Why Elder Care in America Isn't Working

http://goo.gl/fn78vo

My sister’s and my three-year adventure showed me that even with a dedicated caregiver (my sister), an expert case manager who knew lots of people in the field (me) and a reasonable pool of financial resources, we could not get the care we wanted.
 
If elder care doesn’t work under those circumstances, I have to conclude that the system is broken.


Hidden population: Thousands of youths take on caregiver role at home

http://goo.gl/fbfpoF

While the typical preteen or adolescent can be found playing sports or video games after school, more than 1.3 million spend their free time caring for a family member who suffers from a physical or mental illness, or substance misuse.

Sixty-two percent of the youth caregivers were girls; 38% were boys. The median age of caregivers was 12 years.

Youth caregivers reported spending a median of 2.5 hours each school day and four hours each weekend day performing caregiving tasks at home. Estimates of median caregiving task time reported by family members were slightly lower at 1.5 hours on weekdays and 2.25 hours on weekend days.

These tasks include assisting family members with getting around, eating, dressing, toileting, bathing and continence care. Youth caregivers also kept the family member company, provided emotional support, cleaned the house, shopped for groceries, administered medications, translated in clinical settings and handled medical equipment at home.


Tips for infection prevention as nursing home infection rates increase

http://goo.gl/1LNiH3

"Infections are a leading cause of deaths and complications for nursing home residents, and with the exception of tuberculosis we found a significant increase in infection rates across the board," said lead study author Carolyn Herzig, MS, project director of the Prevention of Nosocomial Infections & Cost Effectiveness in Nursing Homes (PNICE-NH) study at Columbia Nursing. "Unless we can improve infection prevention and control in nursing homes, this problem is only going to get worse as the baby boomers age and people are able to live longer with increasingly complex, chronic diseases."


Risk of pneumonia in the elderly doubled by sleeping in dentures

http://goo.gl/RU7Olb

 Over a three-year follow-up period, 48 events associated with pneumonia were identified (20 deaths and 28 acute hospitalizations). Among 453 denture wearers, 186 (40.8%) who wore their dentures during sleep, were at higher risk for pneumonia than those who removed their dentures at night.

In a multivariate Cox model, both perceived swallowing difficulties and overnight denture wearing were independently associated with approximately 2.3-fold higher risk of the incidence of pneumonia, which was comparable with the high risk attributable to cognitive impairment, history of stroke and respiratory disease. In addition, those who wore dentures while sleeping were more likely to have tongue and denture plaque, gum inflammation, positive culture for Candida albicans, and higher levels of circulating interleukin-6 as compared to their counterparts.


Incarceration plays a major role in health and health disparities in the United States

http://goo.gl/zSCZJN

The authors also note that incarceration reduces prisoners' access to social resources such as health programs. Incarcerated persons have a higher chance of being unmarried and unemployed. They tend to lack access to nonemergency health care as well as health insurance. Frequently, they are excluded from antipoverty programs. Many are even banned from receiving food stamps and are deemed ineligible to receive federal student financial aid.

"Incarceration affects also the well-being of the incarcerated's family members," Allen said. "This is especially true of children, whose health could be adversely affected by unhealthy stress-coping behaviors that the incarcerated persons' partners often choose - smoking and drinking, for example."

More than half of federal and state prisoners are parents of nearly 1.5 million minor children, and one-fifth of prisoners have children under the age of five. Children of incarcerated parents are more likely to have witnessed criminal activity and/or the arrest of the parent, both of which have been shown by researchers to have unique effects undermining children's socio-emotional and behavioral adjustment.

"The long-term impact of parental incarceration has been best documented among boys," said Tuppett Yates, an associate professor of psychology at UC Riverside. "Compared both to boys who had not experienced parental absence and to boys whose fathers were absent due to hospitalization, divorce, death, or other reasons, boys who experienced parental incarceration before age 10 reported more co-occurring internalizing and anti-social problems at ages 18, 32, and 48, more delinquent behavior at age 32, and were more likely to have been convicted of a crime by age 25. Likewise, among both boys and girls, parental incarceration has been associated with concurrent social and academic problems, and prospective substance abuse."


