A study in the Journal of Palliative Medicine looked at the concept of "bucket lists" and found that 90% of 3,056 people surveyed in the US had one, and they generally revolved around six themes, such as achieving a goal or traveling. Palliative care physician and researcher V.J. Periyakoil said people should tell their physician about their bucket list so that future medical treatments can be evaluated with their wishes in mind.
Studies offer conflicting evidence about whether the use of proton pump inhibitors increases dementia risks. Researcher Shelly Gray of the University of Washington, whose study did not make that association, said PPIs still are overused in geriatrics and should be deprescribed if possible.
UK researchers tested the WHELD, or well-being and health for people with dementia, intervention, which included patient-centered care and socialization, against usual care for nursing home patients with dementia. The study in PLOS Medicine found WHELD was associated with improvements in patients' quality of life scores and measures of agitation and was less expensive than usual care.
Adverse behavior outbreaks in dementia patients, such as anger and hyperreactivity, may be linked to often-overlooked histories of trauma, writes J. Scott Janssen, a social worker specializing in hospice care. Personal histories may help to reveal conditions that can trigger or alleviate distress.
A grass-roots movement called Dementia Friends is aimed at increasing public understanding of Alzheimer's disease and other forms of dementia and reducing the stigma associated with them. More than 13,200 people in the US have signed up to be Dementia Friends, which requires some training and education, and the worldwide movement includes 14 million people in 33 countries.
A review of data from 22 studies found women who had a stroke had poorer outcomes, more limitations on activity and worse health-related quality of life, compared with men, researchers reported in the journal Stroke. Cognitive impairment did not seem to be worse among women than men.
Providing preventive dental care, such as fluoride varnishes, along with dietary advice and oral hygiene instruction to people in early stages of dementia can prevent serious oral health problems as dementia progresses, researchers wrote in the British Dental Journal. "Early in the disease, we should build positive habits so patients don't forget what their dentists advise," said specialty care dentist Robert Emanuel.
Hospitalist participation in the Focused Practice in Hospital Medicine Maintenance of Certification program, approved last year by the American Board of Medical Specialties, has been low, even though several obstacles with the pathway have been resolved. The pathway stems from the internal medicine MOC that includes competency in hospital-based practice areas, including palliative care.
FDA Commissioner Scott Gottlieb says agency staff is working with health care providers and the patient community to craft an opioid-drug policy that does not restrict access by patients with a legitimate need for the drugs while discouraging inappropriate prescribing and use. He also said the FDA will soon release a "comprehensive plan to promote competition and availability of biosimilars," and he noted that a staffing shortage might slow progress on other initiatives.
A KLAS study showed an association between the age and administrative or clinical background of physicians and their satisfaction with EHRs, finding that when younger clinicians were most satisfied with EHRs, older clinicians were least satisfied, and vice versa. Researchers also found satisfaction with EHRs was linked to physicians' being committed to the EHR program and taking training seriously.
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