Journal of the American Geriatrics Society
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Randomized Controlled Trial Comparative Study Clinical Trial
Reduction in fear of falling through intense tai chi exercise training in older, transitionally frail adults.
To determine whether an intense tai chi exercise program could reduce fear of falling better than a wellness education (WE) program in older adults who had fallen previously and meet criteria for transitioning to frailty. ⋯ Tai chi led to a significantly greater reduction in fear of falling than a WE program in transitionally frail older adults. The mean percentage change in ABC scores widened between tai chi and WE participants over the trial period. Tai chi should be considered in any program designed to reduce falling and fear of falling in transitionally frail older adults.
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To estimate the rate of hospitalization for pneumonia in community-dwelling older adults and to assess its risk factors and contribution to mortality. ⋯ In older people, hospitalization for pneumonia is common and is associated with an elevated risk of death, as shown in this population-based, prospective cohort.
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Comparative Study
End-of-life care in black and white: race matters for medical care of dying patients and their families.
To compare the end-of-life medical care experienced by African-American and white decedents and their families. ⋯ This national study brings evidence that racial disparities persist into end-of-life care, particularly regarding communication and family needs. Results also suggest different home care patterns and levels of financial impact.