Memory awareness in nursing home residents.

Abstract:

BACKGROUND:Health care providers often believe that individuals with cognitive disturbance are unaware of their deficits. The term unawareness was first used to describe hemiplegia following right hemisphere stroke but has since been applied to unawareness of any neurological or neuropsychological deficit. Clinicians usually rely on their subjective observations to evaluate the patient's awareness of deficits, and few investigators have systematically evaluated this important clinical phenomenon. OBJECTIVE:The aim of this study was to compare cognition, depression, health, and metamemory (capacity, change, locus, and strategy) in four groups of nursing home residents: the cognitively impaired (29%), depressed (18%), mixed with both cognitive impairment and depression (32%), and controls (21%). METHODS:Subjects were 106 residents of six nursing homes between the ages of 79 and 87 with a mean age of 84.18 (SD = 10.01) years, and an average of six comorbid medical conditions. Cognitive function was measured with the Mini Mental State (MMSE); depression with the Geriatric Depression, and metamemory with the Metamemory in Adulthood scales. Anyone scoring <15 on the MMSE was excluded. Subjects included 31 with cognitive impairment, 19 depressed, 34 mixed, and 22 controls. RESULTS:In this sample, 61% were cognitively impaired; however, only 12 had a diagnosis in their records indicating cognitive disturbance. Forty-three percent were depressed. The correlations between depression and capacity (r = -0. 38), change (r = -0.50), and locus (r = -0.25) were significant. The controls were significantly younger than the cognitively impaired group. The controls also had higher perceived health status scores than either the cognitively impaired or the depressed group. However, the mixed group's perceived health status scores were significantly higher than the depressed group's scores. CONCLUSION:The metamemory components of capacity and change were able to differentiate the cognitively impaired from the mixed group. Information on the etiology of cognitive impairment was not available since residents' charts in the six nursing homes provided inadequate documentation and incomplete diagnostic histories. Therefore, quantitative methods for examining memory awareness and the affective state of elderly patients is important for clinicians in order to make informed treatment decisions.

journal_name

Gerontology

journal_title

Gerontology

authors

McDougall GJ

doi

10.1159/000022027

subject

Has Abstract

pub_date

1998-01-01 00:00:00

pages

281-7

issue

5

eissn

0304-324X

issn

1423-0003

pii

ger44281

journal_volume

44

pub_type

杂志文章
  • Spousal interrelations in old age--a mini-review.

    abstract::We review findings on spousal interrelations in old age in such key domains as cognition, well-being, and health. Therein, we demonstrate that spousal interrelations may extend developmental options but may also make an individual vulnerable to the experience of loss. We address theoretical questions concerning possib...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000211948

    authors: Hoppmann C,Gerstorf D

    更新日期:2009-01-01 00:00:00

  • Effect of severe aortic stenosis on the outcome in elderly patients undergoing repair of hip fracture.

    abstract:BACKGROUND:The perioperative assessment and management of elderly patients with hip fracture and significant aortic stenosis (AS) is an increasingly common clinical problem with little data available to guide perioperative management. OBJECTIVES:It was the aim of this study to examine the incidence of perioperative ev...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000209245

    authors: Leibowitz D,Rivkin G,Schiffman J,Rott D,Weiss AT,Mattan Y,Kandel L

    更新日期:2009-01-01 00:00:00

  • Non-compliance with drug treatment and reading difficulties with regard to prescription labelling among seniors.

    abstract:UNLABELLED:BACKGROUND; The link between experiencing difficulties in reading or understanding and non-compliance with drug treatment among seniors is not clearly established. OBJECTIVES:We measured the effect of both difficulties in reading, as well as difficulties in understanding prescription labelling, on non-compl...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000048924

    authors: Moisan J,Gaudet M,Grégoire JP,Bouchard R

    更新日期:2002-01-01 00:00:00

  • Patient age and patency rate after recanalization of occluded peripheral arteries.

    abstract:OBJECTIVES:Due to an increase in the percentage of older people in industrialized countries there is an increasing demand for medical care for the elderly. With advancing age, a series of structural, architectural and compositional modifications take place in the vasculature. Therefore, we analyzed the influence of pat...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000080177

    authors: Kröger K,Strubel G,Poser M,Pratikto T,Renzing-Köhler K,Rudofsky G

    更新日期:2004-11-01 00:00:00

  • Measurement of the amounts of elastic fibers in the skin and temporal arteries of healthy aged individuals by automated image analysis.

