High Blood Pressure Treatment and Nursing Home Residents

Journal of the American Geriatrics Society Research Summary

Although 27 percent of all older adults who live in nursing homes in this country have both high blood pressure and dementia, we don’t have enough research yet to inform healthcare providers about the best way to treat their high blood pressure.

Specifically, we don’t know when the benefits of taking medication to lower blood pressure outweigh the potential risks, especially in older adults who also have moderate to severe dementia and a poor prognosis (the medical term for the likely course of a disease). That’s because clinical trials for high blood pressure treatments typically do not include older adults who have severe chronic illnesses or disabilities.

 A team of researchers designed a study to learn more about the best high blood pressure treatments for older adults who live in nursing homes. Their study was published in the Journal of the American Geriatrics Society.

The research team used information from Medicare records. The team identified 255,670 long-term nursing home residents in the United States during 2013 who had high blood pressure. Of these, nearly half had moderate or severe dementia-related difficulties with thinking and decision-making. Slightly more than half of them had no or only mild cognitive impairment. Continue reading

High-Quality Nursing Homes Lower Risks for Long-Term Care Placement for Older Adults

Journal of the American Geriatrics Society Research Summary

After being discharged from the hospital, an older person often is admitted directly to a skilled nursing facility (SNF). SNFs specialize in the skilled care we need to recover properly.  These facilities also provide the additional rehabilitation we may need before returning home. However, experts have raised concerns about the uneven quality of SNF services, the substantial differences among them, and how they are used in different parts of the country. A transfer from an SNF to a long-term care facility, for example, is considered a failure to achieve the goals of SNF care.  Most older people view a move to a long-term care facility as a step in the wrong direction.

In a new study, researchers decided to examine the role that SNFs play with regard to older adults’ placements in long-term care facilities. Their study was published in the Journal of the American Geriatric Society.

The researchers studied the role of SNF quality and how it affected older adults’ risks of transitioning to long-term care facilities. They also looked at whether any aspects of skilled nursing were linked with an older adult’s risk of entering long-term care facilities. The research team focused specifically on whether the quality ratings of SNFs (available to the public, free of charge, here) helped predict long-term care placements. Continue reading

What Influences Older Adults’ Preferences for Care?

Journal of the American Geriatrics Society Research Summary

We all know that family and friends are important, and that the people close to us have a big impact on our health. Now, a team of researchers has found that family support is also important when older people with advanced illnesses think about how the type of care they would prefer as they age.

 Understanding how we would prefer to be cared for as we age is vital to providing person-centered care. Person-centered care puts individual values and preferences at the heart of care decisions.  It focuses attention on the health and life goals we have individually.  Person-centered care is considered a gold standard for health care.

Until now, we haven’t had a good understanding of how older adults form care preferences. To learn more about care preferences and how they might be influenced for older adults with advanced illnesses, a team of researchers from the United Kingdom searched for existing medical studies about the topic and collected the results. They published their findings in the Journal of the American Geriatrics Society.

The research team looked at 57 studies about the preferences of older adults with advanced illness.  They included research that investigated preferences for where people wanted to be cared for, the kinds of communication and decision-making they wanted, and what quality of life they hoped to have over time. Continue reading

End-of-Life Hospital and Healthcare Use Among Older Adults with Alzheimer’s Disease

Journal of the American Geriatrics Society Research Summary

Because people are now living longer and often healthier lives, the rate of some illnesses that are more likely to develop with age has risen. These illnesses include dementia. In fact, the number of us living with dementia was already 47 million worldwide in 2015. It could reach 131 million by 2050.

Dementia is a general term that includes different types of mental decline. The most common type of dementia is Alzheimer’s disease, which accounts for 60 to 80 percent of all dementia cases.

As Alzheimer’s disease worsens, older adults may become more likely to have trouble performing daily activities, can develop trouble swallowing, and may become less active. This increases the risk for other concerns like infections. These infections, such as pneumonia, can increase the risk for death. As a result, the cause of death for people living with Alzheimer’s disease is often infections or some other cause, rather than the Alzheimer’s disease itself.

A team of researchers from Belgium recently studied how people with Alzheimer’s disease use medical services during their final months. The goal was to learn more about the best ways to help older adults with dementia at the end of their lives. Their study was published in the Journal of the American Geriatrics Society. Continue reading

Study Finds that Most Older Adults are Aware of Medication Risks

JAGS graphicJournal of the American Geriatrics Society Research Summary

Geriatrics experts know that certain medications may have risks for older adults that outweigh their benefits, especially when safer alternatives are available. Medications that could be “potentially inappropriate” for older adults are included on recommendation lists that your healthcare provider can consult, such as the American Geriatrics Society (AGS) Beers Criteria or the STOPP-START list.

However, despite these recommendations, 25 percent of older adults take at least one potentially inappropriate medication every year. Taking these medications can increase the risk of being hospitalized due to a medication-related problem. Although 70 percent of older adults are willing to stop taking certain medications, healthcare providers continue to prescribe some potentially inappropriate medicines to older adults.

Researchers from the Institut Universitaire de Gériatrie in Montréal, Canada, designed a survey to learn about older adults’ awareness of drug-related health risks. They conducted the survey over the telephone with 2,665 participants, aged 65 or older. Continue reading