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Senior Journal on Eldercare & Caregivers

Daily news for caregivers on elder care

Elder Abuse

If you are concerned that someone in your family has been abused in a nursing home, Click Here

Seeking assistance for an elderly relative? Follow this link to a list of helpful Websites we have put together. Click Here

Home Health Care Agencies Compared  -   Go to site…

Click here to Nursing Home Compare by CMS

ElderLawAnswers.com is a great site for legal information and more. .

 

Elder Care News

Senior Citizens Most Likely Cancer Victims but Little Research on Special Treatment Needs

Conference says senior can tolerate more aggressive treatment; older caregivers at risk

June 25, 2008 – Many older cancer patients can tolerate more aggressive treatment than they typically receive, and age, income, and education all can impact the physical health of cancer caregivers, according to presentations last week at a gathering of over 400 experts in cancer survivorship. Read more...

Center for Medicare Advocacy Report Says HHS Weak on Enforcing Nursing Home Errors

Analysis of 2007 decisions by appeals board calls for stricter oversight

June 3, 2008 – A recently released review of nursing home decisions made in 2007 by the Department of Health and Human Services' Departmental Appeals Board (DAB) highlights serious failures in care that cause residents to suffer unnecessary pain, injury, trauma, and death, according to the Center for Medicare Advocacy, publisher of the report. Read more...

Aggression Between Residents in Nursing Homes More Common than Widely Believed

Little attention from researchers; few proven solutions to altercations

By Sheri Hall

June 3, 2008 - When people hear about elder abuse in nursing homes, they usually think of staff members victimizing residents. However, research by Cornell faculty members suggests that a more prevalent and serious problem may be aggression and violence that occurs between residents themselves. Read more...

Heart Failure Patients Need Palliative Care as Much as Cancer Patients

'Palliative care has been markedly under-used in heart failure patients'

May 2, 2008 - People suffering from heart failure endure symptoms, depression and need for spiritual support even more severe than many of those suffering from advanced lung and pancreatic cancer. Researchers say, however, these heart outpatients do not receive equal concern and palliative care, and suggest it is time for a change. Read more...

Researchers Find It Tough Getting Senior Citizens and Others to Take Their Medicine

The most effective strategies did not lead to major improvements in adherence or health

May 1, 2008 - Much has been written about the problem of senior citizens failing to take their prescribed medicines. A new study, however, shows it is not just a problem among older people and it appears almost hopeless. Patients of all ages often do not take the medicines their doctors prescribe, and this new review of existing research suggests that there is no proven way to get them to follow directions for long periods. Read more...

Long-Term Care Costs Jump 25% Over 2004; Workforce Shortage Fuels Continued Climb

Genworth Survey finds average annual cost for a week in adult day health care facility is $15,236

April 30, 2008 - Not only has the cost of long-term care in U.S. nursing homes, assisted living facilities and in the home increased for the fifth consecutive year, but the nation faces an impending shortage of direct-care workers, further driving up long term care costs. Those are two of the key conclusions drawn from cost of care research by Genworth Financial (NYSE:GNW). Read more...

Martha Stewart Headlines Hearing Tomorrow of Senate Aging Committee on Long-Term Care Workforce

Stewart will share her experience as a caregiver for her mother

  From My Home to Yours: I Remember Mama  

April 15, 2008 – The hearing of the Senate Special Committee on Aging – usually a rather colorless affair – will get a shot of excitement on Wednesday when Martha Stewart appears to discuss the role of family caregivers in providing essential services and support for loved ones. The hearing will be at 3 p.m. in Room 562 of the Dirksen Senate Office Building. Read more...

Strokes, Deaths Reduced Among Very Elderly with Hypertension by ‘Water Pill’

Indapamide, (Lozol) declared “very beneficial” to those 80 and over

April 4, 2008 - Results of research presented at the American College of Cardiology’s 57th Annual Scientific Session show that treatment of high blood pressure based on indapamide sustained release (SR) 1.5mg is beneficial in very elderly people with high blood pressure to reduce fatal strokes and cardiovascular events as well as all-cause mortality. Read more...

Treating Wife’s Stress May Be Indirect Care for Men With Prostate Cancer

When couple dealing with cancer, a partner’s psychological distress might drag down the well-being of either person

By Taunya English, Associate Editor, Health Behavior News Service

March 24, 2008 - When a couple is dealing with cancer, a partner’s psychological distress might drag down the well-being of either person, according to a new study of 168 married couples. Read more...

Sandwiched Mother/Daughters Not Prepared to Care for Aging Parents

Many reluctant to ask for help or don't know where to turn.

March 20, 2008 - The first survey of social workers who provide services to sandwich generation women -- women between the ages of 35 and 54 who are "sandwiched" by the needs of their children and their aging parents -- found that this group, which typically shoulders a family's caregiving burdens, is ill-prepared for the challenges of caring for older relatives. Read more...

Caregivers of Family Heart Patients Appear to Increase Their Own Risk

Because stress and depression can raise the risk of heart disease

March 17, 2008 - Being a caregiver for a family member recently hospitalized with heart disease can affect the caregiver’s mental health – and possibly the caregiver’s own heart health, according to research presented today. Researchers found these results when studying psychological strain and depression in people who provided most or all of a patient’s care. Read more....

A Little More Financial Support for Elderly Poor Seems to Improve Health

Research shows poverty is bad for your health; small investment by government may save big on health care

By Susan Kuchinskas, Contributing Writer
Health Behavior News Service

March 10, 2008 - A modest boost in financial support to the elderly poor might reduce old-age disability and be a good investment in public health, according to a large-scale, nationwide study. Read more....

