Breaking News
May 3, 2019 - Vaping and Smoking May Signal Greater Motivation to Quit
May 3, 2019 - Dementia looks different in brains of Hispanics
May 3, 2019 - Short-Staffed Nursing Homes See Drop In Medicare Ratings
May 3, 2019 - Study of teens with eating disorders explores how substance users differ from non-substance users
May 3, 2019 - Scientists develop new video game that may help in the study of Alzheimer’s
May 3, 2019 - Arc Bio introduces Galileo Pathogen Solution product line at ASM Clinical Virology Symposium
May 3, 2019 - Cornell University study uncovers relationship between starch digestion gene and gut bacteria
May 3, 2019 - How to Safely Use Glucose Meters and Test Strips for Diabetes
May 3, 2019 - Anti-inflammatory drugs ineffective for prevention of Alzheimer’s disease
May 3, 2019 - Study tracks Pennsylvania’s oil and gas waste-disposal practices
May 3, 2019 - Creating a better radiation diagnostic test for astronauts
May 3, 2019 - Vegans are often deficient in these four nutrients
May 3, 2019 - PPDC announces seed grants to develop medical devices for children
May 3, 2019 - Study maps out the frequency and impact of water polo head injuries
May 3, 2019 - Research on Reddit identifies risks associated with unproven treatments for opioid addiction
May 3, 2019 - Good smells may help ease tobacco cravings
May 3, 2019 - Medical financial hardship found to be very common among people in the United States
May 3, 2019 - Researchers develop multimodal system for personalized post-stroke rehabilitation
May 3, 2019 - Study shows significant mortality benefit with CABG over percutaneous coronary intervention
May 3, 2019 - Will gene-editing of human embryos ever be justifiable?
May 3, 2019 - FDA Approves Dengvaxia (dengue vaccine) for the Prevention of Dengue Disease in Endemic Regions
May 3, 2019 - Why Tonsillitis Keeps Coming Back
May 3, 2019 - Fighting the opioid epidemic with data
May 3, 2019 - Maggot sausages may soon be a reality
May 3, 2019 - Deletion of ATDC gene prevents development of pancreatic cancer in mice
May 2, 2019 - Targeted Therapy Promising for Rare Hematologic Cancer
May 2, 2019 - Alzheimer’s disease is a ‘double-prion disorder,’ study shows
May 2, 2019 - Reservoir bugs: How one bacterial menace makes its home in the human stomach
May 2, 2019 - Clinical, Admin Staff From Cardiology Get Sneak Peek at Epic
May 2, 2019 - Depression increases hospital use and mortality in children
May 2, 2019 - Vicon and NOC support CURE International to create first gait lab in Ethiopia
May 2, 2019 - Researchers use 3D printer to make paper organs
May 2, 2019 - Viral infection in utero associated with behavioral abnormalities in offspring
May 2, 2019 - U.S. Teen Opioid Deaths Soaring
May 2, 2019 - Opioid distribution data should be public
May 2, 2019 - In the Spotlight: “I’m learning every single day”
May 2, 2019 - 2019 Schaefer Scholars Announced
May 2, 2019 - Podcast: KHN’s ‘What The Health?’ Bye-Bye, ACA, And Hello ‘Medicare-For-All’?
May 2, 2019 - Study describes new viral molecular evasion mechanism used by cytomegalovirus
May 2, 2019 - SLU study suggests a more equitable way for Medicare reimbursement
May 2, 2019 - Scientists discover first gene involved in lower urinary tract obstruction
May 2, 2019 - Researchers identify 34 genes associated with increased risk of ovarian cancer
May 2, 2019 - Many low-income infants receive formula in the first few days of life, finds study
May 2, 2019 - Global study finds high success rate for hip and knee replacements
May 2, 2019 - Taking depression seriously: What is it?
May 2, 2019 - With Head Injuries Mounting, Will Cities Put Their Feet Down On E-Scooters?
May 2, 2019 - Scientists develop small fluorophores for tracking metabolites in living cells
May 2, 2019 - Study casts new light into how mothers’ and babies’ genes influence birth weight
May 2, 2019 - Researchers uncover new brain mechanisms regulating body weight
May 2, 2019 - Organ-on-chip systems offered to Asia-Pacific regions by Sydney’s AXT
May 2, 2019 - Adoption of new rules drops readmission penalties against safety net hospitals
May 2, 2019 - Kids and teens who consume zero-calorie sweetened beverages do not save calories
May 2, 2019 - Improved procedure for cancer-related erectile dysfunction
May 2, 2019 - Hormone may improve social behavior in autism
May 2, 2019 - Alzheimer’s disease may be caused by infectious proteins called prions
May 2, 2019 - Even Doctors Can’t Navigate Our ‘Broken Health Care System’
May 2, 2019 - Study looks at the impact on criminal persistence of head injuries
May 2, 2019 - Honey ‘as high in sugars as table sugar’
May 2, 2019 - Innovations to U.S. food system could help consumers in choosing healthy foods
May 2, 2019 - FDA Approves Mavyret (glecaprevir and pibrentasvir) as First Treatment for All Genotypes of Hepatitis C in Pediatric Patients
May 2, 2019 - Women underreport prevalence and intensity of their own snoring
May 2, 2019 - Concussion summit focuses on science behind brain injury
May 2, 2019 - Booker’s Argument For Environmental Justice Stays Within The Lines
May 2, 2019 - Cornell research explains increased metastatic cancer risk in diabetics
May 2, 2019 - Mount Sinai study provides fresh insights into cellular pathways that cause cancer
May 2, 2019 - Researchers to study link between prenatal pesticide exposures and childhood ADHD
May 2, 2019 - CoGEN Congress 2019: Speakers’ overviews
May 2, 2019 - A new strategy for managing diabetic macular edema in people with good vision
May 2, 2019 - Sagent Pharmaceuticals Issues Voluntary Nationwide Recall of Ketorolac Tromethamine Injection, USP, 60mg/2mL (30mg per mL) Due to Lack of Sterility Assurance
May 2, 2019 - Screen time associated with behavioral problems in preschoolers
May 2, 2019 - Hormone reduces social impairment in kids with autism | News Center
May 2, 2019 - Researchers synthesize peroxidase-mimicking nanozyme with low cost and superior catalytic activity
May 2, 2019 - Study results of a potential drug to treat Type 2 diabetes in children announced
May 2, 2019 - Multigene test helps doctors to make effective treatment decisions for breast cancer patients
May 2, 2019 - UNC School of Medicine initiative providing unique care to dementia patients
May 2, 2019 - Nestlé Health Science and VHP join forces to launch innovative COPES program for cancer patients
May 2, 2019 - Study examines how our brain generates consciousness and loses it during anesthesia
May 2, 2019 - Transition Support Program May Aid Young Adults With Type 1 Diabetes
May 2, 2019 - Study shows how neutrophils exacerbate atherosclerosis by inducing smooth muscle-cell death
May 2, 2019 - Research reveals complexity of how we make decisions
Innovative supportive care model tackles burdensome symptoms, challenges of dementia

