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Geriatric Medicine - Science topic

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Publications related to Geriatric Medicine (6,970)
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Article
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Background: While several definitions exist for multimorbidity, frailty or polypharmacy, it is yet unclear to what extent single healthcare markers capture the complexity of health-related needs in older people in the community. We aimed to identify and characterise older people with complex health needs based on healthcare resource use (unplanned...
Conference Paper
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Temel yaşam gereksinimlerinden biri olan uyku, sağlığın bütünsel olarak sürdürülmesi için gereklidir. İlerleyen yaşlarda meydana gelen fizyolojik ve hormonal değişimlerin sonucu olarak uyku süresinde ve kalitesinde bozulmalar meydana gelir. Bu derlemenin amacı; yaşlı bireylerde uyku sorunlarının tanımlanması ve çözümüne yönelik hemşirelik uygulamal...
Article
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Purpose: The COVID-19 pandemic has been a dramatic trigger that has challenged the intrinsic capacity of older adults and of society. Due to the consequences for the older population worldwide, the Special Interest Group on Comprehensive Geriatric Assessment (CGA) of the European Geriatric Medicine Society (EuGMS) took the initiative of collecting...
Article
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Objective To evaluate the association of 25-hydroxyvitamin D (25(OH)D) level on sepsis severity and risk of hospitalisation in emergency department (ED) septic patients when categorised as vitamin D insufficiency according to the level of 25(OH)D<30 ng/mL. Design Cross-sectional observational study. Setting A 900-bed academic tertiary hospital wi...
Article
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Purpose: Minimum training recommendations to become a specialist geriatrician in the EU have been published and in this study we compared these recommendations with content from the post-graduate training scheme in Geriatric Medicine in Ireland. Methods: We examined the content of didactic study-day lectures delivered during Geriatric medicine t...
Article
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Objectives Population-based chronic disease surveillance systems were likely disrupted by the COVID-19 pandemic. The objective of this study was to examine the immediate and ongoing impact of the COVID-19 pandemic on the claims-based incidence of dementia. Methods We conducted a population-based time series analysis from January 2015 to December 2...
Chapter
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A unit on " Diseases of Oral cavity" contributed to Clinical Geriatrics (MME-005) for the MD Geriatric Medicine course of Indira Gandhi National Open University (IGNOU).
Article
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Background : the development of programs for the correction of cognitive impairment in elderly patients with various types of mild cognitive decline is an urgent task of geriatric medicine and clinical psychology. The aim of the study was to conduct neuropsychological and psychometric evaluation of the results of a modified neurorehabilitation prog...
Article
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Background Interventions to reduce potentially risky hospitalizations among nursing home residents are highly relevant for patient safety and quality improvement. A catalog of nursing home-sensitive conditions (NHSCs) grounds the policy recommendations and interventions.Methods In two previous research phases, an expert panel developed a catalog of...
Article
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Whilst adaptive experts have well-researched beliefs and attitudes towards learning, what is unclear are the interactions that occur within the learning environment that constitute their learning experiences. The practice of geriatric medicine emphasises the interdisciplinary care of complex frail older adults. Our study sets out to understand the...
Article
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Christina Shaw,1 William Gibson2 1Division of Geriatric Medicine, University of British Columbia, Vancouver, British Columbia, Canada; 2Division of Geriatric Medicine, University of Alberta, Edmonton, Alberta, CanadaCorrespondence: William Gibson, Division of Geriatric Medicine, University of Alberta, 1-198 Clinical Sciences Building, 11350 83 Ave...
Article
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An accurate medication history prevents medication errors during transitions of care, whereas an inaccurate medication history may lead to unnecessary tests or prolonged hospitalization. We describe the case of a patient with chronic hypothyroidism who presented to the hospital with severe hypothyroidism and reported strict adherence to her home le...
Article
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Introduction The global volume of surgery is growing and the population ageing, and economic pressure is rising. Major surgery is associated with relevant morbidity and mortality. Postoperative reduction in physiological and functional capacity is especially marked in the elderly, multimorbid patient with low fitness level, sarcopenia and malnutrit...
Research
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The right to health has been provided for and/or recognized in most of the core international human rights treaties as well as other international and regional instruments and declarations and is closely related to and dependent upon the realization of other human rights such as the rights to food, housing, work, education, human dignity, life, non...
Book
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The right to health has been provided for and/or recognized in most of the core international human rights treaties as well as other international and regional instruments and declarations, and is closely related to and dependent upon the realization of other human rights such as the rights to food, housing, work, education, human dignity, life, no...
Article
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Objectives This study aims to estimate the association of the often, in daily clinical practice, used biological age-related biomarkers high-sensitivity troponin-T (hs-TnT), C reactive protein (CRP) and haemoglobin (Hb) with all-cause mortality for the purpose of older patient’s risk stratification in the emergency department (ED). Design Explorat...
