Innovative, coordinated brain care could save billions of health care dollars

http://goo.gl/ojXH8l

The Healthy Aging Brain Center care model generated an annual net cost savings of up to $2,856 per patient at Eskenazi Health, according to the authors of "Healthy Aging Brain Center Improved Care Coordination and Produced Net Savings," published in the April issue of the peer-reviewed journal Health Affairs. They note that with an estimated 4.7 millionMedicare beneficiaries with Alzheimer's disease, if the Healthy Aging Brain Center care model were to be implemented nationwide, the potential annual cost savings could be in the billions of dollars.

Implementing the collaborative care model for patients withdementia and depression, which often occur together, reduces patients' behavioral and psychological symptoms, diminishes the burden on patients' informal caregivers and enhances the quality of care delivered to the patient.

Treating mitochondrial disease with vitamin B3

http://goo.gl/RiuUDe

Mitochondrial myopathy is the most frequent form of adult mitochondrial disorder. The typical symptoms in the patients are muscle weakness, pain and cramps. Despite the progressive nature of these diseases, no curative treatment is available.

In their current publication, Dr Nahid Khan in Prof Anu Suomalainen-Wartiovaara's group showed that feeding mice with food supplemented with B3 form, nicotinamide riboside, delayed their mitochondrial myopathy. The treatment increased mitochondrial mass and function, and cured the structural abnormalities.

These results clearly showed the potential of this vitamin B form, a natural constituent of milk, to activate dysfunctional mitochondrial metabolism, Professor Wartiovaara-Suomalainen states. She continues:

Visualising a safe place reduces procedural pain

http://goo.gl/G6jtGg

Visualising a safe place reduces operative pain, according to research presented at EuroHeartCare 2014. Nurses guided patients into a trance and found it helped patients cope with pain and anxiety during ablation of atrial fibrillation (AF).

Marianne Wetendorff Nørgaard, lead author and a clinical nurse specialist at Copenhagen University Hospital, Rigshospitalet, Denmark, said: "We ask patients to describe a comfortable safe place they want to be during the procedure. People have chosen a summer house, the beach, or the woods. During the procedure the nurse asks the patient to focus on their safe place and how it looks, smells and sounds."

One-third of patients to survive intensive care 'will suffer from depression'

http://goo.gl/5eC9fX

Every year in North America, 5 million people are admitted to medical or surgical critical care units - this is more people than are diagnosed with cancer. About 80% of these critical care patients survive, but previous studies have shown that survivors may experience post-intensive care syndrome.

This syndrome combines cognitive impairment, depression,post-traumatic stress disorder (PTSD), functional disabilities and a decrease in quality of life.

To examine this further, the new study looked at mental health outcomes and functional disabilities in a general intensive care unit (ICU) population.

Epidemics exacerbated by unvaccinated infants

http://goo.gl/9jsCbA

They found that the timing and magnitude of seasonal birth pulses could significantly alter the size of a measles epidemic.

By taking into account seasonal fluctuations in birth rates, massive vaccination campaigns in the developing world could inoculate more unprotected infants and significantly reduce the number of deaths from diseases like measles, according to Micaela Martinez-Bakker and Kevin Bakker of the U-M Department of Ecology and Evolutionary Biology.

10 supports for People with Alzheimer's

The term "bedridden" is an odd one to choose when one of the supports involves getting out of bed everyday, but the supports are good ones to keep in mind....

http://goo.gl/DfaWTg

Anyone who is bedridden and suffers from Alzheimer’s has 10 vital needs that must be met by his or her caregiver to ensure they remain as healthy as possible:

1. Prevention of skin decay and pressure sores:
Bedridden patients must be re-positioned regularly to prevent bedsores from forming.It is easier to prevent pressure sores than to heal them, thus get the help of an alternating pressure mattress to move the patient regularly, or move him or her yourself at least every two hours, from left to right, to release the pressure in certain body areas.  If you are moving the patient, use pillows to support the position.

A balanced diet and the ingestion of lots of liquid will help keep the bedridden Alzheimer’s patient’s skin healthy.

2. Getting out of bed for some hours every day:
Every bedridden patient should leave the bed for a few hours every day.  Now, there is equipment available to help any caregiver get the most severely disabled person into a chair.

Sitting for a while helps relieve pressure spots, especially on the back, shoulder blades, back of the head, and hips.

More help needed for military caregivers

http://goo.gl/umgTyF

As injured veterans recover and reintegrate into civilian life, many are aided by the support and assistance of nonprofessional or informal caregivers, individuals who provide a broad range of care and assistance with activities of daily living. That care can include activities such as bathing and eating, as well as making medical appointments, managing finances, caring for children and helping manage situations that could exacerbatemental health symptoms.

While caregiving for the elderly and the disabled has been well studied, little has been known about the population of those who care for military personnel and veterans.