Alzheimer's, Dementia & Mental Health

Antibiotic Use for Dying Nursing Home Patients with Advanced Dementia Raises Questions

Frequent use two weeks before death may endanger other patients

Feb. 25, 2008 - Antibiotics appear to be frequently prescribed to individuals with advanced dementia in nursing homes, especially in the two weeks before death, according to a report in the February 25 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. An editorial in the issue asks if this is really good for the patients and if it does not increase risk for the other patients. Read more...

Elder Care News

Senators Grassley, Kohl Offer Bill for Better Information on Nursing Home Compare

Nursing Home Transparency and Improvement Act of 2008

 

Below Story

 
 

> Bill summary

 > Statements by Kohl and Grassley

 

Feb. 15, 2008 - Sen. Chuck Grassley, ranking Republican on the Senate Finance Committee, joined yesterday with Sen. Herb Kohl, Democrat Chair of the Senate Special Committee on Aging, to introduce legislation aimed at improving the quality of care in nursing homes with more and better information for consumers on the Nursing Home Compare Website published by The Centers for Medicare & Medicaid Services. Read more...

More Nursing Homes Added to List of Underperformers by CMS

CMS expands information available about nursing homes

Feb. 12, 2008 - More nursing homes across the country were added today to the list of “underperforming nursing homes” that is being made public by The Centers for Medicare & Medicaid Services (CMS). The number on the list is now 131 active facilities. Read more...

Few Strategies Exist to Prevent MRSA Infection Spread in Nursing Homes

Residents vulnerable because infection with the bug tends to increase with advancing age

By Christe Bruderlin-Nelson, Contributing Writer
Health Behavior News Service

Jan. 23, 2008 - Methicillin-resistant Staphylococcus aureus (MRSA) is making news as a dangerous, sometimes fatal disease for hospital patients, and in recent cases, students. MRSA is also a major source of illness acquired in nursing homes, yet few studies have looked at how to prevent its spread among elderly residents, according to a new review. Read more...

Nursing Home Report Card by CMS Makes the Grade and Improving Care

‘..study provides evidence that quality report cards are useful tools’

By Katherine Kahn, Contributing Writer
Health Behavior News Service

Jan. 23, 2008 - A national, Web-based report card on nursing homes is improving some aspects of nursing home care, a new study finds. The Centers for Medicare & Medicaid Services began publishing the “Nursing Home Compare” report card results on the Web in 2002. The site gives detailed information about the past performance of every Medicare- and Medicaid-certified nursing home in the country. Read more...

Risk of Falling Is Overlooked as the Major Cause of Fractures in the Elderly

Evidence says fall prevention can reduce falls by up to 50%

Jan. 18, 2008 – There has been a splash of recent news on the benefits of vitamin D2 with calcium in preventing bone loss and resulting fractures in senior citizens. A new report, however, says this is the wrong focus for preventing factures in the elderly: it should be on preventing falls. Read more...

VA Hospice Care Grows as Veterans over 85 Expected to Triple

Nearly half of veterans dying in VA facilities received palliative care

Jan. 16, 2008 -- The Department of Veterans Affairs (VA) is providing hospice and palliative care to a growing number of veterans throughout the country as the need continues to rise for care and comfort at the end of life. Nearly 9,000 veterans were treated in designated hospice beds at VA facilities in 2007, and thousands of other veterans were referred to community hospices to receive care in their homes. Read more...

Congestive Heart Failure Leads to Disability, Nursing Homes for Senior Citizens

Prevalence of condition imposes ‘significant burden’ on families, health care system and long-term care facilities: U-M researchers

Jan. 7, 2008 – Okay, modern medicine is allowing millions of senior citizens that have survived heart attacks or other cardiovascular disease to live much longer. But, eventually, most of these patients ease into congestive heart failure, which presents new challenges in the effort to extend life even more. New research shows these CHF patients are most likely to experience disability and need nursing home care. Read more...

Home Intervention Program Makes Life Better for Low-Income Elderly

 

Watch video - link below news story.

 

GRACE program developed to improve quality of care for low-income seniors

Dec. 12, 2007 - A home-based geriatric care program for low-income seniors resulted in higher-quality medical care, improvement in quality of life and fewer emergency department visits, but did not appear to prevent decline in physical functioning, according to a study in the December 12 issue of the Journal of the American Medical Association (JAMA). Read more...

Online Tools from AHRQ Help Healthcare Providers, Patients with Safer Care

Primary goal of online access tools is to help reduce medical errors

Dec. 7, 2007 - An array of toolkits designed to help doctors, nurses, hospital managers, patients and others reduce medical errors was released today by the Agency for Healthcare Research and Quality. Read more...

Unpaid Caregiving Extracts Hidden Costs from Labor Force, Economy

Hard-pressed caregivers often first to drop out of labor force

By Taunya English, Associate Editor
Health Behavior News Service

Dec. 7, 2007 - People who provide intensive and time-consuming care to others at home - such as assisting with feeding, bathing and toileting - are the caregivers who are most vulnerable to dropping out of the labor force, according to a new systematic review of studies on unpaid caregivers. Read more...

Features for Senior Citizens

Senior Citizens to See High Tech Sensors in Homes, on Bodies to Monitor Health

Over 3.4 million seniors to be using these devices by 2012

Dec. 6, 2007 – Senior citizens who do not take kindly to high tech devices had better get more comfortable with them because there is an increasingly good chance they will have them managing their home and body in the years ahead. A new projection says that by 2012 more than 3.4 million senior citizens in the U.S. will be using networked sensor applications to monitor and improve their health. Read more...

Medicare News

Ouch! CMS Publishes Online List of Poorest Performing Nursing Homes

Wants to help people choose nursing homes for long-term care

Nov. 29, 2007 – Ouch! The Centers for Medicare & Medicaid Services (CMS) today released the first ranking of the nation’s poor-performing nursing homes, which it identifies as “Special Focus Facilities.” CMS says the purpose is to help people choose nursing homes for long-term care. Read more...