    abstract:BACKGROUND:A quantitative study of dermal and arterial elastic fibers as a function of age was carried out by computerized image analysis. OBJECTIVE:We investigated whether any parallelism can be established between the morphometric parameters of elastic fibers from the skin and the temporal artery in elderly subjects...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022035

    authors: Gogly B,Godeau G,Septier D,Hornebeck W,Pellat B,Jeandel C

    更新日期:1998-01-01 00:00:00

  • Intraindividual variability, change, and aging: conceptual and analytical issues.

    abstract:BACKGROUND:Developmental researchers use a variety of research designs to examine aging-related changes. Most longitudinal studies of aging are based on research designs that feature successive, widely spaced, assessments to estimate changes in cognitive performance. Such designs assume that short-term variations in co...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000074382

    authors: Martin M,Hofer SM

    更新日期:2004-01-01 00:00:00

  • Age-related changes in glutamine synthetase activity of rat brain, liver and heart.

    abstract::Glutamine synthetase (GS) activity was measured in whole brain, different brain areas, liver and heart of 23- to 26-month-old rats, and then compared to matched animals of 3 months. A significant increase of GS activity was found in whole brain (25%) of old rats, as well as in all brain areas studied, but particularly...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212686

    authors: Cao Danh H,Strolin Benedetti M,Dostert P

    更新日期:1985-01-01 00:00:00

  • Surface labelling of senescent chick fibroblasts by lactoperoxidase-catalysed iodination.

    abstract::Cell surface of chick fibroblasts were labelled by a short treatment with 125I in presence of lactoperoxidase. A glycoprotein (220,000 molec. wt) was iodinated and was present in a more exposed position or in greater amounts at the surface of old phase III cells compared to young phase II cells. The findings extend ou...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212149

    authors: Courtois Y,Hughes RC

    更新日期:1976-01-01 00:00:00

  • Protein phosphotransferases from liver of ageing rats.

    abstract::Cyclic AMP-dependent and -independent protein kinase have been isolated from livers of rats at 3, 9, 18 and 30 months of age. A preliminary characterization reported here reveals that in addition to a decrease in their activities due to ageing and a likely shift to cyclic AMP-independent casein kinase activity at 30 m...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212605

    authors: Kumar R,Chiero L,Rodriguez D

    更新日期:1984-01-01 00:00:00

  • Opinions of elderly people on treatment for end-stage renal disease.

    abstract:BACKGROUND:As more people survive into old age, a greater number are becoming eligible for dialysis treatment for end-stage renal failure. In the UK the elderly have previously been excluded from treatment programmes, and continuing financial constraints are unlikely to improve this situation. There are few data on the...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022078

    authors: Ahmed S,Addicott C,Qureshi M,Pendleton N,Clague JE,Horan MA

    更新日期:1999-05-01 00:00:00

  • Age-Related Differences in the Uncanny Valley Effect.

    abstract:BACKGROUND:Due to declining birthrates and an increasing aging population, shortage of the caregiving labor force has become a global issue. Among various efforts toward the solution, introducing robotic products for assistance could provide an effective way to help older adults in their daily lives. As previous studie...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000507812

    authors: Tu YC,Chien SE,Yeh SL

    更新日期:2020-01-01 00:00:00

  • The RANKL-RANK Story.

    abstract::Receptor activator of nuclear factor x03BA;B (RANK) and its ligand (RANKL) have originally been described for their key roles in bone metabolism and the immune system. Subsequently, it has been shown that the RANKL-RANK system is critical in the formation of mammary epithelia in lactating females and the thermoregulat...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000371845

    authors: Nagy V,Penninger JM

    更新日期:2015-01-01 00:00:00

  • Production of endothelin-1 in vascular endothelial cells is regulated by factors associated with vascular injury.

    abstract::We studied the effects of factors associated with vascular injury on the production of endothelin-1 (ET-1) in cultured porcine aortic endothelial cells. ET-1 mRNA expression and peptide production in endothelial cells were increased by thrombin, transforming growth factor beta 1 (TGF beta 1), interleukin-1 (IL-1) and ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213360

    authors: Maemura K,Kurihara H,Morita T,Oh-hashi Y,Yazaki Y

    更新日期:1992-01-01 00:00:00

  • Characteristics of First Recovery Step Response following Unexpected Loss of Balance during Walking: A Dynamic Approach.

