R. Thiesemann

R. Thiesemann
University Medical Center Hamburg - Eppendorf · Academic Research Praxis (IPA)

MD (Dr.med) RN MSc

About

92
Publications
7,108
Reads
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214
Citations
Additional affiliations
July 2019 - present
Hamburg University
Position
  • Researcher
March 1999 - February 2003
Kath. Marien Krankenhaus Hamburg
Position
  • Resident Doctor
May 1994 - February 1999
Albertinen Center of Geriatrics
Position
  • Research Assistant

Publications

Publications (92)
Article
Full-text available
Background: People with dementia in nursing homes often experience pain, but often do not receive adequate pain therapy. The experience of pain has a significant impact on quality of life in people with dementia, and is associated with negative health outcomes. Untreated pain is also considered to be one of the causes of challenging behaviour, such...
Presentation
Full-text available
Hintergrund/Fragestellung: Menschen mit Demenz im Pflegeheim erleben häufig Schmerzen, erhalten aber oft keine ausreichende Schmerztherapie. Schmerzen gelten auch als eine Ursache für herausfordernde Verhaltensweisen, wie motorische Unruhe oder Aggressionen. Ein Ansatz zur Schmerztherapie bei Menschen mit Demenz sind strukturierte Behandlungspläne,...
Article
Full-text available
This article is about the ethical aspects of decision-making in the very elderly persons in the last weeke or days of their lives. The article describes in german language the results of an postgraduate evening course in the medical chamber of Hamburg/Germany where nearly 120 physicians (mostly GP) dicussed three cases: emergencies in nursing homes...
Article
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: - To assess the effects of algorithm‐based pain management interventions to reduce pain and challenging behaviour in people with dementia living in nursing homes. - To describe the components of the interventions and the content of the algorithms.
Article
Erratum zu: Z Gerontol Geriat 2018 10.1007/s00391-017-1318-z Wir bitten um Beachtung der korrekten Autorenreihenfolge, Affiliation und Korrespondenzadresse, wie in diesem Erratum …
Book
Aufgrund der demographischen Entwicklung nimmt die Zahl an älteren Patienten stetig zu, in diesem Zusammenhang spielt die Kommunikation mit älteren Erwachsenen eine große Rolle. Das Ziel des Buches ist es, im professionellen Handeln die besonderen Fähigkeiten älterer Menschen zu berücksichtigen und eine evidenzbasierte positive Kommunikation zwisch...
Article
This is a structured guideline mandated by the German College of General Practitioners and Family Physicians which was accepted by The Arbeitsgemeinschaft der Wissenschaftlichen Medizinischen Fachgesellschaften (The Association of the Scientific Medical Societies).
Chapter
Full-text available
This book chapter approaches the importance of clinical nutrition of older adults in therapy. The field of geriatric nutrition is expanding and it is not possible to give a full review of the whole scientific scope due to its extraordinary width. Restricted to the year 2015 there were 16201 papers listed in the PUBMED (PubMed Health. Bethesda (MD):...
Article
How is health produced The Handbook of Salutogenesis“- rthiesemann@web.de Universität Witten-Herdecke, Lehrstuhl für Geriatrie Erstellungsdatum:08.10.2016:12:00-19:46 Gesundheitsprofessionelle, die sich zum Thema Salutogenese informieren wollen, sind in mehrererlei Hinsicht herausgefordert: In Deutschland finden sich zum Thema zwar 419 Druckerzeug...
Article
Full-text available
Social gerontology is seen as a science-based but application-oriented subdiscipline of gerontology. It focuses particularly on social relationships in old age, social participation of elderly and old people and the protection of their individual needs. Self-determination and autonomy are important value orientations. Central issues are the quality...
Conference Paper
Background:Specialised Pain Management in Germany requires at last 12 categories of interventions and procedures (Analgetics, co-analgetics,invasive procedures,educational efforts, relaxation, imaginational,life-quality increasing efforts ,physical therapy, occupational therapy, TENS, Sports, Proxy support and others esp. in the elderly (1)). Metho...
Conference Paper
Background: Elderly patients are at risk for a high drug-burden (1,4) and of renal insufficiency (CKD). In case of nine drugs and a low glomerular filtration (GFR) rate the probability of adverse drug events is reported to 100% (2,3) Methods: Prospective hospital study with CGA organisational quality improvement approach (Wheel Chair scaling system...
Article
URL: http://stm.sciencemag.org/content/6/255/255ra131.e-letters Predicting outcome is a challenge Gaudilliére and colleagues report a new and promising possibility to detect outcome risks for surgery in future. As they studied patients at a mean age of 59.5 years (y) with no comorbidities and an elective surgical procedure there is the question wh...
Article
Hintergrund Die Transparenzkriterien zu Gelenkkontrakturprophylaxe in der Pflege des Medizinischen Diensts der Krankenkassen (MDK) haben Kontroversen zur sachgerechten Erhebung, Prävention und Behandlung sowie allerlei Aktivität in der Pflegepraxis ausgelöst. Angemessene Pflegeassessments und Nutzen versprechende Behandlungsmaßnahmen stehen aus. Ob...
Article
Since 2006, the Alzheimer’s Society of Lower Saxony, Germany, has been working to improve care and medical treatment for people with cognitive impairment or dementia in general hospitals. An interdisciplinary team systematically worked on the topic for several years and presented results at various symposia. In 2011, a two-stage curriculum was comp...
Article
BACKGROUND: The transparency criteria of the German statutory health insurance on joint contracture prevention have led to controversies about the appropriate assessment, prevention and treatment as well as to various actions in nursing practice. However, appropriate nursing assessments and proven treatment options are lacking so far. It is unclear...
Thesis
Abstract Untersucht wurde ein Hauptproblem der pharmakologischen Therapie bei hochbetagten geriatrischen Krankenhaus - Patienten: die Therapieanpassung an die Erfordernisse des älteren Menschen mit einer Niereninsuffizienz im Rahmen einer Schmerztherapie. Hierzu wurden in der Einleitung die Themengebiete Geriatrie, Geriatrisches Assess-ment, Schmer...
