المؤلفون: Ramaswamy, Ravishankar^Aff7, Leipzig, Rosanne M.^Aff7, Wasserman, Michael R., Section editor^Aff8, Brangman, Sharon, Section editor^Aff9

المساهمون: Wasserman, Michael R., editor^Aff1, Bakerjian, Debra, editor^Aff2, Linnebur, Sunny, editor^Aff3, Brangman, Sharon, editor^Aff4, Cesari, Matteo, editor^Aff5, Rosen, Sonja, editor^Aff6

المصدر: Geriatric Medicine : A Person Centered Evidence Based Approach. :35-51

المؤلفون: Hinrichsen, Gregory A., Leipzig, Rosanne M.

المصدر: Clinical Gerontologist; May/Jun2024, Vol. 47 Issue 3, p507-514, 8p

مصطلحات موضوعية: INSOMNIA treatment, ELDER care, HUMAN services programs, RESEARCH funding, PSYCHOLOGISTS, OCCUPATIONAL roles, PRIMARY health care, EVALUATION of human services programs, GERIATRICS, DESCRIPTIVE statistics, COGNITIVE therapy, DATA analysis software, BEHAVIOR therapy, OLD age

مستخلص: We evaluated a plan for implementation and effectiveness of cognitive behavioral therapy for insomnia (CBT-I) in geriatric primary care by a geropsychologist. The flow of referrals to a geropsychologist was tracked and, among those eligible and interested in participating, success in deprescribing sleep medications and the effectiveness of CBT-I were documented. Seventy patients were referred for evaluation of whom 62 were eligible for CBT-I; 34 began CBT-I and 29 completed a full course of treatment. Almost two-thirds of treatment completers were the "old old" (76–84 years) and "oldest old" (85–93 years) with multiple medical problems. Most treatment completers taking sleep medications had them deprescribed at the beginning of treatment and, one year after treatment, did not have them re-prescribed. After CBT-I, two-thirds of patients met the insomnia severity index criteria for response; and three-fifths for remission from insomnia. Further, most patients had sustained improvement in their target insomnia symptom(s) and sleep efficiency. CBT-I can be implemented in geriatric primary care with successful deprescribing of sleep medications and meaningful improvement in symptoms of insomnia in a group of older adults of advanced age with multiple medical problems. Clinical gerontologists can play an important role in improving late life insomnia. [ABSTRACT FROM AUTHOR]

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المؤلفون: Reuben, David B, Gazarian, Priscilla, Alexander, Neil, Araujo, Katy, Baker, Dorothy, Bean, Jonathan F, Boult, Chad, Charpentier, Peter, Duncan, Pamela, Latham, Nancy, Leipzig, Rosanne M, Quintiliani, Lisa M, Storer, Thomas, McMahon, Siobhan

المصدر: Journal of the American Geriatrics Society. 65(12)

مصطلحات موضوعية: Health Services and Systems, Nursing, Health Sciences, Prevention, Aging, Patient Safety, Comparative Effectiveness Research, Clinical Research, Health Services, Management of diseases and conditions, 7.1 Individual care needs, Injuries and accidents, Good Health and Well Being, Accidental Falls, Aged, Geriatric Nursing, Humans, Patient Participation, Risk Assessment, Risk Factors, Risk Management, Wounds and Injuries, falls, injuries, prevention, cluster-randomized clinical trial, Medical and Health Sciences, Geriatrics, Biomedical and clinical sciences, Health sciences, Psychology

