, and diverse community of older men and women.
  • Participants attended brief presentations about local community resources available to older adults.
  • Participants delivered a 45-60 minute presentations on healthcare topics for older adults at the facility. Presentations covered cancer screenings and preventive healthcare for heart disease and strokes, as well as diabetes, arthritis, hypertension, dementia, and depression.

Continue reading →

Mediterranean-Style Diets Linked to Better Brain Function in Older Adults

Posted on by

JAGS graphicJournal of the American Geriatrics Society Research Summary

Eating foods included in two healthy diets—the Mediterranean or the MIND diet—is linked to a lower risk for memory difficulties in older adults, according to a study published in the Journal of the American Geriatrics Society.

The Mediterranean diet is rich in fruits, vegetables, whole grains, beans, potatoes, nuts, olive oil and fish. Processed foods, fried and fast foods, snack foods, red meat, poultry and whole-fat dairy foods are infrequently eaten on the Mediterranean diet.

The MIND diet is a version of the Mediterranean diet that includes 15 types of foods. Ten are considered “brain-healthy:” green leafy vegetables, other vegetables, nuts, berries, beans, whole grains, seafood, poultry, olive oil, and wine. Five are considered unhealthy: red meat, butter and stick margarine, cheese, pastries, sweets and fried/fast foods.

Researchers examined information from 5,907 older adults who participated in the Health and Retirement Study. The participants filled out questionnaires about their eating habits. Researchers then measured the participants’ cognitive abilities—mostly on their memory and attention skills. Continue reading →

Hospitalized Older Adults Released to Skilled Nursing Facilities May Not Get Counseling to Help Make Informed Choices

Posted on by

JAGS graphicJournal of the American Geriatrics Society Research Summary

More than 20 percent of all hospitalized older adults who use Medicare will be admitted to a skilled nursing facility following a stay in the hospital (also known as “post-acute care”). However, these men and women may be given too little information when it comes to choosing a post-acute care facility: sometimes they may receive just a list of addresses for local facilities. What’s more, hospitalized older adults typically don’t plan for care at a skilled nursing facility ahead of time. This can lead to making important decisions too quickly or during a time of particular stress.

We don’t have much information about how people select skilled nursing facilities or what information they’re given to make informed choices. So a team of researchers recently studied how hospitalized older adults make decisions about choosing a facility, who helps them decide, what they think about the process, and what they consider as they make decisions. The researchers published their study in the Journal of the American Geriatrics Society.

They interviewed 98 older adults who had just been admitted to a skilled nursing facility. In 90 interviews in five cities across the country, the researchers spoke only to the older adult. A family member participated in the other eight interviews. Continue reading →