
Read more: http://www.kentucky.com/2011/01/26/1611063/chance-encounter-decades-later.html#more#ixzz1CN4wkrBn
TUESDAY, Jan. 25 (HealthDay News) -- Elderly patients with dementia and delirium who are taken to a hospital emergency department often do not comprehend why they are there and do not understand discharge instructions from doctors or nurses, a new study finds.
U.S. researchers interviewed 202 elderly patients about why they were in an emergency department and found that those with cognitive impairment (dementia and delirium) were less likely than those with no cognitive impairment to agree with the person who brought them to the emergency department about why they were there.
The study authors also interviewed 115 elderly patients about their discharge and found that those with cognitive impairment were much less likely than non-impaired patients to understand their discharge instructions.
The study results were published online Jan. 21 in the journal Annals of Emergency Medicine.
"Emergency physicians miss delirium and dementia in the majority of cases because emergency patients are not routinely screened for them. Our study suggests screening for these forms of cognitive impairment in the emergency department is warranted," lead author Dr. Jin H. Han, of Vanderbilt University in Nashville, Tenn., said in a journal news release.
Dementia and delirium affect about 25 percent of elderly patients seen in emergency departments, according to the researchers. Communication problems with these patients "affects our ability to adequately provide quality care for these vulnerable patients," Han said.
"We need to do a better job in identifying older patients with cognitive impairment, but this can be challenging in the chaotic emergency department environment. For this reason, we and several other research groups are trying to develop brief screening tools to help the busy emergency physician better identify delirium and dementia," Han concluded.
More information
The U.S. National Institute of Neurological Disorders and Stroke has more about dementia.
Staying vigilant against computer scams and other fraud has become a natural part of life for many consumers, yet scams are successfully perpetrated every day. One reason: Individuals who intend to commit fraud have become more creative than ever, and they choose their targets with care. One group of people that scammers like to target is the elderly, believing that older people are less quick to catch on to a potentially harmful scheme than younger people may be. In recent years, as the number of senior homeowners who opt for a reverse mortgage has risen and so has the prevalence of reverse mortgage scams. (For related reading, also take a look at The Reverse Mortgage: A Retirement Tool.)
IN PICTURES: Digging Out Of Debt In 8 Steps
The Home Equity Conversion Mortgage (HECM) is the FHA's reverse mortgage program, which is available to homeowners age 62 and older and can be a valuable financial tool for tapping into home equity and providing income for retirees. Homeowners working with a legitimate reverse mortgage lender will be required to participate in financial counseling to ensure that they understand the loan and how it works.
If you are considering a reverse mortgage, watch out for these potential scams:
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FBI Tips for Avoiding Reverse Mortgage Scams
Reverse Mortgage Tips
Seniors interested in learning more about their options for a reverse mortgage should start by going to the HUD website that explains the basics of these loans and has a link for finding a HUD-approved HECM counselor. Another option to try is the National Council on the Aging website. Homeowners can call 800/510-0301 for a free booklet from the National Council on the Aging about reverse mortgages.
Reverse mortgage proceeds can be received as a lump sum, in monthly payments or as a line of credit. The amount to be borrowed depends on the age of the homeowners, the value of the home and how much equity is available. The loan will be repaid when the home is sold or the homeowners passes away. If any equity remains in the home after the loan is repaid, the funds go to the homeowners or their heirs. Homeowners cannot be forced out of their home because of a reverse mortgage, however, they are obligated to keep the property maintained, pay their property taxes and pay for homeowners insurance.
The Bottom Line
Avoiding scams and obtaining legitimate information on a reverse mortgage can make this loan product a valuable financial tool for seniors and their families. Like any mortgage, before you sign the dotted line, you need to consult the appropriate professionals and do your own homework or you risk being taking advantage of by financial predators. (For additional reading, see 6 Tips For Protecting Your Home's Value.)
Researchers say while this test is in its infancy, there is cause for excitement because the test allows them to identify biomarkers for any disease to which the immune system reacts. However, additional testing needs to be conducted in a larger patient sampling. The study was published in the Jan. 7 issue of the journal Cell. Researchers agree a blood test would be less invasive than current diagnostic methods, HealthDay News reported.
In related news, investigators at Tufts University asked 1,463 study participants to respond to randomly generated scenarios in which they were asked if they would get a blood test to find out if they had a disease such as Alzheimer's. The scenarios stipulated that the disease was not preventable and that the out-of-pocket fee for the test is high.
Researchers found that the majority of respondents would get the test anyway. Those who did want to know said they'd be more likely to sign up for an advance directive and spend more time with friends and family members. This study was published in the journal Health Economics.
FOX 9 Medical Expert, Dr. Archelle Georgiou, talks about the benefits of getting the vaccine and why so few people may be getting it.