Elder Care News

Personal, Financial Sacrifices of Family Caregivers Detailed in New Study

Study also uncovers significantly higher costs related to caregiving

Nov. 24, 2007 – Half of those caring for a loved one 50 years or older are spending on average more than 10 percent of their annual income on caregiving expenses and often sacrifice their own long-term financial and personal well-being to do so, according to the Evercare/National Alliance for Caregiving Study released this week. Read more...

Eye Glasses for Nursing Home Residents May Improve Life, Decrease Depression

Nov. 12, 2007 - Nursing home residents who received eyeglasses for uncorrected refractive error were found to have improved quality of life and decreased symptoms of depression when compared to those with refractive error who had not received eyeglasses, according to a report in the November issue of Archives of Ophthalmology, one of the JAMA/Archives journals. Read more...

‘Slow Code’ Token Resuscitation on Hopelessly Ill Prolongs Suffering

Some say 'slow codes' are going through the motions, being kinder to desperately ill, usually elderly patients

Nov. 2, 2007 – Most people, even senior citizens who are more familiar than most with medical terminology, have never heard of “slow codes.” This gruesome practice is when the medical staff goes through the motions of attempting to resuscitate an extremely ill patient but it is just for show. Resuscitating hopelessly ill patients too slowly to save their lives can be an invasive and undignified procedure that prolongs death and suffering, says nursing ethics lecturer Jacinta Kelly. Read more...

Elderly and Disabled Not at Higher Risk of Physician-Assisted Death

Terminal sedation, legal in the U.S. since 1997, may account for up to 44% of deaths

Sept. 28, 2007 - Claims that vulnerable groups, such as the elderly and people with physical or mental disabilities, are at an increased risk of physician assisted death are not supported by evidence, says an expert in this week’s BMJ. Read more...

Cancer Patients and Spouses Report Similar Emotional Distress

Michigan U. study says phase of illness plays big role in distress, intervention should target spouses, too

Sept. 20, 2007 – Cancer is a major killer of senior citizens – number two behind heart disease – and it does not come as news to many of those over age 65 that a diagnosis of cancer brings a shared suffering between patient and spouse. A new study from the University of Michigan Comprehensive Cancer Center confirms that spouses report similar physical and emotional quality of life as the patient. Read more...

More Children, Teenagers Becoming Caregivers to Ill, Elderly Relatives

 

Daily Reports

KaiserNetwork.org

 

Aug. 27, 2007 - A growing number of children and teenagers are taking on the responsibility of caring for family members with debilitating illness, the Washington Post reports. As many as 1.4 million young people ages eight to 18 in the U.S. care for a chronically ill or disabled relative, according to a 2005 survey by the United Hospital Fund and the National Alliance for Caregiving. Read more...

Study Offers New Look at “Self-Neglect” Among the Elderly

Senior citizens who self-neglect are those with impairment in activities of daily living

By Becky Ham, Science Writer, Health Behavior News Service

Aug. 1, 2007 - Many older adults who cannot take care of the tasks of daily life such as eating and bathing are battling a multitude of health problems with little help from family or others in their community, according to a new study. Read more...

Hip Protectors Do Not Stop Hip Fractures Among Elderly in Nursing Homes

340,000 hip fractures a year may double or triple by mid-century

July 24, 2007 - Use of an energy-absorbing hip protectors did not protect against hip fracture by elderly nursing home residents, according to a new study that ended due to lack of effectiveness of the protectors. This adds to increasing evidence that hip protectors, as currently designed, are not effective for preventing hip fractures. Read more...

'GatorElderaide' May be Next Magical Product from University Known for Gatorade

UF and IBM create blueprint for ‘smart’ system monitoring vital signs, activities of elderly and transmitting to caregivers

July 24, 2007 – The university that gave us Gatorade for athletes may now have a winning product for senior citizens – it could be called "GatorElderAide". The University of Florida has linked up with IBM to create the first-ever roadmap for widespread commercial development of “smart” devices that, for example, take a person’s blood pressure, temperature or respiration rate the minute a person steps into his or her house – then transmit it immediately and automatically to doctors, family or other caregivers. Read more...

Spouses' Guesses About End-of-Life Wishes are Often Not Accurate

Women no more accurate at predicting spouse's wishes than men

By ElderLawAnswers.com

June 29, 2007 - Most older adults who are married name their spouses to make health care decisions for them should they become incapacitated and unable to convey their wishes to care providers. The common way to do this is through a durable power of attorney for health care, also called a health care proxy. But how accurate are spouses at knowing what their spouse would want to do in a particular situation? Read more...

USA Today Series Examines Issues Important to Caregivers for the Elderly

ABC News presents video on three of the reports, links below

June 25, 2007- USA Today on Monday published several articles on issues related to elder care as part of a five-day series. Headlines and summaries appear below. Below are also links to ABC News reports on some of the USA Today reports. Read more...

Sleep Problems Among the Elderly Linked to Suicide Risk

Many older adults get less sleep than needed due to trouble falling asleep

June 14, 2007 - Self-reported sleep complaints among the elderly serve as a risk factor for completed suicide, according to a research abstract that focused on data that were collected among 14,456 community elders over a 10-year period. It will be presented Thursday at SLEEP 2007, the 21st Annual Meeting of the Associated Professional Sleep Societies (APSS). Read more...

Supreme Court Says Home Health Care Workers Not Entitled to Minimum Wage, Overtime Pay

1974 law exempts "companions" for the elderly and sick

June 12, 2007 - The Supreme Court on Monday in a 9-0 decision ruled that federal minimum wage and overtime laws do not apply to home care workers, the AP/Lincoln Journal Star reports. Read more...

End-of-Life Planning Influenced by Education, Religion, Death of Loved One

Researchers probe senior citizen planning for final care

June 7, 2007 - As a brain-damaged woman named Terri Schiavo lived her final days in 2005, her family's bitter feuding imparted a tragic lesson about the importance of specifying one's wishes for end-of-life medical treatment. Yet, beyond headline-grabbing cases such as Schiavo's, what truly motivates people to plan for medical care at life's end? Read more...

