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June 30, 2015
Journal of Gerontological Nursing - June 2015 Volume 41 · Issue 6
to other countries, the older adult population in China is experiencing a shift
from having infectious diseases to chronic diseases.
This shift is coupled with the need for older
adults to better manage their health. Older adults in China have traditionally
participated in activities, such as square dancing and walking.
the evidence demonstrating health outcomes for these and other similar
community-based activities that are appealing to older adults in China is
scant, and the work of examining and testing their effects can be costly and
time consuming. Given that evidence-based programs are still in the development
phase in China, adopting American well-designed, evidence-based programs might
be a viable option. A number of issues should be taken into consideration. An
American-developed, evidence-based health promotion program—Enhance®Fitness—will
be used to explore potential issues with disseminating such programs in China.
EnhanceFitness is a low-cost, group exercise program taught in community
settings by certified EnhanceFitness instructors. Offered 3 times per week,
classes are 60 minutes long and include cardiovascular, strength, flexibility,
and balance exercises (Belza, Snyder,
Thompson, & LoGerfo, 2010). Exercises are tailored to meet
various levels of physical ability. P 3 – 4
assay in body fluids: application in methanol poisoning….
*Smartwatch CEO at SXSW 2015: Seniors don't want ugly tech that screams
'I've fallen, and I can't get up'
Texas, March 12, 2015 /PRNewswire/ -- The first smartwatch that helps seniors
with discreet support for falls, medication reminders and a guard against
wandering is now going to market and will be viewable at SXSW, is the first
wearable specifically for independent seniors that uses an easy speech
interface rather than buttons, includes cellular and Wi-Fi technology, and
updates medical information without typing.
·Goes where the
wearer goes 24/7 and is waterproof
own technology so no smartphone or home-based system is needed, unlike a
Samsung Gear or an Apple Watch
the wearer from getting lost while driving or walking
·Makes a nightly
connection with pharmacies to automatically bring medication updates into the
continuous welfare check and fall detection - during an accident or medical
emergency that leaves the wearer unable to move or speak, it notifies the
monitoring operators for help
designed the wearable after her active, fashionable mother turned 80 and did
not want to wear an assistive device that was ugly, stigmatizing and kept her
tethered to her home.
*New MIND Diet May Significantly Protect
Against Alzheimer’s Disease
Even moderate adherence shows
reduction in incidence of devastating brain disease
A new diet, appropriately known by the acronym MIND, could significantly
lower a person’s risk of developing Alzheimer’s disease, even if the diet is
not meticulously followed, according to a paper published online for
subscribers in March in the journal Alzheimer’s & Dementia: The Journal
of the Alzheimer’s Association.
Rush nutritional epidemiologist Martha Clare Morris, PhD, and colleagues
developed the “Mediterranean-DASH Intervention for Neurodegenerative Delay”
(MIND) diet. The study shows that the MIND diet lowered the risk of AD by as
much as 53 percent in participants who adhered to the diet rigorously, and by
about 35 percent in those who followed it moderately well…
Alzheimer's Association Report Finds Less Than Half of People with Alzheimer's
Disease Say They Were Told the Diagnosis Diagnosis
Disclosure Rates for Alzheimer's are Significantly Lower
than the Four Most Common Cancers and Other Serious Diseases"These
disturbingly low disclosure rates in Alzheimer's disease are reminiscent of
rates seen for cancer in the 1950s and 60s, when even mention of the word
cancer was taboo," said Beth Kallmyer, MSW, Vice President of Constituent
Services for the Alzheimer's Association. "It is of utmost importance to
respect people's autonomy, empower them to make their own decisions and
acknowledge that people with Alzheimer's have every right to expect truthful
discussions with their physicians. When a diagnosis is disclosed, they can
better understand the changes they are experiencing, maximize their quality of
life, and often play an active role in planning for the future."
Potential Power of Meditation as Therapy
– When Rebecca Erwin was a varsity rower at the University of North
Carolina, the coach had the team’s members take a yoga and meditation class. It had an impact.
“My teammates and I noticed that yoga and meditation improved our
flexibility and focus, but also made us feel better, not just when we were
rowing but in our everyday lives,” she recalled. “I wondered if yoga and
meditation really have scientific benefits, especially if they have specific
effects on the brain, and if so, how that works.”
Since becoming Rebecca Erwin Wells, M.D., she has done more than wonder
about the effects of mind-body interventions, she has studied them.
“We’re coming to recognize that meditation changes people’s brains,”
said Wells, an assistant professor of neurology at Wake Forest Baptist Medical
Center. “And we’re just beginning to gain understanding of what those changes
mean and how they might benefit the meditator.”
In separate clinical studies, Wells has looked into the effectiveness of
a meditation and yoga program called mindfulness-based stress reduction (MBSR)
as a therapy for mild cognitive impairment – problems with memory or other
faculties without yet having dementia – and for migraine headaches.
The only effective treatment for symptomatic aortic stenosis in the older
adult population is surgical aortic valve replacement. However, more than 30%
of candidates are denied surgery due to advanced age and multiple
comorbidities. Without surgical intervention, death from symptomatic aortic
stenosis approximates 2% per month, with mortality rates of approximately 50%
within 2 years of symptom onset. There is no effective medical treatment for
severe symptomatic aortic stenosis; care has been limited to palliative
remedies and end-of-life decisions. Nascent advances in miniaturization and
catheter technologies provide a new and less invasive approach: transcatheter
aortic valve replacement (TAVR). The current article summarizes treatment
guidelines; pathophysiology; clinical manifestations, progression, and
classification of severe symptomatic aortic stenosis; and introduces TAVR and
discusses randomized controlled trials involving three patient populations from
the United States, with relevant nursing implications. [Journal of Gerontological
Nursing, 41(6), 8–13.]
The number of older adults immigrating to the United States is expected to
quadruple by 2050. The health of immigrant older adults is complicated by the
limited options for low-cost health insurance available to this population.
Welfare reform has limited new immigrants’ access to public assistance
programs, such as Medicaid; and low-cost private insurance options rarely exist
for individuals older than 65, even with the passage of the Patient Protection
and Affordable Care Act (PPACA). Uninsured immigrant older adults have been
found to forgo preventive care due to cost and are among the leading users of
emergency departments for preventable complications of chronic disease,
primarily cardiovascular disease (CVD). A review of the literature found that
insurance coverage has a significant impact on CVD risk among immigrant older
adults. The current article discusses the implications of welfare reform
initiatives and the shortcomings of the PPACA in addressing the health care
needs of immigrant older adults. [Journal of Gerontological Nursing, 41(6),
Social participation is a criterion for
successful aging. Research has shown that social participation decreases in
older adults. However, the role of social support on older adults’ social
participation has received little attention, especially in eastern countries,
such as Iran. Using the Social Participation Questionnaire, the relationship
between social support and social participation was investigated in 525 Iranian
older adults. A correlation was found between social support and social participation
of older adults. Older adult women were found to have less social support and
social participation compared with men. [Journal of Gerontological Nursing,