Article
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Perawat gerontik turut berperan penting dalam menjaga kondisi kesehatan lansia agar tetap mampu produktif serta aktif, namun kualitas asuhan keperawatan yang diberikan diketahui dipengaruhi oleh kompetensi dari perawat gerontik. PP IPEGERI sebagai badan sayap PPNI memiliki tugas untuk meningkatkan kompetensi perawat gerontik melalui kegiatan pelati...
Article
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Adopting evidence-based medicine in clinical care of older patients is challenging because the “best” evidence available may not be directly applicable due to exclusion or underrepresentation of older adults in clinical trials. Interventions shown to be beneficial in trial populations therefore often exhibit heterogeneous treatment effects (HTEs) i...
Article
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Physical resilience is an emerging concept within the context of aging and geriatric medicine, and we previously developed and validated one such measure based on the mismatch between persons’ frailty level and comorbidity burden. We sought to develop a simplified version for classifying physical resilience. We also examined the agreement between t...
Article
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Aging is the process of gradual physiological deterioration till death and this process perpetually reduce the functionality of an individual. To address the rationale and provide geriatric care, the constant target of geroscience is to identify reliable biomarkers for aging. Over the past decades, diversified advancements in epigenetic studies cre...
Article
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Agitation in Alzheimer's Disease (AAD) impacts nearly 80% of persons with Alzheimer's Disease and is a cause of significant distress for patients and family/professional caregivers.Clinicians need guidance relative to assessment as well as non-pharmacologic and pharmacologic treatment approaches to AAD. To this end, the Gerontological Society of Am...
Article
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Frailty is a cornerstone in geriatric medicine and is known to be strongly associated with poor postsurgical outcomes. Fried and colleagues defined frailty as a syndrome with five interlinked components, including weakness, low energy, slow walking speed, decreased physical activity, and unintentional weight loss. Consequently, frailty could serve...
Article
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Zusammenfassung In den nächsten zwei Jahrzehnten werden in Deutschland die Babyboomer aus dem Erwerbsleben ausscheiden. Erwerbsarbeit muss dann von der zahlenschwachen „Pillenknick“-Generation geleistet werden. Mehr ältere Personen in der Gesellschaft bedeuten trotz und teilweise wegen verbesserter medizinischer Möglichkeiten eine höhere Belastung...
Article
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Geriatric medicine has evolved to an accepted specialty in 23 European countries. Despite much heterogeneity of postgraduate geriatric curricula, European societies have succeeded in defining a common core curriculum with a list of minimum training requirements for obtaining the specialty title of geriatric medicine. Geriatricians play a leading ro...
Conference Paper
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Giriş-Amaç: Kalp cerrahisi, hastalarda morbiditeye ve mortaliteye en çok neden olan operasyonlardandır. Kardiyopulmoner rehabilitasyon ise bu semptomları en azan indirmek aynı zamanda sekonder hastalıkların önelnmesi için sunulan bir tedavi hizmetidir. Kardiyak rehabilitasyon, DSÖ (Dünya Sağlık Örgütü) tarafından “Kronik veya post-akut kardiyovaskü...
Article
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Objectives To determine the prevalence of possible sarcopenia and its association with other conditions in older adults in Bengbu, China. Design, setting and participants A cross-sectional study of 1082 community-dwelling Chinese people aged at least 60 years from March to June 2022. Methods Handgrip strength and information regarding associated...
Article
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Background Different multimorbidity patterns present with different prognoses, but it is unknown to what extent they may influence the effectiveness of an individualized multicomponent exercise program offered to hospitalized older adults. Methods This study is a secondary analysis of a randomized controlled trial conducted in the Department of Ge...
Poster
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This was a retrospective audit of Geriatric Medicine inpatients admitted June 2022 comparing diagnosis in clinical notes and ICD-10 diagnostic coding lists. This showed that ICD-10 diagnostic coding of dementia should be improved to enable use of electronic health records in tracking number of people with dementia and monitor progress towards achie...
Article
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Background: Medical learners develop a more positive attitude toward Interprofessional Collaboration (IPC) following Interprofessional Education (IPE) programs. However, IPE is not standardized and the most effective teaching tool is unclear. The purpose of our study was to develop an IPE teaching tool for medical residents during an inpatient geri...
Article
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Older patients with cognitive impairment, including dementia, may benefit from virtual care that increases access to geriatric specialties. Here, we identify clinician-level strategies to address the numerous barriers that reduce utilization of virtual services. We describe two innovative programs in the Veterans Health Administration that deliver...
Article
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With the aging of our population, older adults are living longer with multiple chronic conditions, frailty, and life‐limiting illnesses, which creates specific challenges for emergency departments (EDs). Older adults and those with serious illnesses have high rates of ED use and hospitalization, and the emergency care they receive may be discordant...