Alzheimer's, Dementia & Mental Health

Elderly Patients Not Responding to Depression Therapy Improve with Second Drug

84% of depressed elderly have problems in initial treatment

June 1, 2007 – Up to 84% of the elderly with depression either fail to respond to the initial treatment or relapse in the first six to 12 weeks. Chances for these people to recover have been found to improve with the addition of a second drug to the treatment, finds a University of Pittsburgh School of Medicine study. Read more...

Elder Care News

Only Nursing Homes Close to Adequate Staffing are in States with High Standards

Raising state minimum staffing ratio has a direct impact on quality of care for senior citizens

May 30, 2007 - The majority of the nation's elderly and disabled in nursing homes remain in situations where staffing is well below national recommendations for safe care, a new study found. But, states that set high staffing standards for elder care in nursing homes are the only ones that come close to having enough staff nurses to prevent serious safety violations. Read more...

Nursing Home Quality Campaign Celebrates 5,000 Participating Facilities

Focus on campaign during National Nursing Home Week, Older Americans Month

May 20, 2007 - Steering Committee members of the Advancing Excellence in America’s Nursing Homes campaign this week announced that over 5,000 facilities have joined the unprecedented two-year voluntary campaign to improve the quality of care in the nation’s nursing homes. Read more...

Elderly Less Likely to Enter Nursing Home in States with More Services

States vary greatly in services such as personal care, adult day care, nutrition, transportation

May 15, 2007 - Senior citizens who do not have children to help care for them are less likely to have to go into a nursing home if they live in a state that spends more on home- and community- based services, researchers have found. Read more...

Some Nursing Homes that Repeatedly Provide Low-Quality Care Subject to Minimal Penalties

GAO report: nursing homes often avoid penalties by temporarily improving care quality and then resume noncompliant practices

 

Daily Reports

KaiserNetwork.org

 

April 23, 2007 - Nursing homes with repeated safety compliance problems usually face only minimal penalties from the federal government, according to a Government Accountability Office report, the New York Times reports. Read more...

Chair of Senate Aging Committee Backs New Bill to Stop Elder Abuse

Kohl joins Sen. Lincoln, Sen. Hatch to introduce Elder Justice Act

March 30, 2007 - U.S. Senator Herb Kohl (D-WI), Chairman of the Senate Special Committee on Aging, today hailed the introduction the Elder Justice Act of 2007, introduced by Senator Orrin Hatch (R-UT) and Senator Blanche Lincoln (D-AR).  Chairman Kohl, an original co-sponsor of the legislation, said, "We are finally saying enough is enough - elder abuse is unacceptable and we are going to act to stop it." Read more...

New UK Study Finds Lack of Care for Older Breast Cancer Patients

U.S. study in 2000 found less aggressive cancer and treatment in elderly women; another last year found elderly not getting exams

March 29, 2007 - Compared to younger women, older women with breast cancer are less likely to be diagnosed via needle biopsy and triple assessment, less likely to undergo surgery and less likely to receive radiotherapy, say researchers in this week's British Journal of Cancer. Such management of older women is likely to lead to higher rates of local recurrence of the disease and higher than necessary mortality. A U.S. study in 2000 also found less aggressive treatment of elderly patients and another last year says elderly not being given breast exams. Read more...

New Research Finds Patients Do Live Longer Under Hospice Care

Hospice patients lived an average 29 days longer reports NHPCO

March 25, 2007 – A new study published in the March 2007 issue of the Journal of Pain and Symptom Management reports that hospice care may prolong the lives of some terminally ill patients. Among the patient populations studied, the average survival was 29 days longer for hospice patients than for non-hospice patients. Read more...

Sustained Levels of Stress Hormone Put Caregivers at Risk of Health Problems

Case Western Reserve finds culture, religion ward off depression

Feb. 21, 2007 - Having positive cultural beliefs about caring for elders and strong religious beliefs can ward off depression and other mental health difficulties for female caregivers of spouses and parents with dementia, but sustained elevated levels of the stress hormone, cortisol, puts these women at risk for physical health problems, according to a study published in the American Journal of Geriatric Psychology. Read more...

Better Communications in ICU about End-of-Life Care Benefits Family

Reduces symptoms of stress, anxiety, depression in family members

February 1, 2007 - An intervention to improve communication between clinicians in the Intensive Care Unit and family members of a dying patient significantly reduces feelings of stress, anxiety, and depression in the family members, according to a study that appears today in the New England Journal of Medicine. Read more...

Caregiver Training in Community Colleges Funded by MetLife Foundation

International Longevity Center seeking schools for $25,000 grants

January 31, 2007 – Those interested in a career as a caregiver for senior citizens in their homes may find an opportunity for professional training coming to a community college near their home. The Caregiving Project for Older Americans, a collaboration between the International Longevity Center-USA and the Schmieding Center for Senior Health & Education, will launch a new initiative to support the development of home-based caregiver training programs in community colleges. MetLife Foundation awarded a $475,000 grant to ILC-USA to implement the demonstration project. Read more...

New Company Has New Ideas on Helping Elderly Stay at Home Longer

Private company, Dovetail, joins national efforts to extend living at home

January 25, 2007 – A major goal of many new government programs, senior citizen advocates and seniors themselves is to find better ways that will allow the elderly to stay in their own homes longer, rather than moving to a care facility. Late last year a private company, using new technology, introduced a program in the Boston area for older people to stay in their homes through better ways to monitor and manage their health and medication requirements. Read more...