    abstract:INTRODUCTION:Many falls in older adults occur during walking and result in lateral falls. The ability to perform a recovery step after balance perturbation determines whether a fall will occur. AIM:To investigate age-related changes in first recovery step kinematics and kinematic adaptations over a wide range of later...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000505649

    authors: Nachmani H,Shani G,Shapiro A,Melzer I

    更新日期:2020-01-01 00:00:00

  • Perception of the postural vertical and falls in older people.

    abstract:BACKGROUND:Research on the relationship between vestibular function and falls in older people is sparse. The perception of the postural vertical (PPV) provides an indicator measure of vestibular (otolith) function in the absence of visual input and diminished somatosensory feedback. OBJECTIVE:This study examined wheth...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000339295

    authors: Menant JC,St George RJ,Fitzpatrick RC,Lord SR

    更新日期:2012-01-01 00:00:00

  • Pulmonary embolism in the elderly: clinical, instrumental and laboratory aspects.

    abstract:OBJECTIVE:To focus on diagnostic and therapeutic problems of pulmonary embolism in the elderly. METHODS:Retrospective analysis of 5 years of clinical, instrumental, and laboratory data (collected at the time of hospital admission) for patients 65 years and older with pulmonary embolism proven by a high-probability sci...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022161

    authors: Masotti L,Ceccarelli E,Cappelli R,Guerrini M,Forconi S

    更新日期:2000-07-01 00:00:00

  • Slip resistance of casual footwear: implications for falls in older adults.

    abstract:BACKGROUND:A large proportion of falls in older people are caused by slipping. Previous occupational safety research suggests that inadequate footwear may contribute to slipping accidents; however, no studies have assessed the slip resistance of casual footwear. OBJECTIVE:To evaluate the slip resistance of different t...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000052788

    authors: Menz HB,Lord ST,McIntosh AS

    更新日期:2001-05-01 00:00:00

  • Anaerobic bacteremia in the elderly.

    abstract::Anaerobic bacteremia occurred in 68 patients over the age of 60 in a university hospital. These elderly patients were more likely than younger patients to have an underlying malignancy. Anaerobes involved included Bacteroides fragilis group (64 isolates), Bacteroides melaninogenicus group (11) and Clostridium species ...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213011

    authors: Terpenning MS

    更新日期:1989-01-01 00:00:00

  • Altered plasma nerve growth factor-like immunoreactivity and nerve growth factor-receptor expression in human old age.

    abstract:BACKGROUND:Nerve growth factor (NGF), discovered because of its action on cells in the peripheral and the central nervous system, is now known to act also on immune cells in developing and adult subjects. Whether peripheral lymphocytes of aged subjects are responsive to this molecule is less clear. OBJECTIVE:Aim of ou...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000069170

    authors: Antonelli A,Bracci-Laudiero L,Aloe L

    更新日期:2003-05-01 00:00:00

  • Aging and Decision-Making: A Conceptual Framework for Future Research - A Mini-Review.

    abstract::Age differences in decision-making are of theoretical interest and have important practical implications, but relevant lines of work are distributed across multiple disciplines and often lack integration. The present review proposes an overarching conceptual framework with the aim of connecting disjointed aspects of t...

    journal_title:Gerontology

    pub_type: 杂志文章,评审

    doi:10.1159/000485247

    authors: Löckenhoff CE

    更新日期:2018-01-01 00:00:00

  • Ambulatory Assessment in the Research on Aging: Contemporary and Future Applications.

    abstract::Older adults have surprisingly high levels of well-being, which has been referred to as a paradox in the past. Improved emotion regulation has been suggested to underlie these high levels of well-being. Later life is also a period with enhanced exposure to critical life events, and this comes with risks. During such t...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000371707

    authors: Brose A,Ebner-Priemer UW

    更新日期:2015-01-01 00:00:00

  • Effect of age on collagen fibril formation.

    abstract::The rates of collagen fibril formation are, under otherwise identical conditions, a function of the age of the acid-soluble rat tail tendon collagen utilized. The rate is most rapid with young adult (165 day) collagen, which exhibits no induction period before collagen multimerization begins. In contrast, 21-day colla...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212248

    authors: Brooks C,Simons ER

    更新日期:1978-01-01 00:00:00

  • Is poly(A) tail length altered by aging or dietary restriction?

