%0 Journal Article
        
%@ 2561-7605
%I JMIR Publications
%V 6
%N 
%P e51776
%T Shaping the Future of Older Adult Care: ChatGPT, Advanced AI, and the Transformation of Clinical Practice
%A Fear,Kathleen
%A Gleber,Conrad
%+ UR Health Lab, University of Rochester Medical Center, 30 Corporate Woods, Suite 180, Rochester, NY, 14623, United States, 1 585 341 4954, kathleen_fear@urmc.rochester.edu
%K generative AI
%K artificial intelligence
%K large language models
%K ChatGPT
%K Generative Pre-trained Transformer
%D 2023

%7 13.9.2023
%9 Guest Editorial
%J JMIR Aging
%G English
                
%X As the older adult population in the United States grows, new approaches to managing and streamlining clinical work are needed to accommodate their increased demand for health care. Deep learning and generative artificial intelligence (AI) have the potential to transform how care is delivered and how clinicians practice in geriatrics. In this editorial, we explore the opportunities and limitations of these technologies.
%M 37703085
%R 10.2196/51776
%U https://aging.jmir.org/2023/1/e51776
%U https://doi.org/10.2196/51776
%U http://www.ncbi.nlm.nih.gov/pubmed/37703085

%0 Journal Article
        
%@ 2561-7605
%I JMIR Publications
%V 3
%N 2
%P e21608
%T Decrease in Stroke Diagnoses During the COVID-19 Pandemic: Where Did All Our Stroke Patients Go?
%A Dula,Adrienne Nicole
%A Gealogo Brown,Gretchel
%A Aggarwal,Aarushi
%A Clark,Kal L
%+ Department of Neurology, Dell Medical School, The University of Texas at Austin, 1601 Trinity Street Building B, Austin, TX, 78712, United States, 1 512 495 5922, adrienne.dula@austin.utexas.edu
%K stroke
%K ischemic stroke
%K COVID-19
%K SARS-CoV-2
%K emergency medicine
%K cerebrovascular
%D 2020

%7 21.10.2020
%9 Viewpoint
%J JMIR Aging
%G English
                
%X Despite the evidence suggesting a high rate of cerebrovascular complications in patients with SARS-CoV-2, reports have indicated decreasing rates of new ischemic stroke diagnoses during the COVID-19 pandemic. The observed decrease in emergency department (ED) visits is unsurprising during this major crisis, as patients are likely to prioritize avoiding exposure to SARS-CoV-2 over addressing what they may perceive as mild symptoms of headache, lethargy, difficulty speaking, and numbness. In the central and south Texas regions where we practice, we suspect that patient admission, treatment, and discharge volumes for acute stroke treatment have decreased significantly since COVID-19–related shelter-at-home orders were issued. Symptoms of stroke are frequently noticed by a family member, friend, or community member before they are recognized by the patients themselves, and these symptoms may be going unnoticed due to limited face-to-face encounters. This possibility emphasizes the importance of patient education regarding stroke warning signs and symptoms during the current period of isolation and social-distancing. The south Texas population, already saddled with above-average rates of cardiovascular and cerebrovascular disease, has a higher stroke mortality rate compared to Texas and U.S. averages; however, the number of patients presenting to EDs with acute ischemic stroke diagnoses is lower than average. In our viewpoint, we aim to present the relative literature to date and outline our ongoing analyses of the highly affected and diverse stroke populations in San Antonio and Austin, Texas, to answer a simple question: where did all our stroke patients go?
%M 33006936
%R 10.2196/21608
%U http://aging.jmir.org/2020/2/e21608/
%U https://doi.org/10.2196/21608
%U http://www.ncbi.nlm.nih.gov/pubmed/33006936

%0 Journal Article
        
%@ 2561-7605
%I JMIR Publications
%V 3
%N 1
%P e20110
%T Mitigating the Effects of a Pandemic: Facilitating Improved Nursing Home Care Delivery Through Technology
%A Edelman,Linda S
%A McConnell,Eleanor S
%A Kennerly,Susan M
%A Alderden,Jenny
%A Horn,Susan D
%A Yap,Tracey L
%+ College of Nursing, University of Utah, 10 South 2000 EAST, Salt Lake City, UT, 84112, United States, 1 18015859187, linda.edelman@nurs.utah.edu
%K nursing home
%K technology
%K social isolation
%K covid-19
%D 2020

%7 26.5.2020
%9 Editorial
%J JMIR Aging
%G English
                
%X The coronavirus disease (COVID-19) pandemic has been particularly challenging for nursing home staff and residents. Centers for Medicare & Medicaid Services regulation waivers are burdening staff and affecting how care is delivered. Residents are experiencing social isolation, which can result in physical and behavioral health issues, particularly for persons with dementia. These challenges can be addressed in part through technology adaptations. Full integration of electronic health record systems can improve workflow and care quality. Telehealth can improve access to outside providers, provide remote monitoring, and improve social connectedness. Electronic and audiovisual programs can be used for end-of-life planning and information sharing between nursing home staff and families. Online learning systems and other online resources provide flexible options for staff education and training. Investing in and adapting technology can help mitigate workforce stress and improve the quality of nursing home care during and after the COVID-19 crisis.
%M 32412909
%R 10.2196/20110
%U http://aging.jmir.org/2020/1/e20110/
%U https://doi.org/10.2196/20110
%U http://www.ncbi.nlm.nih.gov/pubmed/32412909