New Technology Safe Home for People with Dementia Opens in England

Designed to provide patients greater independence

January 24, 2007 – A constant worry of caregivers for people with dementia is wandering. But, imagine a home where the lights automatically come on if entered by the wandering patient and a voice would encourage them to go back to bed. These are just some of the features in a groundbreaking home that uses the latest smart technology to give people with dementia and other serious long-term health conditions greater independence that will be showcased for the first time in Bristol, England tomorrow. Read more...

Older Adults Double Their Risk of Some Fractures with Daily Antidepressant

High rate of SSRI use among elderly persons in particular

January 23, 2007 – Older adults, defined for this study as 50 years and older, double their risk of "some fractures" with the daily use of antidepressant medications known as selective serotonin reuptake inhibitors (SSRIs), according to a report in the January 22, 2007 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. Read more...

Caregiving for Elderly at End of Life Rewarding Despite Challenges

Family or friends care for almost 75% of older adults living in community in last year of life

January 8, 2007 - Family or friends served as informal caregivers to almost three-quarters of disabled older adults living in the community during their final year of life, according to an article in the January 8 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. More than two-thirds of these caregivers found their role rewarding despite providing more than 40 hours of care per week and making little use of caregiver-focused supportive services. Read more...

Senior Citizen Health & Medicine

Elderly Men Survive Prostate Cancer 'Significantly' Longer if Treated

Editorial says best care achieved not by treating more patients but by treating them more discerningly

December 22, 2006 – One of the most explored questions pertaining to the health of male senior citizens – should prostate cancer be treated - was probed again this month by an article in JAMA. The report on an observational study suggests that elderly men who received treatment for localized prostate cancer survived significantly longer than men who did not receive treatment. The investigators, however, emphasize the importance of validating these results in randomized trials. Read more...

Elderly Can Be Trained to Improve Cognitive Ability, Manage Daily Activities

Limited evidence that cognitive interventions reduce age-related decline

December 20, 2006 – You are never too old to learn, has been proven again. Older people – the average age in this program was almost 74 - who received specific cognitive training saw their cognitive function improve and stay at this level for up to 5 years afterwards. More importantly, they also had less of a decline in the ability to perform daily activities, as compared to those who did not receive the training. Read more...

Major Structural Reform of Health Care Needed to Meet Growing Needs of Older Americans

December 6, 2006 – The U.S. health care system is not meeting the needs of senior citizens and a new policy report by the International Longevity Center-USA calls for major reforms to make it "proactive, rather than reactive" to meet the special - and mostly unmet needs - of older adults in an aging population. The report focuses on eight areas of concern. Read more...

Big Bias in Breast Cancer Screening Puts Older Women at Bottom of List

Those under 75 about 1.5 times more likely to receive a breast exam

November 28,2006 - Researchers have found a disturbing bias in the medical judgments made about who gets screened for breast cancer. Guess who is at the bottom? – senior citizens, particularly those on Medicare or Medicaid. And, it is even worse if the women are age 75 or older. Another group not likely to get a clinical breast exam and a recommendation for a mammogram is women who do not get routine exams from an obstetrician and gynecologist. Read more...

Depressed Senior Citizens in Primary Care Benefit Most From Team Approach

By Laura Kennedy, Contributing Writer
Health Behavior News Services

November 21, 2006 - Depressed older adults being treated in primary care settings do better with psychosocial therapies than with antidepressant medicines, suggests a new review of evidence. Read more...

Hospital Dumping of the Old and Demented Hits Los Angeles Court

LAPD accuses several hospitals of dumping patients on skid row

November 17, 2006 - The hospital staff called a cab and paid the driver to take older woman with dementia to skid row and drop her off, according to a Los Angeles Times story reporting on “the first criminal prosecution of a medical center accused of ‘dumping’ patients on skid row.” Earlier this year the 63-year-old patient, Carol Ann Reyes, was videotaped leaving in the taxi from Kaiser Permanente’s Bellflower hospital in LA. Taken away in her gown and socks, she was found wandering skid row streets. Read more...

Aging News & Information

Falls Have Become the Leading Cause of Injury Deaths for Senior Citizens

CDC says that men more likely to experience fatality than women

November 16, 2006 - Fall-related death rates for men and women 65 years and older increased significantly from 1993 to 2003, according to a report released today in the Centers for Disease Control and Prevention's (CDC) Morbidity and Mortality Weekly Report (MMWR). Read more...

Elder Care News

Pharmacy Care Program Helps Elderly Patients Take Their Medications Better

Program also results in better health for those who take their meds

November 13, 2006 – Diagnosing an ailment and finding the right medicine to treat it is seldom the end of the problem when treating the chronically ill elderly. Often, just as challenging, is assuring they take the medicine as prescribed. A new pharmacy care program for elderly patients was able to improve the rate of adherence to their medication to 96.9 percent. And, there was a significant improvement in their health. Read more...

Veterans are 28 Percent of U.S. Deaths and Need to be Aware of End-of-Life Care

National hospice, palliative care group reaches out on Veterans Day

November 9, 2006 – More than 50,000 U.S. military veterans die each month, about 28 percent of all deaths in the nation, according to the National Hospice and Palliative Care Organization, which is using the celebration of Veterans Day on Saturday to urge Americans who may know of a veteran needing the special care hospice provides, to contact the organization. Read more...

Caregivers for Elderly Cope with Humor and Thinking that Others Have it Worse

Caregivers need emotional support as well as practical help

November 6, 2006 - Seeing the funny side of things and realizing that other people are worse off than themselves are the two top coping strategies used by people caring for someone over age 75, according to research in the November issue of Journal of Clinical Nursing. This is National Family Caregivers Month in the U.S. Read more...

Top Ten Ways to Celebrate National Caregivers Month

Over 50 million provide $306 billion a year in free service

November 3, 2006 - Over 50 million Americans are recognized this month during National Family Caregivers Month, according to the National Family Caregivers Association, which is offering ten ideas on how to honor these caregivers during November. Read more...

