scholarly journals Which older adults receive sleep medicine specialty care? Predictors of being seen by a board-certified sleep medicine provider

2020 ◽  
Vol 16 (11) ◽  
pp. 1909-1915
Author(s):  
Emerson M. Wickwire ◽  
Sophia L. Jobe ◽  
Sairam Parthasarathy ◽  
Jacob Collen ◽  
Vincent F. Capaldi ◽  
...  
Keyword(s):  
Older Adults ◽  
Sleep Medicine ◽  
Specialty Care

The Referral Coordination Team: A Redesign of Specialty Care to Enhance Service Delivery and Value in Sleep Medicine

NEJM Catalyst ◽  
2021 ◽  
Vol 2 (2) ◽  
Author(s):  
Lucas M. Donovan ◽  
Brian N. Palen ◽  
Laurie A. Fernandes ◽  
Melanie D. Whittington ◽  
William J. Feser ◽  
...  
Keyword(s):  
Service Delivery ◽  
Sleep Medicine ◽  
Specialty Care ◽  
Coordination Team

scholarly journals Capacity to Provide Geriatric Specialty Care for Older Adults in Community Oncology Practices

2020 ◽  
Vol 25 (12) ◽  
pp. 1032-1038
Author(s):  
Grant R. Williams ◽  
Kathryn E. Weaver ◽  
Glenn J. Lesser ◽  
Emily Dressler ◽  
Karen M. Winkfield ◽  
...  
Keyword(s):  
Older Adults ◽  
Specialty Care ◽  
Community Oncology

scholarly journals Principles of practice parameters for the treatment of sleep disordered breathing in the elderly and frail elderly: the consensus of the International Geriatric Sleep Medicine Task Force

2016 ◽  
Vol 48 (4) ◽  
pp. 992-1018 ◽  
Author(s):  
Nikolaus C. Netzer ◽  
Sonia Ancoli-Israel ◽  
Donald L. Bliwise ◽  
Stephany Fulda ◽  
Christine Roffe ◽  
...  
Keyword(s):  
Older Adults ◽  
Patient Group ◽  
Frail Elderly ◽  
Sleep Disordered Breathing ◽  
Consensus Statement ◽  
Task Force ◽  
Sleep Medicine ◽  
Specific Patient ◽  
Published Evidence ◽  
Disordered Breathing

Sleep disordered breathing (SDB) is a leading cause of morbidity worldwide. Its prevalence increases with age. Due to the demographic changes in industrial societies, pulmonologists and sleep physicians are confronted with a rapidly growing number of elderly SDB patients. For many physicians, it remains unclear how current guidelines for SDB management apply to elderly and frail elderly patients. The goal of this consensus statement is to provide guidance based on published evidence for SDB treatment in this specific patient group.Clinicians and researchers with expertise in geriatric sleep medicine representing several countries were invited to participate in a task force. A literature search of PubMed from the past 12 years and a systematic review of evidence of studies deemed relevant was performed.Recommendations for treatment management of elderly and frail elderly SDB patients based on published evidence were formulatedviadiscussion and consensus.In the last 12 years, there have been surprisingly few studies examining treatment of SDB in older adults and even fewer in frail older adults. Studies that have been conducted on the management of SDB in the older patient population were rarely stratified for age. Studies in SDB treatment that did include age stratification mainly focused on middle-aged and younger patient groups. Based on the evidence that is available, this consensus statement highlights the treatment forms that can be recommended for elderly SDB patients and encourages treatment of SDB in this large patient group.

scholarly journals Screening Older Adults for Hearing Loss in Primary Care: Insights of Patients, Providers, and Staff

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 914-914
Author(s):  
Mina Silberberg ◽  
Anisha Singh ◽  
Janet Bettger ◽  
Rowena Dolor ◽  
Sherri Smith ◽  
...  
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Hearing Loss ◽  
Hearing Aids ◽  
Well Being ◽  
Specialty Care ◽  
Hearing Screening ◽  
Negative Attitudes ◽  
Time Space ◽  
Study Results

Abstract Over one-third of older adults have a disabling hearing loss, with potentially severe implications for well-being. Hearing screening is not routine in primary care (PC) and patients are relied upon to report hearing concerns. We compared outcomes of three approaches to linking telephone-based screening with PC (providing information at PC visit, encouraging at visit, or completing at visit). This poster presents results of focus groups/interviews with providers and staff from participating clinics (n= 35), study enrollees who completed screening and were referred for diagnosis (n=14 ), and enrollees who did not complete screening (n=12). Results show that most patients had prior hearing concerns they had not reported to their PC. Patients forgot or were resistant to completing screening at home. Negative attitudes towards admitting hearing loss and using hearing aids were common; experiences of family and friends influenced many patient attitudes, both negative and positive. PC personnel wish to help, but are challenged by lack of time, space, and reimbursement for screening, and loathe to screen when specialty care and hearing aids are costly. Study results indicate that relying on patients to report hearing concerns is inadequate. Integration of hearing screening into PC would be helped by strengthening reimbursement for screening, specialty care, and hearing aids, and education of both providers and patients on other available treatments for hearing loss. Patients also require education on hearing aid technology. There is a need to address stigma associated with hearing loss, taking into consideration the influence of family and friends on attitudes.

Cognitive control constrains memory attributions

2019 ◽  
Vol 42 ◽  
Author(s):  
Colleen M. Kelley ◽  
Larry L. Jacoby
Keyword(s):  
Alzheimer’S Disease ◽  
Older Adults ◽  
Alzheimer's Disease ◽  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Cognitive Control

Abstract Cognitive control constrains retrieval processing and so restricts what comes to mind as input to the attribution system. We review evidence that older adults, patients with Alzheimer's disease, and people with traumatic brain injury exert less cognitive control during retrieval, and so are susceptible to memory misattributions in the form of dramatic levels of false remembering.

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