For Older Adults, Preventing Flu is Key to Lessening Disability Risks

Journal of the American Geriatrics Society Research Summary

We tend to think of the flu as an illness that people recover from within a relatively short time. Unfortunately, that’s not always the case for older adults, who are more likely to experience difficulties getting around and living independently following a serious illness. Adding to the problem is the potential for additional health problems that can occur during a stay in the hospital. Hospitalized older adults potentially face delirium, an abrupt change in mental function which causes sudden confusion. They are also susceptible to hospital-acquired infections and can weaken if they lose their physical conditioning.

In fact, studies show that one-third of older adults will be discharged from the hospital with a new disability — and only 30 percent of them will regain their pre-admission ability levels for bathing, dressing, feeding themselves, and managing other activities of daily living, even one year after their discharge.

A decline in your ability to take care of yourself can mean a greater need for in-home support, admission to a long-term care facility, and even an increased risk of death.

That’s why a team of researchers designed a study to learn more about functional decline (the ability to take care of yourself) and serious disability in adults, aged 65 years and older, who are admitted to hospital for influenza and other acute respiratory illnesses. Their study was published in the Journal of the American Geriatrics Society. Continue reading

Keep Moving to Prevent Major Mobility Disability

Journal of the American Geriatrics Society Research Summary

Having trouble getting around on your own—such as difficulty walking, climbing steps, or being able to get in and out of a chair—can lead to physical disability and losing your independence.

According to research, being physically inactive is the strongest risk factor for disability as we age.

We know that physical activity has proven health benefits, especially moderate-to-vigorous physical activity such as walking to the store or many types of gardening. But perhaps surprisingly, we don’t know much about the benefits of lighter forms of physical activity or the effects of spreading our physical activity throughout the day. Understanding the benefits of moving more often and engaging in even lighter forms of physical activity is important for older adults’ health. These types of physical activity may be easier for older adults to practice regularly, especially those who are frail.

That’s why a team of researchers created a study to examine the effects of performing light physical activity and moderate-to-vigorous physical activity on older adults. The researchers were interested in studying how participating in these different intensities of activity, and whether a person spreads their physical activity throughout the day, affects the chances for developing a major mobility disability. The participants in the study were older adults who had challenges with physical function and who participated in the Lifestyle Interventions and Independence for Elders (LIFE) study. The researchers published their study in the Journal of the American Geriatrics Society. Continue reading

Home-Based Activity Program Reduces Severity and Frequency of Behavioral Symptoms and Maintains Function for Older Veterans with Dementia

JAGS graphicJournal of the American Geriatrics Society Research Summary

People with dementia often have behavioral symptoms. These include problems with memory, language, and decision-making abilities. People with dementia can also experience changes in mood, such as increased irritability, depression, and anxiety. They often need assistance with their daily activities, such as feeding, dressing, using the toilet, and bathing themselves. These symptoms are often troubling for people with dementia, as well as for their caregivers.

These dementia symptoms can reduce quality of life for people as they age. This can make them dependent on other people, which can lead to caregivers feeling distressed. It may also lead to people with dementia being hospitalized or placed in a nursing home, even if it is not what they would prefer for their care.

There are no effective drug treatments for dementia or its symptoms. Therefore, researchers have been exploring treatment options to improve symptoms that don’t involve using medication. A team of researchers studied one of those programs, called the Tailored Activity Program (TAP). TAP matches activities to the interests and abilities of people with dementia. Then it teaches caregivers how to use those activities daily.

The researchers initially reported positive results in a small study of 60 people. They then studied TAP in a larger group of veterans living with dementia. They reported their results in the Journal of the American Geriatrics Society. Continue reading