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

scholarly journals The Effects of Acute Illness on ADL Decline Over 1 Year in Frail Older Adults With and Without Cognitive Impairment

2002 ◽  
Vol 57 (7) ◽  
pp. M449-M454 ◽  
Author(s):  
L. P. Sands ◽  
K. Yaffe ◽  
L.-Y. Lui ◽  
A. Stewart ◽  
C. Eng ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Acute Illness ◽  
Frail Older Adults

Implementation of a Care Transitions Model for Low-Income Older Adults: A High-Risk, Vulnerable Population

2013 ◽  
Vol 61 (6) ◽  
pp. 987-992 ◽  
Author(s):  
Ugochi Ohuabunwa ◽  
Queenie Jordan ◽  
Seema Shah ◽  
Michael Fost ◽  
Jonathan Flacker
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Low Income ◽  
Care Transitions ◽  
Vulnerable Population

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.

Evaluation of a Multicomponent Care Transitions Program for High‐Risk Hospitalized Older Adults

2019 ◽  
Vol 67 (12) ◽  
pp. 2634-2642 ◽  
Author(s):  
Peter J. Huckfeldt ◽  
Bernardo Reyes ◽  
Gabriella Engstrom ◽  
Qingnan Yang ◽  
Sanya Diaz ◽  
...  
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Care Transitions ◽  
Hospitalized Older Adults

Thirty‐Day Hospital Readmissions in a Care Transitions Program for High‐Risk Older Adults

2020 ◽  
Vol 68 (6) ◽  
pp. 1307-1312
Author(s):  
Joseph G. Ouslander ◽  
Bernardo Reyes ◽  
Sanya Diaz ◽  
Gabriella Engstrom
Keyword(s):  
Older Adults ◽  
High Risk ◽  
Hospital Readmissions ◽  
Care Transitions ◽  
Day Hospital

Cognitive impairment is associated with the absence of fear of falling in community-dwelling frail older adults

2016 ◽  
Vol 17 (2) ◽  
pp. 232-238 ◽  
Author(s):  
Hidehiko Shirooka ◽  
Shu Nishiguchi ◽  
Naoto Fukutani ◽  
Yuto Tashiro ◽  
Yuma Nozaki ◽  
...  
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Fear Of Falling ◽  
Community Dwelling ◽  
Frail Older Adults

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

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 Cognitive function and amyloid marker in frail older adults: The COGFRAIL Cohort Study

2020 ◽  
pp. 1-8
Author(s):  
S. Sourdet ◽  
G. Soriano ◽  
J. Delrieu ◽  
Z. Steinmeyer ◽  
S. Guyonnet ◽  
...  
Keyword(s):  
Older Adults ◽  
Body Composition ◽  
Cognitive Impairment ◽  
Amyloid Β ◽  
Amyloid Pet ◽  
Physical Frailty ◽  
Cognitive Frailty ◽  
Frail Older Adults ◽  
Amyloid Pathology ◽  
Cerebral Amyloid

Background: Frailty and cognitive impairment are common manifestations of the ageing process and are closely related. But the mechanisms linking aging, physical frailty, and cognitive disorders, are complex and remain unclear. Objectives: We aim to explore the role of cerebral amyloid pathology, but also a range of nutritional, physical, biological or brain-aging marker in the development of cognitive frailty. Method: COGFRAIL study is a monocentric prospective study of frail older patients with an objective cognitive impairment (Clinical Dementia Rating Scale global score at 0.5 or 1). Three-hundred-and-twenty-one patients are followed up every 6 months, for 2 years. Clinical assessment at baseline and during follow-up included frailty, physical, mood, sensory, nutritional, and cognitive assessment (with a set of neuropsychological tests). Cerebral amyloid pathology is measured by amyloid Positron Emission Tomography (PET) or amyloid-β-1-42 level in cerebrospinal fluid. Brain magnetic resonance imaging, measurement of body composition using Dual X Ray Absorptiometry and blood sampling are performed. The main outcome of the study is to assess the prevalence of positive cerebral amyloid status according to amyloid PET or amyloid-β-1-42 level CSF. Secondary outcomes included biological, nutritional, MRI imaging, cognitive, clinical, physical and body composition markers to better understand the mechanisms of cognitive frailty. Perspective: COGFRAIL study will give the opportunity to better understand the link between Gerosciences, frailty, cognitive impairment, and Alzheimer’s disease, and to better characterize the physical and cognitive trajectories of frail older adults according to their amyloid status. Understanding the relationship between physical frailty and cognitive impairment is a prerequisite for the development of new interventions that could prevent and treat both conditions.

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