Falls by Elderly Men May Be Caused by Low Testosterone Levels

October 23, 2006 - Low testosterone levels may be associated with a higher risk of falling in older men, according to a report in the October 23 issue of Archives of Internal Medicine, one of the JAMA/Archives journals. And, it leads the authors to suspect that low testosterone in these senior citizens may also indicate higher risk for other problems. Read more...

NIHSeniorHealth Website Adds Information on Preventing Falls

Each year 1.6 million seniors go to the emergency room due to falls

October 17, 2006 - Each year, more than 1.6 million older Americans go to the emergency room for fall-related injuries. Among older adults, falls are the number one cause of fractures, hospital admissions for trauma, loss of independence and injury-related deaths, but falls are not an inevitable part of life, even as a person gets older. Information about the risks of falling and what you can do to prevent falls has just been added to NIHSeniorHealth.gov. Read more...

Caregivers – Stressed and Depressed – Sink into Downward Health Spiral

Lack of personal healthcare diminishes ability to care for others

September 25, 2006 – Most caregivers find themselves in a downward health spiral that threatens their ability to provide care, as a result of the stress and worry of taking care of others. Millions of these caregivers neglect their own physical and mental health and spiral into depression, extreme fatigue, poor eating, insufficient exercise and taking too many medications to try and offset the decline. These are some of the findings of a study by Evercare released today with the National Alliance for Caregiving. Read more...

Many Elderly Caregivers Do Not Know How to Make Homes Fall-Safe

Home Safety Council finds many homes lack critical safety elements

September 20, 2006 - Studies show that one-third of senior citizens aged 65 or older - or nearly 12 million people - experience falls each year and almost 5,000 die from falls in the home. The Home Safety Council went to caregivers to find out why more is not being done to make homes safer for the elderly and found that many just do not know what to do to make them safer. Read more...

Bathing Problems Common in Older Adults Can Be Prevented

Study finds safety problems among many who bathe without help

B Katie Gazella, U-M Health System

September 14, 2006 - Getting in and out of the bathtub or shower can be a perilous journey for older adults, including those as young as 60, even when they have bathrooms already equipped with safety features, according to research by the University of Michigan Health System. Read more...

Feds Release $80 Million for Low Income Energy Help in 14 States

Elderly among target groups for help in home heating this winter

September 13, 2006 - Cold winter nights can be life-threatening for many elderly Americans who cannot afford to properly heat their homes. There is, however, federal government assistance available for these seniors and other low-income Americans through the Low Income Home Energy Assistance Program. Health and Human Services yesterday released $79.9 million from this program for 14 states to use for heating assistance this fall and winter. Read more...

Preventing Falls May Be Key to Avoiding Disability in Elderly

By Patricia McAdams, Contributing Writer
Health Behavior News Service

September 8, 2006 - Physical inactivity, depression and falls all increase risk of developing a disability in later life. But targeting falls may be a particularly effective way to reduce the nation’s disability levels, according to a new study. Read more...

Elderly Continue to Struggle in Katrina Aftermath

'One way or the other I am going back to New Orleans,' a woman said

August 22, 2006 - Aging families affected by Hurricane Katrina have experienced both physical and emotional problems in the aftermath of the disaster, and many yearn to “go back home,” according to preliminary findings from a team of researchers. Read more...

Nursing Home Hospice Care Reduces End-of-Life Hospitalizations

By Katherine Kahn, Contributing Writer
Health Behvior News Service

August 18, 2006 - Nursing home residents in hospice care have about half the chance of being admitted to a hospital in their last 30 days of life compared to peers who don’t receive hospice care, a large new study confirms. Read more...

Elder Care Website and Book Target Baby Boomer Caregivers

Doctor Marion launched by company claiming to be first with such media for boomers

August 14, 2006 – Older adults carrying for even older parents is a growing trend as American life spans continue to lengthen. The latest effort at serving the need for caregiving information is a new Website that also promotes an upcoming book. Marion Somers, Ph.D., who calls herself "Doctor Marion," has announced her site is online now and her book will be published next month. Read more..

Elder Care News and Information

Consumer Reports finds Not-for-Profit Nursing Homes Best

Launches its own guide to nursing homes online

August 7, 2006 – Consumer Union, publisher of Consumer Reports, thinks they have found a better way for senior citizens and caregivers to choose a nursing home. The magazine has launched its own online nursing home guide and issued a statement that not-for-profit nursing homes are providing better care than are for-profit homes. Read more...

Caregivers Learning to Manage Illness also Helped in Coping with Death

Original goal was easing burden of caring for relative with dementia

August 3, 2006 - An intervention aimed at preventing depression and easing the burden of caring for a relative with dementia also helps to prevent complicated grief and depression following the death of the loved one, according to a University of Pittsburgh-led study. The findings could help the millions of American families caring for relatives with dementia. Approximately 4.5 million Americans with Alzheimer's disease live at home with 75 percent cared for by family members. Read more...

New Coalition Targets Improved Quality of Life in Nursing Homes

Residents, staff to benefit as quality summit kicks off September 29

August 1, 2006 - A new, broad-based coalition of long-term care providers, caregivers, medical and quality improvement experts, government agencies, and consumers is launching an initiative to improve quality of care and quality of life for the country’s 1.5 million nursing home residents. The two-year, voluntary campaign, Advancing Excellence in America’s Nursing Homes, will kick off at a national Quality Summit in Washington, D.C., on September 29, 2006. Read more...

Vision Screening for Elderly Not Working: Lacks Follow-up

Older people often fail to report vision problems, just accept it

By Glenda Fauntleroy, Contributing Writer
Health Behavior News Service

July 28, 2006 - Vision screening tests are recommended for older people who frequently suffer from problems with their sight. However, a new review found there is no evidence that community-based screening of the elderly results in any improvements in their vision. Read more...