الوصف: In response to the epidemic of falls and serious falls-related injuries in older persons, in 2014, the Patient Centered Outcomes Research Institute (PCORI) and the National Institute on Aging funded a pragmatic trial, Strategies to Reduce Injuries and Develop confidence in Elders (STRIDE) to compare the effects of a multifactorial intervention with those of an enhanced usual care intervention. The STRIDE multifactorial intervention consists of five major components that registered nurses deliver in the role of falls care managers, co-managing fall risk in partnership with patients and their primary care providers (PCPs). The components include a standardized assessment of eight modifiable risk factors (medications; postural hypotension; feet and footwear; vision; vitamin D; osteoporosis; home safety; strength, gait, and balance impairment) and the use of protocols and algorithms to generate recommended management of risk factors; explanation of assessment results to the patient (and caregiver when appropriate) using basic motivational interviewing techniques to elicit patient priorities, preferences, and readiness to participate in treatments; co-creation of individualized falls care plans that patients' PCPs review, modify, and approve; implementation of the falls care plan; and ongoing monitoring of response, regularly scheduled re-assessments of fall risk, and revisions of the falls care plan. Custom-designed falls care management software facilitates risk factor assessment, the identification of recommended interventions, clinic note generation, and longitudinal care management. The trial testing the effectiveness of the STRIDE intervention is in progress, with results expected in late 2019.

وصف الملف: application/pdf

URL الوصول: https://escholarship.org/uc/item/30z5c4m3

المؤلفون: Callahan, Kathryn E.^Aff2, Leipzig, Rosanne M.^Aff3

المساهمون: Chun, Audrey, editor^Aff1

المصدر: Geriatric Practice : A Competency Based Approach to Caring for Older Adults. :21-27

المؤلفون: Moskowitz, Gil, Egorova, Natalia N., Hazan, Ariela, Freeman, Robert, Reich, David L., Leipzig, Rosanne M.

المصدر: In The Joint Commission Journal on Quality and Patient Safety April 2020 46(4):199-206

المؤلفون: Bell, Hanan, Bettmann, Michael, Bossuyt, Patrick, Browman, George, Brozek, Jan, Bühler, Diedrich, Chou, Roger, Don-Wauchope, Andrew, Elwyn, Glyn, Garg, Amit X., Ghersi, Davina, Gion, Massimo, Glasziou, Paul, Horvath, Andrea Rita, Kopp, Ina, Krahn, Murray, Leipzig, Rosanne M., Lelgemann, Monika, Lloyd, Nancy, Maija, Saijonkari, Mäkelä, Marjukka, Mendelson, Richard, Mujoomdar, Michelle, Reed, Martin, Remedios, Denis, Santesso, Nancy, Sauerland, Stefan, Saijonkari, Maija, Steingart, Karen, Tan, Toni, Qaseem, Amir, Mustafa, Reem A., Wiercioch, Wojtek, Ventresca, Matthew, Schünemann, Holger J.

المصدر: In Journal of Clinical Epidemiology December 2017 92:47-57

المؤلفون: Salbu, Rebecca L.^{Aff3, Aff4}, Leipzig, Rosanne M.^Aff5, Ko, Fred C.^{Aff5, Aff6}

المساهمون: Huang, Allen R., editor^Aff1, Mallet, Louise, editor^Aff2

المصدر: Medication-Related Falls in Older People : Causative Factors and Management Strategies. :147-160

Degree: PharmD, CGP
MD, PhD
MD, MS

المؤلفون: Leipzig, Rosanne M.^Aff3

المساهمون: Soriano, Rainier P., editor^Aff1, Fernandez, Helen M., editor^Aff1, Cassel, Christine K., editor^Aff2, Leipzig, Rosanne M., editor^Aff1

المصدر: Fundamentals of Geriatric Medicine : A Case-Based Approach. :39-55

Degree: MD
MD, MACP
MD, PhD

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المؤلفون: Leipzig, Rosanne M.

المساهمون: Cassel, Christine K.^Aff1, Leipzig, Rosanne M.^Aff2, Cohen, Harvey Jay^{Aff3, Aff4, Aff5}, Larson, Eric B.^{Aff6, Aff10}, Meier, Diane E.^{Aff7, Aff9}, Capello, Carol F.^Aff8

المصدر: Geriatric Medicine : An Evidence-Based Approach. :3-14

Degree: MD
MD, PhD
MD, MPH
PhD