Journal of the American Geriatrics Society
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Randomized Controlled Trial Multicenter Study
Effect of depression treatment on depressive symptoms in older adulthood: the moderating role of pain.
To investigate whether pain severity and interference with normal work activities moderate the effects of depression treatment on changes in depressive symptoms over time in older adults in primary care. ⋯ Pain and its interference with functioning interfere with recovery from depression. Findings highlight the importance of addressing multiple domains of functioning (e.g., physical and social disability) and the degree to which pain and other forms of physical comorbidity may hinder or minimize treatment-related improvements in depressive symptoms.
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Randomized Controlled Trial
A randomized trial of a screening, case finding, and referral system for older veterans in primary care.
To test whether a system of screening, assessment, referral, and follow-up provided within primary care for high-risk older outpatients improves recognition of geriatric conditions and healthcare outcomes. ⋯ The intervention increased recognition and evaluation of target geriatric conditions but did not improve functional status or decrease hospitalization. Innovative screening methods can identify older people in need of geriatric services, but achieving measurable improvement in functional status or hospitalization rates will likely require a more-intensive intervention than a program involving primarily unsolicited referrals and short-term consultations.
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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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Randomized Controlled Trial
Continuous positive airway pressure reduces subjective daytime sleepiness in patients with mild to moderate Alzheimer's disease with sleep disordered breathing.
Studies have reported that 33% to 70% of patients with Alzheimer's disease (AD) have sleep-disordered breathing (SDB). Continuous positive airway pressure (CPAP) treatment has been shown to reduce daytime sleepiness and improve health-related quality of life in nondemented older people with SDB. The effect of therapeutic CPAP treatment on daytime sleepiness in patients with mild-moderate AD with SDB was assessed. ⋯ These data provide evidence of the effectiveness of CPAP in reducing subjective daytime sleepiness in patients with AD with SDB.