Eight Hospice Units Honored by National Organization

July 21, 2006 – Three hospice groups received special awards and five more got special recognition at the annual Leadership Summit of the National Hospice and Palliative Care Organization earlier this month. Read more...

Alzheimer's, Dementia & Mental Health News

Efforts to Keep Dementia Patients from Wandering Just Not Working

Wandering not always a problem and safe walking should be promoted

By Becky Ham, Science Writer
Health Behavior News Service

July 21, 2006 - Everything from multicolored lights to garden walks has been suggested as ways to keep people with dementia from wandering, but there is little evidence to show that any of these interventions work, according to a new analysis. Read more...

Hyperthermia: When It's Too Hot for Elderly People's Health

By National Institute on Aging - click

July 13, 2006 - Irene is retired, she loves to work in her garden. Because she has always spent hours outside, she thinks the heat and humidity of Midwestern summers don’t bother her. Then last year an unusual heat wave hit her area. Every day the temperature was over 100° F, and the humidity was at least 90%. Five days into the heat wave, her daughter Kim came over because Irene sounded confused on the phone. Read more...

Study Shows 20 Percent of Senior Citizens at Risk for Heat-Related Illness

Company offers tips for keeping elderly safe from heat

July 13, 2006 - The results of a new study indicate that 20 percent of seniors may be at risk of a heat-related illness during the summer, due to the temperature in their residence exceeding 90 degrees. The data was obtained using QuietCare, an early detection and warning system that the company says provides caregivers with around the clock information and alerts about the safety and well-being of elderly, while maintaining their privacy and independence. Read more...

Training More Physicians to Treat the Elderly is Goal of New Grant

'Almost all physicians will be caring for older adults in the years to come'

July 10, 2006 – As a step toward providing the U.S. with more doctors skilled in treating the elderly, a $2-million dollar grant has been awarded to Albert Einstein College of Medicine of Yeshiva University and Montefiore Medical Center. The initiative, funded by the Donal W. Reynolds Foundation of Las Vegas, is known as the GeriEd Program, which will contain both educational and clinical components. Read more...

Elderly Achieve Increase in Independent Living and Life with New Program

'We can teach older people strategies that appear to have a survivorship benefit'

July 9, 2006 – Elderly senior citizens can extend the time they live independently and also their lives with a personalized program of occupational and physical therapy, complimented by a few home modifications, according to a research team at Thomas Jefferson University. Read more...

Hospice Organization to Launch National Quality Initiative to Improve Care

Goal to improve hospice and palliative care delivery and outcomes

July 3, 2006 - This September, the National Hospice and Palliative Care Organization will launch a national, quality initiative designed to help hospice providers build organizational excellence and improve hospice and palliative care delivery and outcomes.  The Quality Partners program will be unveiled at NHPCO’s annual Management and Leadership Conference in New York City, September 11 – 13, 2006. Read more...

More Efforts this Year to Protect Elderly in Nursing Homes from Disasters

Educational program for long-term care providers developed by non-profit

June 22, 2006 – Few, especially senior citizens, will forget last year's nightmare of St. Rita’s Nursing Home, where the owners were charged with 34 counts of negligent homicide, following the destruction by the floodwaters of Hurricane Katrina. That horror is spurring action this year to better protect older Americans living in long-term care communities. Earlier this month, for example, long-term care providers in St. Petersburg, Florida, took part in PREPARE - a new educational training program designed to protect seniors in long-term care facilities from disasters such as hurricanes, pandemics, bioterrorism and other disasters. Read more...

Eldercare News & Information

Hospice Community Applauds AMA Support of Advance Directives

AMA builds on lessons from Terri Schiavo for end-of-life planning

June 15, 2006 - The American Medical Association voted during its Annual Meeting this week to increase efforts to educate patients about the importance of end-of-life planning. The action received applause from the National Hospice and Palliative Care Organization, which has more than 15,000 hospice and professional members. Read more...

Geriatric Care Mangers Emerging as Important Contributors to Eldercare

National association now has over two thousand members

June 6, 2006 – Geriatric care managers, unknown 20 years ago, are emerging into an important piece of the network for the care of the elderly. The New York Times explored the industry in an article on Saturday and found they "are growing increasingly popular as people live longer and want to grow old in their homes." The number of certified geriatric managers totals about 2,041 today, compared with about 50 in 1986, when the National Association of Professional Geriatric Care Managers was formed, according to the newspaper. Read more...

Family Caregivers of Stroke Patients Get Little Information, Support

By Valerie DeBenedette, Contributing Writer
Health Behavior News Service

June 6, 2006 - Stroke and brain injury patients living at home receive the bulk of their care from family members, but these volunteer caregivers get little preparation, information or support from health care professionals and home health agencies, according to a new study. Read more...

Senior Health & Medicine

Better Palliative Care Access, National Health Care Plan Recommended by HHS Working Group

Citizens' Health Care Working Group wants core health care for all by 2012

June 3, 2006 – A basic national health program was the key recommendation in a report released yesterday by the Citizens' Health Care Working Group, which was created by the 2003 Medicare Modernization Act. That is earthshaking news but, as most recommendations by government working groups, it will probably not create many waves. Senior citizens, already covered by a national health plan, will be more interested in a recommendation to restructure the way palliative care, hospice care and other end-of-life services are financed and provided, so people in need have increased access to these services. Read more...

News on Elder Care

Sex Offenders, Dangerous Residents in Nursing Homes to Get Closer Study

Grant awarded to study dangerous residents in long term care

May 31 – Following a report by the Government Accountability Office in March that found "about 700 registered sex offenders" living in nursing homes or intermediate care facilities for people with mental retardation (ICF-MR) during 2005, a researcher has received a grant to study the presence of potentially violent and dangerous residents, including sexual predators, living in the nation’s nursing homes. Read more...