    abstract::We examined age- and diet-related alterations in RNA poly(A) tail length using high-resolution gel electrophoresis followed by Northern hybridization. The results demonstrate conclusively that there is no age-related decrease in the size of the Poly(A) tail of RNA isolated from the male Fischer 344 rat. In contrast, o...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213527

    authors: Kristal BS,Conrad CC,Richarson A,Yu BP

    更新日期:1993-01-01 00:00:00

  • Nerve cell loss in the myenteric plexus of the human esophagus in relation to age: a preliminary investigation.

    abstract::Morphometric measurements have been carried out on the human myenteric esophageal neurons at the ages of 20-40 and more than 70 years. The number of neurons decreases after 70 years of age, which is accompanied by an increase in the sizes of the neurons. In percentage terms the decrease in the number of neurons in the...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213658

    authors: Meciano Filho J,Carvalho VC,de Souza RR

    更新日期:1995-01-01 00:00:00

  • Combined effects of cognitive impairment and hypertension on total mortality in elderly people: the Kangwha Cohort study.

    abstract:BACKGROUND:Previous studies have shown links between cognitive impairment and hypertension as well as mortality. However, combined effects of these two conditions on mortality have not been fully explored. OBJECTIVE:To assess the combined effect of cognitive impairment and hypertension on all-cause mortality among the...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000323759

    authors: Gombojav B,Yi SW,Sull JW,Nam CM,Ohrr H

    更新日期:2011-01-01 00:00:00

  • Influence of dietary copper on the survival of Drosophila.

    abstract::The life span of Drosophila melanogaster was reduced when copper compounds were fed at concentrations of 1 X 10(-3) M or greater. Feeding lower concentrations of copper compounds failed to significantly change life span. A combination of copper gluconate and gluconic acid increased the adult life span by 21.6%. We con...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212611

    authors: Massie HR,Williams TR,Aiello VR

    更新日期:1984-01-01 00:00:00

  • Evidence-based guidelines for the secondary prevention of falls in older adults.

    abstract:BACKGROUND:Falls are a significant problem for older adults. Individuals who have sustained a fall come to the attention of health care providers and are at risk of further falls. To promote the highest quality of care and reduce variation in care, a practice guideline is needed. Summarization of evidence regarding fal...

    journal_title:Gerontology

    pub_type: 杂志文章,meta分析

    doi:10.1159/000067948

    authors: Moreland J,Richardson J,Chan D,O'Neill J,Bellissimo A,Grum R,Shanks L

    更新日期:2003-03-01 00:00:00

  • Total knee arthroplasty in the elderly: patients' self-appraisal 6 and 12 months postoperatively.

    abstract::The objective of this work was to study patients' self-appraisal of total knee arthroplasty (TKA) 6 and 12 months postoperatively, and to establish which factors determine dissatisfaction from surgery. The study group consisted of 79 patients subjected to TKA who underwent rehabilitation in a specialized institution f...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000022011

    authors: Dickstein R,Heffes Y,Shabtai EI,Markowitz E

    更新日期:1998-01-01 00:00:00

  • Effect of donor age on inter- and intrachromosomal distribution of sister chromatid exchanges in cultured human lymphocytes.

    abstract::The distribution of sister chromatid exchange (SCE) points has been analyzed in cultured lymphocytes from three age-groups of 30 females (n = 10; young: 13-20, middle-aged: 30-55, old: 75-84 years). The observed interchromosomal SCE distribution is in good agreement with the results of previous workers, significant ag...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000213147

    authors: Vormittag W

    更新日期:1983-01-01 00:00:00

  • Study of age changes in the motor units of the first dorsal interosseous muscle in man.

    abstract::The effect of ageing on the threshold firing rate of motor units from the first dorsal interosseous muscle was investigated. Two groups of 9 healthy male subjects between the ages of 20-29 and 60-69 years took part in the study. The threshold firing rate of motor units in young subjects showed close agreement with pre...

    journal_title:Gerontology

    pub_type: 杂志文章

    doi:10.1159/000212939

    authors: Newton JP,Yemm R,McDonagh MJ

    更新日期:1988-01-01 00:00:00