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☆ Do we simply not care about older adults in the US?
▼ + stars: | 2024-02-08 | by ( Judith Graham | Kff Health News | ) edition.cnn.com time to read: +8 min

KFF Health News —The Covid-19 pandemic would be a wake-up call for America, advocates for the elderly predicted: incontrovertible proof that the nation wasn’t doing enough to care for vulnerable older adults. Around 900,000 older adults have died of Covid-19 to date, accounting for 3 of every 4 Americans who have perished in the pandemic. Many seniors at high risk aren’t getting antiviral therapies for Covid, and most older adults in nursing homes aren’t getting updated vaccines. The pandemic made things worsePrejudice against older adults is nothing new, but “it feels more intense, more hostile” now than previously, said Karl Pillemer, 69, a professor of psychology and gerontology at Cornell University. But as a society, we don’t value older adults or the people who care for them,” said Robert Kramer, 74, co-founder and strategic adviser at the National Investment Center for Seniors Housing & Care.

Persons: —, ”, Alice Bonner, I’m, Karl Pillemer, “, ’, ’ ”, Andrew Achenbaum, Achenbaum, Covid, Edwin Walker, Robert Kramer, Kramer, John Rowe, Anne Montgomery, Allen Power, ” Power, it’s “, ” Pillemer Organizations: Health, America, CDC, Institute for Healthcare, gerontology, Cornell University, Texas Medical Center, Aging, Department of Health, Human Services, National Investment Center, Seniors Housing & Care, ”, Columbia University’s Mailman, of Public Health, National Committee, Preserve Social Security, Schlegel, University of Waterloo Research Institute, National Academy of Medicine’s, Healthy, University of Southern, Cornell, Kaiser Health, KFF Locations: Houston, Canada, University of Southern California

☆ Who will care for older adults? We’ve plenty of know-how but too few specialists
▼ + stars: | 2023-11-02 | by ( Judith Graham | Kff Health News | ) edition.cnn.com time to read: +7 min

Research suggests each geriatrician should care for no more than 700 patients; the current ratio of providers to older patients is 1 to 10,000. In some respects, geriatrics has been remarkably successful in disseminating principles and practices meant to improve the care of older adults. Under this model, older adults with acute but non-life-threatening illnesses get care at home, managed closely by nurses and doctors. In July 2019, the American College of Surgeons created a program with 32 standards designed to improve the care of older adults. The bright lights, noise, and harried atmosphere in hospital emergency rooms can disorient older adults.

Persons: Jerry Gurwitz, “, ” Gurwitz, What’s, “ There’s, ”, geriatrician Gregg Warshaw, geriatrics, Michael Harper, Thomas Robinson, geriatricians, Dr, Sanjay Gupta, Lisa Walke, Harper Organizations: CNN, University of Massachusetts Chan Medical, National Academies of Sciences, Engineering, Medicine, American Geriatrics Society, University of North Carolina School of Medicine, University of California, Seniors, American College of Surgeons, Initiative, Geriatric, American College of Emergency Physicians, Centers, Medicare, Medicaid Services, UCLA, Indiana University, Johns Hopkins University, UCSF, Get CNN, CNN Health, Penn Medicine, University of Pennsylvania, KFF Health, Kaiser Health, KFF Locations: United States, San Francisco

☆ Doubts abound about a new Alzheimer’s blood test
▼ + stars: | 2023-10-18 | by ( Judith Graham | ) edition.cnn.com time to read: +10 min

The Quest Diagnostics blood test, AD-Detect, measures elevated levels of amyloid-beta proteins, a signature characteristic of Alzheimer’s. But Alzheimer’s researchers and clinicians aren’t convinced the Quest test is backed by sound scientific research. Though blood tests for Alzheimer’s are likely to become common in the years ahead, the Alzheimer’s Association said it’s premature to offer a test of this kind directly to consumers. Because the science behind blood tests for Alzheimer’s is still developing and because “patients may not really understand the uncertainty of test results,” Edelmayer said, the Alzheimer’s Association “does not endorse the use of the AD-Detect test by consumers.”Quest’s blood test is one of several developments altering the landscape of Alzheimer’s care in the United States. The bottom line: Before taking a test, “older adults need to ask themselves, ‘Why do I want to know this?

Persons: aren’t, Alzheimer’s, Michael Racke, ”, there’s, Suzanne Schindler, St . Louis, That’s, ” Schindler, Racke, Meera Sheffrin, —, Rebecca Edelmayer, ” Edelmayer, Eric Widera, Dr, Sanjay Gupta, Emily Largent, ’ ”, Munro Cullum Organizations: Health, Diagnostics, Alzheimer’s Association, Quest, University of Michigan, International Conference, Washington University School of Medicine, Senior, Stanford Healthcare, The University of Michigan, FDA, National Institute, Aging, University of California, Get CNN, CNN Health, University, Pennsylvania’s Perelman, of Medicine, HIPAA, University of Texas Southwestern Medical Center, Kaiser Health, KFF Locations: U.S, San Diego, St ., United States, San Francisco

☆ In older adults, a little excess weigh may be OK
▼ + stars: | 2023-07-14 | by ( Judith Graham | Kff Health News | ) edition.cnn.com time to read: +9 min

For years, experts have debated what to advise older adults in this situation. Only 27% to 44% of older adults meet these guidelines, according to various surveys. Epidemiologic research suggests that the ideal body mass index (BMI) might be higher for older adults than younger adults. The study’s conclusion: “The WHO healthy weight range may not be suitable for older adults.” Instead, being overweight may be beneficial for older adults, while being notably thin can be problematic, contributing to the potential for frailty. Indeed, an optimal BMI for older adults may be in the range of 24 to 29, Carl Lavie, a well-known obesity researcher, suggested in a separate study reviewing the evidence surrounding obesity in older adults.

Persons: they’ve, ”, Mitchell Lazar, we’re, John Batsis, Anne Newman, —, Carl Lavie, Lavie, “, ” Lavie, Newman, you’re, Dinesh Edem, Dennis Kerrigan, Katie Dodd Organizations: CNN, US Centers for Disease Control, Institute for Diabetes, University, Pennsylvania’s Perelman, of Medicine, University of North Carolina School of Medicine, Center for Aging, Health, University of Pittsburgh School of Public Health, BMI, World Health Organization, WHO, University of Pittsburgh, University of North, University of Arkansas, Medical Sciences, Henry Ford Health, Kaiser Health, KFF Locations: —, Chapel Hill, New Orleans, University of North Carolina, Michigan

Amid the hubbub of a busy hospital, Mel wasn’t sleeping at night. For two days, Mel was housed in the emergency department; the hospital had no regular rooms available. As far as we knew, Mel’s stroke was tended to promptly, but the lack of clear communication left us with lingering doubts. Six days after his stroke, Mel was discharged to the nursing home where he’d been living for four months following a previous hospitalization. Over the next few days, Mel’s six grandchildren and three sons and their wives traveled to be at his side.

Of particular importance is information about how many seniors die, develop disabilities, can no longer live independently, or have a significantly worsened quality of life after major surgery. “What older patients want to know is, ‘What’s my life going to look like?’” Cooper said. Invasive procedures that take place in operating rooms with patients under general anesthesia were counted as major surgeries. Two years ago, Gill’s team conducted research that showed 1 in 3 older adults had not returned to their baseline level of functioning six months after major surgery. This includes assessing older patients three times a day for delirium (an acute change in mental status that often afflicts older hospital patients), getting patients moving as soon as possible, and using non-narcotic pain relievers.

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