Treating Hypertension in Elderly May Delay Cognitive Decline

May 17, 2006 - Physicians are sometimes reluctant to aggressively treat the elderly for hypertension because of some risks and an assumed lack of benefits. A new study presented today, however, may change some minds. The findings indicate that cognitive function is adversely affected by exaggerated blood pressure variability, or the difference between systolic and diastolic readings, in elderly patients 80 years of age and older. Read more...

Eldercare & Nutrition

Elderly May Need Extra Pounds to Live Longer Lives

Body Mass Index may need to be adjusted for those over 80

May 16, 2006 - If you’re more than 80 years old, carrying a few extra pounds might not be such a bad idea. In fact, it may be beneficial. That’s one of the findings from a joint UC Irvine and University of Southern California analysis of body mass index (BMI) and mortality rates from participants of a large-scale study based in a Southern California retirement community. Read more...

Nude Nursing Home Photos Fuel New Zealand Controversy

'People who are happy to look at attractive young bodies have second thoughts when you add a few wrinkles'

May 15, 2006 – New Zealand is awash in controversy today over a photo essay that shows elderly residents of two nursing homes naked as they shower, dress and use the toilet. The photos appear in the May issue of Kaitiaki, The Journal of the New Zealand Nurses' Organization. Read more...

Senior Citizens Choose More Drastic Treatment as Health Declines

Poses challenge to advance care planning for end-of-life care

April 25, 2006 – Although it is difficult to find this surprising, a study of older people with advanced chronic illnesses has found them more likely to accept treatments that result in mild-to-severe functional disability as their health declines. Read more...

Middle-Aged Women Likely to Quit Jobs for Caregiving

With workforce aging and becoming more female it challenges business

April 24, 2006 - Middle-aged women who become caregivers for ill or disabled family member are more likely to leave their jobs altogether than reduce their hours, according to a new Indiana University study. The study also found that unpaid family leave proved most useful in helping caregivers keep their jobs. Read more...

Millions of Elderly Could Be Quietly Sliding into Major Depression

Lesser depressions often lead to major depression but goes undiagnosed in elderly

April 4, 2006 – Elderly patients with any form of depression less than major depression are more than five times as likely as healthy seniors to descend into major depression within a year, according to a study published today in the Annals of Internal Medicine. The study's authors believe that perhaps millions of elderly patients who do not meet the criteria for a diagnosis of major depression are indeed depressed, suffering and not being treated for it. Read more...

Depression Not Likely to Return in Elderly Who Continue Antidepressant

March 18, 2006 - Senior citizens age 70 and older who continued taking the antidepressant that helped them recover from their first episode of depression were 60 percent less likely to experience a new episode of depression over a two-year study period than those who stopped taking the medication, according to a study funded by the National Institute of Mental Health (NIMH), part of the National Institutes of Health. The study helps answer a major question in the treatment of depression — when to discontinue medication. Read more...

Frailty in Elderly May Be Prevented or Reversed if Addressed Early

March 3, 2006 - In a study to determine how older people progress through different states of frailty, researchers at Yale School of Medicine have found that the physical symptoms that mark frailty are often reversible and therefore can be altered by intervention. Read more...

Great for Senior Caregivers: Website Sends Email Reminders of Medical Tests

Cholesterol testing on top of list of six email alerts that are available

March 2, 2006 – It could be just what the doctor ordered for a senior citizen or their caregiver – a Website that will automatically send a reminder to have a cholesterol test. Actually, this service by the College of American Pathologists will email reminders on four other types of health testing and to donate blood. Read more...includes more free email reminder services.

Senior Alert

Watch Drug List if Senior Citizen Being Moved in the Hospital – Mistakes Kill

Too many medication errors occur as patients change care settings

Jan. 26, 2006 – Senior citizens and their caregivers should be alert to this warning of a threat to life that is occurring in hospitals. Medication errors cause more than 7,000 deaths a year in U.S. hospitals. Many of these can be prevented if more attention is paid to the accuracy of medications given to patients as they are moved from one area of a hospital to another, from supervision of one healthcare worker to another or to any other new care setting. This caution flag was waved yesterday by the Joint Commission on Accreditation of Healthcare Organizations. Read more...

Views on End-of-Life Care Vary Widely, Differ by Ethnic Groups, Sex, Race

Jan. 23, 2006 – Researchers at the University of Michigan set out to explore how older Americans feel about their personal care as they near the end of their lives. They were surprised by the diversity of views and found some significant differences determined by race, ethnic group and sex. Read more...

Caregiver Alert

Senior Citizens Among Least Likely to take Coronary Artery Medication

Jan. 18, 2006 – Senior citizens were among the least likely coronary artery disease (CAD) patients to consistently take beta blockers, cholesterol-lowering drugs and other medications that could extend their lives, according to recent research. Nearly half of all CAD patients in this seven-year study admitted they do not take their drugs regularly. Joining seniors as the worst offenders are those with heart failure, smokers and diabetics. Read more...

Nursing Home Residents Prefer Visits with Dogs, without People

Jan. 9, 2006 – A professional study in 2002 found that "animal-assisted therapy can effectively reduce the loneliness of residents in long-term care facilities. There have been several studies since supporting positive results with animals visiting elderly patients. A new study by the same researcher, however, has a new twist. Nursing home residents feel much less lonely after spending time alone with a dog than they did when they visited with a dog and other people. Read more...

Hospitals Lack Policies on End-of-Life Care, Say Nurses

Jan. 9, 2006 - Despite increased national attention on end-of-life issues, only one in four U.S. hospitals has patient care policies addressing end-of-life or palliative care, according to a new study of hospitals and critical care units conducted by the American Association of Critical-Care Nurses. Read more...

Elderly Alcoholics Receive Equal Heart Attack Care in Hospitals

Jan. 4, 2006 – Despite what many may assume, senior citizens with alcohol problems do not get worse treatment than their sober peers when they are hospitalized for a heart attack, according to new research on Medicare patients across the U.S.