•   
  •   
  •   

Health & Fit Phone support tied to better outcomes for dementia patients, caregivers

23:00  01 october  2019
23:00  01 october  2019 Source:   reuters.com

Home health care aides often face verbal abuse from clients

Home health care aides often face verbal abuse from clients For many home healthcare aides, verbal abuse from clients or clients' family is a real problem, a U.S. study suggests. © laflor/Getty Images Caregivers who reported verbal abuse were also more likely to report physical abuse, researchers found. require(["medianetNativeAdOnArticle"], function (medianetNativeAdOnArticle) { medianetNativeAdOnArticle.

(Reuters Health) - Dementia patients and the family members who care for them may have a better quality of life when they have access to telephone and online support, the results of a clinical trial suggest.

  Phone support tied to better outcomes for dementia patients, caregivers © monkeybusinessimages/Getty Images

Researchers tested the effectiveness of a program known as the Care Ecosystem, which provided patient navigators and access to nurses, social workers and pharmacists along with regular phone check-ins to caregivers of dementia patients. After one year, dementia patients in the Care Ecosystem program had better quality of life and fewer emergency room visits and their caregivers had a lower risk of depression compared to a control group that received only usual care, the study found.

Research links widely-used drugs to a nearly 50% higher risk of dementia

Research links widely-used drugs to a nearly 50% higher risk of dementia An estimated one in four older adults take anticholinergic drugs . Some antihistamines like Benadryl are also anticholinergics, but were not associated with dementia in this study. require(["medianetNativeAdOnArticle"], function (medianetNativeAdOnArticle) { medianetNativeAdOnArticle.getMedianetNativeAds(true); }); "This is a very broad class of medications," CBS News' Dr. Tara Narula told "CBS This Morning.

"We demonstrated that a dementia care program delivered over the phone and web can improve outcomes important for people with dementia, their caregivers, and health systems," said Katherine Possin, lead author of the study and a researcher at the Memory and Aging Center at the University of California, San Francisco.

"By delivering care over the phone rather than in-person, the Care Ecosystem offers unprecedented opportunities for scale because there are major geographic gaps in the availability of dementia specialists, and also many people with dementia have trouble leaving their homes," Possin said by email. "The Care Ecosystem can reach families wherever they are."

Cancer hospital affiliation tied to lower cancer surgery mortality rates

Cancer hospital affiliation tied to lower cancer surgery mortality rates Community hospitals may have lower mortality rates for cancer surgeries when they're affiliated with a top-ranked cancer center, a U.S. study suggests. © d76 masahiro ikeda/Getty Images Public perception in the U.S. is that community hospitals provide better care when they're affiliated with top-ranked hospitals, researchers note in JAMA Oncology. But research to date hasn't offered a clear picture about how much these affiliations actually impact cancer surgery outcomes. require(["medianetNativeAdOnArticle"], function (medianetNativeAdOnArticle) { medianetNativeAdOnArticle.

Researchers randomly assigned 780 patients and their caregivers living in California, Iowa or Nebraska to join the Care Ecosystem program or join a control group of people who received information about how to contact community support groups.

The 512 patient-caregiver pairs assigned to the Care Ecosystem got a care team navigator - a dementia-care guide who helps family caregivers. Families could contact navigators as often as they wanted with any questions or concerns related to dementia.

Care team navigators helped caregivers plan for common challenges in dementia like managing medication or planning for future care needs. Dementia specialists including nurses, social workers and pharmacists, could also get involved in more complicated cases.

Over the year-long intervention, people in the Care Ecosystem program spoke to navigators by phone about 15 times, on average.

Why This New Dementia Study Is a Huge Hit

Why This New Dementia Study Is a Huge Hit Acadia Pharmaceuticals shares rose sharply early Monday after the firm announced that its late-stage dementia study met its primary endpoint. Specifically, the results come from Acadia’s Phase 3 Harmony study evaluating pimavanserin for the treatment of dementia-related psychosis. © Provided by 24/7 Wall Street, LLC The study met its primary endpoint, demonstrating a highly statistically significant longer time to relapse of psychosis with pimavanserin compared to placebo in a planned interim efficacy analysis.

One limitation of the study is that it lasted only a year, and family caregivers often tend to dementia patients for many years or even decades, the researchers note in JAMA Internal Medicine.

The study team also assessed emergency room visits by surveying caregivers, not by verifying these encounters in medical records.

Even so, the results add to growing evidence suggesting that phone support can make life easier for family caregivers, said Dr. Jennifer Tjia, an associate professor at the University of Massachusetts Medical School in Worcester who wrote an editorial accompanying the study.

"The phone and web-based dementia-care model used clinically-supervised, unlicensed care navigators to screen for common problems, provided social and emotional support by listening to the concerns of the caregiver, and linked personalized resources with the caregivers," Tija said by email. "This model also helped to overcome the isolation that often comes with being a family caregiver."

The Alzheimer's Association provides internet-based resources, an online community and chat resource, and local support groups to help family caregivers (here: https://bit.ly/2oiuDX8).

Dementia And Alcohol: Scientists Find Link

  Dementia And Alcohol: Scientists Find Link Older adults who drink more than 14 drinks per week are more likely to suffer from mild cognitive impairment, leading to dementia.

SOURCE: https://bit.ly/2nomJM7 and https://bit.ly/2oe7DZu JAMA Internal Medicine, online September 30, 2019.

Gallery: The earliest signs of Alzheimer’s everyone over 50 should know (Best Life)

a person sitting on a sofa: Alzheimer's—the most common type of dementia—affects millions of Americans. Unfortunately it’s also one of the hardest diseases to deal with, both for the individual afflicted and those around them. Symptoms typically start showing up after 60 years old, and while some might seem like normal age-related issues at first, they go far beyond occasionally losing keys or forgetting someone’s name. When it comes to Alzheimer's, here are 30 red flags you should never ignore. And if you're looking to prevent it altogether, start with these 20 Surprising Habits That Reduce Your Alzheimer’s Risk.

For Natalie Morales, the fight against Alzheimer's is personal .
When the West Coast anchor of "TODAY" learned her mother-in-law had Alzheimer's, she made it a mission to spread awareness of the genetic disease."When my mother-in-law was diagnosed, my husband and I took that as our ... mission in life,'" Morales told millennial contributor Daniela Pierre-Bravo at a Know Your Value event in Philadelphia earlier this month.

—   Share news in the SOC. Networks

Topical videos:

usr: 1
This is interesting!