Article
Mit zunehmendem Alter steigt sowohl die Inzidenz der Herzinsuffizienz als auch die Bedeutung der diastolischen Dysfunktion. Die Symptome sind im Alter oft unspezifisch. Die Diagnostik unterscheidet sich nicht von der bei jüngeren Patienten. Für eine evidenzbasierte Therapie fehlen derzeit noch Studien mit multimorbiden geriatrischen Patienten. Hier...
Article
The incidence of chronic heart failure rises with increasing age as does the proportion of diastolic dysfunction in comparison to heart failure with reduced systolic ejection fraction. Symptoms are less specific, such as fatigue, which makes a diagnosis more difficult but classification and diagnostic work-up are the same as in younger patients. Re...
Article
The incidence of chronic heart failure rises with increasing age as does the proportion of diastolic dysfunction in comparison to heart failure with reduced systolic ejection fraction. Symptoms are less specific, such as fatigue, which makes a diagnosis more difficult but classification and diagnostic work-up are the same as in younger patients. Re...
Article
Full-text available
Background Free movement of the limbs is a prerequisite of mobility and autonomy in old age. The prevalence of contractures in international studies has been reported to range between 15% and 70%. The wide variation might be explained by different definitions and diagnostic criteria, settings, and participants’ characteristics. Contractures lead to...
Article
Full-text available
Free movement of the limbs is a prerequisite of mobility and autonomy in old age. The prevalence of contractures in international studies has been reported to range between 15% and 70%. The wide variation might be explained by different definitions and diagnostic criteria, settings, and participants' characteristics. Contractures lead to additional...
Article
We examined 834 isolates of urinary cultures (26 fungi and 808 isolates from 28 bacteria) in an academic geriatric teaching hospital for microbial spectrum and resistance analysis. Of the bacteria, 90% were associated to ten species. Detection rate of MRSA and ESBL was 1%, detection rate for pseudomonas aeruginosa, proteus species, coagulase negati...
Article
We examined 834 isolates of urinary cultures (26 fungi and 808 isolates from 28 bacteria) in an academic geriatric teaching hospital for microbial spectrum and resistance analysis. Of the bacteria, 90% were associated to ten species. Detection rate of MRSA and ESBL was 1%, detection rate for pseudomonas aeruginosa, proteus species, coagulase negati...
Conference Paper
Full-text available
Introduction: Swallowing disorders are found in up to 10% of european elderly people older than 50 years (1). Actual german publication do n o t o b t a i n g e r i a t r i c specifications of diagnostic procedures (2). We therefore analysed a specific geriatric cohort by functional endoscopic swallowing examinations (FES). Results1: Confirmed dysp...
Article
Full-text available
The aim of tlris study, conducted at an academic teaching hospital (with 600 beds), was to discover how many urine specimens were contarninated, to evaluate the number of contaminated specimens arnong elderly patients, and to undertake a 2-year-resistance analysis. 8.6 % of the specimens (L,442/L6,652) were excluded because thev were contanrinated....
Article
This article describes the peculiarities of geriatric quality assurance from the view of a clinical setting. Description of structural elements of quality are well known. Improvements in process quality of individual patient care have been sustained by controlled studies on comprehensive geriatric assessment. However, implementation of results from...
Article
Unlabelled: We analyzed quality assurance protocol records of 532 geriatric hospital patients in comparison to an administration database concerning data on "length of stay" information (LOS). Doctors handwritten quality assurance protocol records corresponded in 74.25% of cases to administration data. 14.47% of cases were registered with differen...
Article
The purpose of this study was to examine whether premorbid personality traits predispose to noncognitive symptoms in Alzheimer's disease (AD). The Munich Personality Test was used to evaluate caregivers' perception of personality prior to symptom onset in 56 outpatients with probable AD. Caregivers also completed the "mood" and "disturbed behavior"...
Article
Assessment instruments are recommended in addition to the clinical examination of gait disorders in elderly patients. We examined the sensitivity of gait assessment in a geriatric hospital by using a modified Tinetti's motility score in order to study aspects of clinical relevance and quality assurance. Forty patients were assessed on admission and...
Article
Geriatric institutions enforce clinical documentation in order to assure quality of care. Different means include basic information of the clinical course, data gathering by administration and extractions from research projects. The use of electronic data bases and common data processing shall provide a base for the development of a cooperation net...
Conference Paper
2. Poststationärer Verlauf der Selbständigkeit in den Aktivitäten des Täglichens Lebens (ATL) bei über 60-jährigen Schlaganfallpatienten - erste Ergebnisse der PASS-Studie. R. Thiesemann, W.H. H. Kruse, H.P. Meier Baumgartner Poster zur, 18.bis 21. September 1996 in Leipzig
Article
An evaluation of drug therapy is part of comprehensive geriatric assessment. Medications were systematically reviewed in 35 hospitalized patients within the first 3 days after admission and the day before discharge by external rating. The results and the assessment findings were provided to the patients' physicians. The assessment was accomplished...
Article
The effectiveness of geriatric assessment depends on patient selection. A simple screening procedure should facilitate the detection of appropriate patients by recording functional impairments and geriatric risks. We studied the feasibility of, and the information from the screening, and the recommendations of assessments derived from the screening...

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