The power of the Functional Activities Questionnaire for screening dementia in rural‐dwelling older adults at high‐risk of cognitive impairment

2020 ◽  
Vol 20 (4) ◽  
pp. 427-436
Author(s):  
Ling Yin ◽  
Yifei Ren ◽  
Xiang Wang ◽  
Yunxia Li ◽  
Tingting Hou ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
High Risk ◽  
Functional Activities

scholarly journals Emotional and Behavioral Changes in Older Adults With High Risk of Cognitive Impairment During the COVID-19 Pandemic

2021 ◽  
Vol 12 ◽  
Author(s):  
Jiangning Fu ◽  
Xiaomei Liu ◽  
Jing Li ◽  
Zhuoya Ma ◽  
Juan Li
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
High Risk ◽  
Stressful Event ◽  
Emotional States ◽  
Protective Behaviors ◽  
Healthy Older Adults ◽  
Outbreak Period ◽  
Remission Period ◽  
Period Data

COVID-19 is not only a threat to physical health but also a stressor to mental health, particularly for older adults. Previous studies have indicated that healthy older adults have resilience to cope with such stressful event through emotional and behavioral effort. However, very few have investigated the coping ability of older adults with High Risk of Cognitive Impairment (HRCI), as they are characterized with risk factors that can make them more vulnerable to COVID-19 in both physical and mental aspects. To examine whether older adults with HRCI were able to cope with and recover from the outbreak of COVID-19, we investigated the changes of their self-reported emotional states and intentions of taking protective behaviors between the outbreak period (data collected from February 17th to 24th, 2020) and the remission period (data collected from April 7th to 20th, 2020). The results showed that compared with the outbreak period, older adults with HRCI showed better emotional states and higher levels of intention to take more protective behaviors during the remission period. Subgroup analysis showed that even those who showed relatively poor coping abilities during the outbreak period could gradually improve their emotional states and intend to take more protective behaviors later on in the remission period. Therefore, these results suggested that older adults with HRCI were able to cope with and recover from the pandemic outbreak.

Cognitively Impaired Older Adults: Risk Profiles for Institutionalization

2003 ◽  
Vol 15 (4) ◽  
pp. 351-366 ◽  
Author(s):  
Laurel A. Strain ◽  
Audrey A. Blandford ◽  
Lori A. Mitchell ◽  
Pamela G. Hawranik
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
High Risk ◽  
Risk Group ◽  
Disruptive Behaviors ◽  
High Risk Group ◽  
Low Risk ◽  
Cognitively Impaired ◽  
Risk Profiles ◽  
Medium Risk

Background: This study focused on the identification of risk profiles for institutionalization among older adults diagnosed with cognitive impairment-not dementia or dementia in 1991/92 and subsequent institutionalization in the following 5-year period. Methods: Data were from a sample of 123 individuals aged 65+ and their unpaid caregivers in Manitoba, Canada. Cluster analysis was conducted using baseline characteristics of age, cognition, disruptive behaviors, ADLs/IADLs, use of formal in-home services, and level of caregiver burden. Results: Three distinct groups emerged (high-risk [n = 12], medium risk [n = 40], and low risk [n = 71]). The high-risk group had the poorest cognitive scores, were the most likely to exhibit disruptive behaviors, were the most likely to need assistance with ADLs and IADLs, and had the highest level of burden among their caregivers. Follow-up of the groups validated the risk profiles; 75% of the high-risk group were institutionalized within the next 5 years, compared to 45% of the medium-risk group and 21% of the low-risk group. Discussion: The risk profiles highlight the diversity among individuals with cognitive impairment and the opportunity for differential targeting of services for the distinct needs of each group.

scholarly journals Care Transitions Program for High-Risk Frail Older Adults is Most Beneficial for Patients with Cognitive Impairment

2019 ◽  
Author(s):  
Bjorg Thorsteinsdottir ◽  
Stephanie M Peterson ◽  
James N Naessens ◽  
Rozalina G McCoy ◽  
Gregory J Hanson ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
High Risk ◽  
Care Transitions ◽  
Frail Older Adults

Analysis of Choice Stepping with Visual Interference Can Detect Prolonged Postural Preparation in Older Adults with Mild Cognitive Impairment at High Risk of Falling

2015 ◽  
Vol 40 (1-2) ◽  
pp. 13-21 ◽  
Author(s):  
Kazuki Uemura ◽  
Takashi Hasegawa ◽  
Hiroki Tougou ◽  
Takahashi Shuhei ◽  
Yasushi Uchiyama
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
High Risk ◽  
Error Rates ◽  
Community Dwelling ◽  
Vertical Force ◽  
Risk Of Falling ◽  
Visual Interference ◽  
Execution Times

