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Quality improvement interventions can increase discussions relating to advanced care planning and the mention of advance directives in the electronic medical record

Interventions Up Discussion of Advanced Care Planning

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Series of quality improvement interventions increases capture of advanced care directives in EMR
Albuminuria is associated with cognitive impairment

Review Links Albuminuria to Cognitive Impairment, Dementia

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Worse global cognitive performance and accelerated cognitive decline for subjects with albuminuria
There has been a sharp rise in the number of American seniors who take three or more medications that affect their central nervous system

Use of Multiple CNS-Affecting Drugs Increasing Among Seniors

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Psychiatrist cautions doctors and patients to consider risks and benefits of each drug
For patients experiencing low back pain

Yoga Linked to Low Back Pain Relief, Improvement in Function

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Review of 12 studies found small improvements in pain levels, function after 3 to 6 months
For nursing home residents

Acupressure Ups Sleep Quality in Nursing Home Residents

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Acupressure on specific acupoints linked to significantly improved scores on PSQI and SF-36
In response to revised osteoporosis recommendations in 2008

Shift in Bisphosphonate Tx After 2008 Recommendations

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From 2008 to 2012, drop in proportion of younger women, increase in women aged ≥65 years
For older male veterans

Primary Care Exercise Counseling Cost-Effective for Older Men

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Total direct cost of the intervention was $459 per participant; mainly for counselor effort
Older age

Urologic CA Predictors ID’d in Women With Microhematuria

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Age >60 years, history of smoking, history of gross hematuria strongly predict urologic cancer
Nurse practitioners could meet the growing need for house calls to frail

Nurse Practitioners Could Help Meet Need for Elderly Home Care

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Restrictions in some U.S. states are an obstacle, researcher says
Obese patients are less likely to spend their last days in hospice care and less likely to die at home

Many Obese Patients Not Getting Optimal Hospice Care

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And those who do get end-of-life services have fewer days than normal-weight patients