Continuing widespread use of vitamin D for osteoporosis prevention in community-dwelling adults without specific risk factors for vitamin D deficiency seems to be inappropriate. (Free registration required.)
Recent studies of interest to palliative care clinicians showed that about 60% of community-dwelling dementia patients have bothersome pain, cholinesterase inhibitors come with an increased risk of weight loss among dementia patients, and patients most often go to nursing homes from the hospital, Dr. Alex Smith writes. The studies help show the harm that can come to dementia patients in the US due to the lack of a coordinated system of caring for their daily symptoms and functional needs.
A government-funded fall prevention program for community-dwelling seniors, which included coordination with primary care physicians, reduced the incidence of falls and the need for long-term care services related to falls when compared with a control group, according to a study in Health Affairs. Research showed a savings of $1.68 on long-term care services and support for every $1 invested in the program.
Are there different postoperative practices of care for demented hip fracture older adults (OAs) versus nondemented? Researchers from Ontario found that community-dwelling demented hip fracture OAs were more likely to have longer stays in hospital and less likely to be admitted to rehab following surgery. Those who were admitted to rehab had shorter length of stays than nondemented community-dwellers. Long-term care demented and nondemented residents, however, had similar patterns of hospital and rehab stays. (Free abstract only.)
The findings of this study suggest that vitamin D supplementation with or without calcium does not reduce skeletal or non-skeletal outcomes in unselected community-dwelling individuals by more than 15%. Future trials with similar designs are unlikely to alter these conclusions. (Free registration required.)