Background/Aims: We aimed to clarify postural control deficits in older adults with mild cognitive impairment (MCI) at high risk of falling by addressing the inhibitory process. Methods: This study involved 376 community-dwelling older adults with MCI. Participants were instructed to execute forward stepping on the side indicated by the central arrow while ignoring the 2 flanking arrows on each side (→→→→→, congruent, or →→←→→, incongruent). Initial weight transfer direction errors [anticipatory postural adjustment (APA) errors], step execution times, and divided phases (reaction, APA, and swing phases) were measured from vertical force data. Participants were categorized as fallers (n = 37) and non-fallers (n = 339) based on fall experiences in the last 12 months. Results: There were no differences in the step execution times, swing phases, step error rates, and APA error rates between groups, but fallers had a significantly longer APA phase relative to non-fallers in trials of the incongruent condition with APA errors (p = 0.005). Fallers also had a longer reaction phase in trials with the correct APA, regardless of the condition (p = 0.01). Conclusion: Analyses of choice stepping with visual interference can detect prolonged postural preparation as a specific falling-associated deficit in older adults with MCI.

scholarly journals Forensic Aspects of Substance Use in Older Adults

2021 ◽  
pp. 025371762110479
Author(s):  
Deepak Shantaram Ghadigaonkar ◽  
Arun Kandasamy ◽  
Palanimuthu Thangaraju Sivakumar
Keyword(s):  
Older Adults ◽  
Substance Use ◽  
Cognitive Impairment ◽  
High Risk ◽  
Older Population ◽  
Psychiatric Comorbidities ◽  
Criminal Matters

Older adults are at high risk of developing more severe consequences of substance use. Due to aging, they may also have multiple medical and psychiatric comorbidities as well as cognitive impairment. This may lead to forensic issues both in terms of civil and criminal matters. This article will review the forensic issues of substance use and their relevance to the older population in particular.

scholarly journals Spatial inhibition of return is impaired in mild cognitive impairment and mild Alzheimer’s disease

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0252958
Author(s):  
Xiong Jiang ◽  
James H. Howard ◽  
G. William Rebeck ◽  
Raymond Scott Turner
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
High Risk ◽  
Task Performance ◽  
Inhibition Of Return ◽  
Older Individuals

Spatial inhibition of return (IOR) refers to the phenomenon by which individuals are slower to respond to stimuli appearing at a previously cued location compared to un-cued locations. Here with a group of older adults (n = 56, 58–80 (67.9±5.2) year old, 31 females, 18.7±3.6 years of education), we provide evidence supporting the notion that spatial IOR is mildly impaired in individuals with mild cognitive impairment (MCI) or mild Alzheimer’s disease (AD), and the impairment is detectable using a double cue paradigm. Furthermore, reduced spatial IOR in high-risk healthy older individuals is associated with reduced memory and other neurocognitive task performance, suggesting that the double cue spatial IOR paradigm may be useful in detecting MCI and early AD.

Toward Identifying Mild Cognitive Impairment in Hispanic and African American Adults

2017 ◽  
Vol 2 (2) ◽  
pp. 110-116
Author(s):  
Valarie B. Fleming ◽  
Joyce L. Harris
Keyword(s):  
Older Adults ◽  
African American ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Healthcare Access ◽  
Communication Disorders ◽  
Healthcare Systems ◽  
Prevention Education ◽  
Education Management ◽  
African American Adults

Across the breadth of acquired neurogenic communication disorders, mild cognitive impairment (MCI) may go undetected, underreported, and untreated. In addition to stigma and distrust of healthcare systems, other barriers contribute to decreased identification, healthcare access, and service utilization for Hispanic and African American adults with MCI. Speech-language pathologists (SLPs) have significant roles in prevention, education, management, and support of older adults, the population must susceptible to MCI.

1544-P: High Risk of Adverse Drug Reaction (ADR) in Older Adults with Type 1 Diabetes (T1D)

Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1544-P ◽  
Author(s):  
ELENA TOSCHI ◽  
CHRISTINE SLYNE ◽  
ASTRID ATAKOV-CASTILLO ◽  
KAYLA SIFRE ◽  
ALYSSA B. DUFOUR ◽  
...  
Keyword(s):  
Older Adults ◽  
Adverse Drug Reaction ◽  
Type 1 Diabetes ◽  
Drug Reaction ◽  
High Risk
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