Journal of the American Geriatrics Society
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Randomized Controlled Trial Comparative Study
Condom versus indwelling urinary catheters: a randomized trial.
To compare condom and indwelling urinary catheters in terms of infection risk and patient satisfaction. ⋯ The use of condom catheters is less likely to lead to bacteriuria, symptomatic UTI, or death than the use of indwelling catheters. This protection is especially apparent in men without dementia.
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Randomized Controlled Trial Comparative Study
Pain in severe dementia: self-assessment or observational scales?
To assess the performance of self-assessment scales in severely demented hospitalized patients and to compare it with observational data. ⋯ Clinicians should not apply observational scales routinely in severely demented patients, because many are capable of reliably reporting their own pain.
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Age-related macular degeneration (AMD) is the leading cause of blindness in older North Americans. The clinical spectrum, risk factors, pathophysiology, and potential therapeutic options for AMD warrant a careful review. ⋯ In addition, a low-vision assessment to investigate the potential use of visual assistive devices may be beneficial to any patient who has experienced a decrease in vision. Finally, education regarding the clinical course of age-related macular degeneration and accurate information with respect to the known benefits of available treatments will impart a better understanding of this disease to patients.