The Dartmouth Atlas of Health Care

Amazing resource.......

http://www.dartmouthatlas.org/

For more than 20 years, the Dartmouth Atlas Project has documented glaring variations in how medical resources are distributed and used in the United States. The project uses Medicare data to provide information and analysis about national, regional, and local markets, as well as hospitals and their affiliated physicians. This research has helped policymakers, the media, health care analysts and others improve their understanding of our health care system and forms the foundation for many of the ongoing efforts to improve health and health systems across America.

Patients with traumatic brain injuries who had taken marijuana had lower death rates

Interesting.....

http://goo.gl/fA2e7D

Surveying patients with traumatic brain injuries, a group of Los Angeles Biomedical Research Institute (LA BioMed) researchers reported that they found those who tested positive for THC, the active ingredient in marijuana, were more likely to survive than those who tested negative for the illicit substance.

The findings, published in the October edition of The American Surgeon, suggest THC, or tetrahydrocannabinol, may help protect the brain in cases of traumatic brain injury, the researchers said. The study included 446 patients who suffered traumatic brain injuries and underwent a urine test for the presence of THC in their system. The researchers found 82 of the patients had THC in their system. Of those, only 2.4% died. Of the remaining patients who didn't have THC in their system, 11.5% died.

Memory loss associated with Alzheimer's reversed: Small trial succeeds using systems approach to memory disorders

http://goo.gl/dns064

The study, which comes jointly from the UCLA Mary S. Easton Center for Alzheimer's Disease Research and the Buck Institute for Research on Aging, is the first to suggest that memory loss in patients may be reversed, and improvement sustained, using a complex, 36-point therapeutic program that involves comprehensive changes in diet, brain stimulation, exercise, optimization of sleep, specific pharmaceuticals and vitamins, and multiple additional steps that affect brain chemistry.

The findings, published in the current online edition of the journal Aging, "are very encouraging. However, at the current time the results are anecdotal, and therefore a more extensive, controlled clinical trial is warranted," said Dale Bredesen, the Augustus Rose Professor of Neurology and Director of the Easton Center at UCLA, a professor at the Buck Institute, and the author of the paper.

In the case of Alzheimer's disease, Bredesen notes, there is not one drug that has been developed that stops or even slows the disease's progression, and drugs have only had modest effects on symptoms. "In the past decade alone, hundreds of clinical trials have been conducted for Alzheimer's at an aggregate cost of over a billion dollars, without success," he said.


‘Smart’ Bandage Emits Phosphorescent Glow for Healing Below

http://goo.gl/wdzFLD

(A)n international, multidisciplinary team of researchers led by Assistant Professor Conor L. Evans at the Wellman Center for Photomedicine of Massachusetts General Hospital (MGH) and Harvard Medical School (HMS) has created a paint-on, see-through, “smart” bandage that glows to indicate a wound’s tissue oxygenation concentration.  Because oxygen plays a critical role in healing, mapping these levels in severe wounds and burns can help to significantly improve the success of surgeries to restore limbs and physical functions. The work was published today in The Optical Society’s (OSA) open-access journalBiomedical Optics Express.
 
“Information about tissue oxygenation is clinically relevant but is often inaccessible due to a lack of accurate or noninvasive measurements,” explained lead author Zongxi Li, an HMS research fellow on Evans' team.


Discharge Planning: Health Care as a Mess

http://goo.gl/4hRQKg

The first time you manage your caree’s hospital discharge you realize how chaotic and disorganized the health care system can be. The discharge process can be fraught with last-minute changes, too little information that arrives too late, and health care professionals who seem to have exactly 30 seconds to answer your questions.

To help you manage the chaos, we’ve put together tips to help restore some order when your caree is being discharged from the hospital to home:

1. Start the discharge process as soon as possible.
You’ll want to start preparing for discharge almost immediately after your caree’s admission. You may only learn of a discharge date the day before or even the day off the actual discharge. Know that whether or not your caree’s insurance, including Medicare, will continue to pay will trigger the discharge. And, sometimes, that trigger will happen the night before the day the discharge planner calls to say, “We’re discharging your mom this morning.”

Keep in mind that the goal of the discharge planning process is to identify and prepare for your caree’s anticipated health care needs once he returns home.