Innovative supportive care model tackles burdensome symptoms, challenges of dementia

Individuals with dementia often experience burdensome symptoms such as agitation, aggression, anxiety and pain, but have difficulty with comprehension and communication, making it challenging for healthcare providers to provide appropriate treatment.

With the goals of improving care for symptom management and other burdens of dementia as well as empowering their family caregivers, researchers from the Regenstrief Institute and Indiana University Center for Aging Research are integrating state of the art dementia care with palliative care through an innovative supportive care model they have named IN-PEACE. The initiative is funded by a new $3.5 million grant from the National Institute on Aging.

“Dementia has become one of the leading causes of death in the U.S., overtaking many of the chronic conditions that people typically think of as leading causes of death,” said Regenstrief Institute and IU Center for Aging Research investigator Greg Sachs, M.D., who designed and leads IN-PEACE. “We believe IN-PEACE will reshape how care is provided to people with dementia and their families, especially in the later stages of the illness.”

IN-PEACE is the first randomized controlled trial that simultaneously targets patient symptoms, caregiver mood and distress as well as the reduction of burdensome and potentially unnecessary treatments for community dwellers with dementia. IN-PEACE provides support by nurses and social workers for both decisionmaking and transitions in care.

“Neuropsychiatric symptoms like agitation, aggression, anxiety, and repetitive behaviors are too often treated with medications which produce greater adverse effects than benefits for individuals with dementia,” said Dr. Sachs. “We have designed IN-PEACE to focus on these neuropsychiatric symptoms, as well as to recognize and sort out if someone is having pain and to treat these burdens of dementia earlier and more effectively.”

“As we treat discomfort and other significant hardships in the individual with dementia, we are working with family caregivers to lower their stress and hopefully see less depression in these spouses, daughters, daughters-in-law and others who are bearing such a tremendous burden.” Dr. Sachs, an internationally respected leader in geriatrics and palliative care, directs IU School of Medicine’s Division of General Internal Medicine and Geriatrics.

IN-PEACE is an acronym for Indiana Palliative Excellence in Alzheimer’s Care Efforts. Palliative care, which focuses on providing relief from the symptoms and stress of a serious illness by understanding and meeting a patient’s preferences and goals, can be extended to patients with any serious illness. Palliative care, though frequently provided to cancer patients, is far less often offered to patients with dementia to help them and their families navigate the course of this severe, and often lengthy, illness.

IN-PEACE will enroll 200 patients from throughout central Indiana with Alzheimer’s disease and other dementias including cognitive impairment from Parkinson’s disease and stroke in addition to their 200 caregivers. Each patient-caregiver pair will be randomized to usual or enhanced care. Outcomes of the two groups will be compared.

Usual care will consist of the primary care and any specialty care that the dementia patient and family member is already receiving in their community. Enhanced care recipients will receive usual care plus an additional layer of support spearheaded by a nurse or social worker who will maintain regular in-person and phone contact with the patient and caregiver, conduct routine assessments of anxiety, pain and other symptoms and intervene rapidly rather than waiting for the individual to come to his or her physician’s office or to go to a hospital emergency department.

Although the onset of cognitive impairment can occur at any age, risk for dementia increases with age. The U.S. is getting older, and the Census Bureau reports that in 2015, nearly 15 percent of the U.S. population was 65 or older.

In addition to Dr. Sachs, IN-PEACE co-investigators include Alexia Torke, M.D., and Kurt Kroenke, M.D., both of the Regenstrief Institute and IU School of Medicine; Mary Guerriero Austrom, Ph.D. of the Indiana Alzheimer Disease Center and IU School of Medicine; Sujuan Gao, Ph.D. of IU School of Medicine and Susan Hickman, Ph.D. of IU School of Nursing, Dr. Sachs describes them as an all-star team with expertise in palliative care symptom management, family caregiving and biostatistics.

IN-PEACE will enroll its first patients and caregivers in January 2019. Study participants will be referred to IN-PEACE by the Central Indiana physicians the patient routinely sees.

Source:

https://www.regenstrief.org/article/in-peace-tackles-symptoms-challenges-of-dementia/

Tagged with:

About author

Related Articles