Article
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Introduction Digital interventions are considered as a potential solution to loneliness in older adults. However, this type of intervention has had limited acceptance among older adults (aged ≥60 years). To ensure the use of digital interventions in older adults, possible barriers and facilitating factors should be better understood from the user’s...
Poster
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Objectifs : Identifier les modalités d'exercice et les professionnels sollicitant une évaluation de la déglutition auprès de la consultation commune MPR-ORL. Matériel / Patients et méthodes : Analyse rétrospective des dossiers des patients ayant bénéficié d'une consultation MPR-ORL entre décembre 2016 et décembre 2021. Résultats : Mille six cent s...
Article
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Das Projekt DemStepCare will Demenzversorgung neu denken: Ein interdisziplinärer Ansatz soll Versorgungskrisen für Betroffene und Angehörige vermeiden. Der Hausarzt, 19/2022, 63-66. Online verfügbar unter: https://www.hausarzt.digital/medizin/geriatrie/neues-versorgungskonzept-bei-demenz-118353.html
Chapter
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To live a long and healthy life is now considered the main challenge of geriatric medicine worldwide. Exercise, aging, and health are key research topics to maintain functional ability that has been considered one of the strongest predictors of independence in old age. Functional ability comprises the interaction between physical and mental capacit...
Article
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Objectives This study investigated patterns in health service usage among older adults with dementia and matched controls over a 10-year span from 5 years before until 5 years after diagnosis. Design Population-based retrospective matched case–control study. Setting Administrative health data of individuals in Saskatchewan, Canada from 1 April 20...
Article
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Residents must develop knowledge, skills, and attitudes to handle a rapidly developing clinical environment. To address this need, adaptive expertise has been suggested as an important framework for health professions education. However, research has yet to explore the relationship between workplace learning and adaptive expertise. This study sough...
Article
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Objective This study investigates gender differences in the correlation between body mass index (BMI) and cognitive impairment among Chinese community-dwelling oldest-old. Setting Twenty-three provinces in China. Participants’ mini-mental state examination (MMSE) scores <24 were considered cognitive impairment. Furthermore, the assessment standard...
Article
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The use of cannabinoids as therapeutic drugs has increased among aging populations recently. Age-related changes in the endogenous cannabinoid system could influence the effects of therapies that target the cannabinoid system. At the preclinical level, cannabidiol (CBD) induces anti-amyloidogenic, antioxidative, anti-apoptotic, anti-inflammatory, a...
Preprint
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Objectives: Indicators of oral and periodontal diseases have previously been associated with handgrip strength and muscle mass and function in older adults in several populations. However, research in middle-aged adults on the relationship between periodontitis and handgrip strength and skeletal muscle mass – another important indicator of sarcopen...
Article
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Introduction The increasingly ageing population is associated with greater numbers of people living with dementia (PLwD) and mild cognitive impairment (MCI). There are an estimated 55 million PLwD and approximately 6% of people over 60 years of age are living with MCI, with the figure rising to 25% for those aged between 80 and 84 years. Sleep dist...
Article
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Introduction What nurses do and how they do it can influence older people’s experiences of the quality of long-term care. In addition, a clear role definition for nurses supports them in giving patients appropriate basic care. Despite this, there is a lack of a clear role definition regarding policy, work descriptions and expectations. Therefore, t...
Article
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Purpose The Registry of Senior Australians (ROSA) was established to evaluate aged care experiences in Australia. In this manuscript, we describe the ROSA framework, the two ROSA cohorts, highlights from research findings, and future plans. Participants The South Australian ROSA Prospective Cohort (August 2018–June 2020) enrolled 26 605 participan...
Article
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Background Aging simulation games are established educational interventions to make older patients’ perspectives noticeable, raise awareness about their needs, and positively influence attitudes toward older adults. Due to the COVID-19 pandemic restrictions imposed on education, we replaced a classroom-based aging simulation course with a simple on...
Article
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Abstract Background: Health-related quality of life (HRQoL) is a major concern for older patients with cancer. The goal of cancer care in most older patients is maintaining the quality of the remaining years of life rather than prolonging survival. Objectives: We aimed to evaluate the quality-of-life (QoL) domains in treatment-naïve older patien...
Article
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Objective This study aims to systematically evaluate the effects of Baduanjin on motor function, balance and gait in patients with Parkinson’s disease (PD). Design Systematic review and meta-analysis. Study selection All eligible randomised controlled trials (RCTs) published in the English and Chinese language were included. Data sources Ten ele...
Article
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The aging human population with age-associated diseases has become a problem worldwide. By 2050, the global population of those who are aged 65 years and older will have tripled. In this context, delaying age-associated diseases and increasing the healthy lifespan of the aged population has become an important issue for geriatric medicine. CDGSH ir...
Article
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Zusammenfassung Hintergrund Ziel ist es, bundesweit und klinikübergreifend altersspezifische Unterschiede in den Charakteristika insbesondere von älteren Notfallpatienten herauszuarbeiten. Methodik Aus 11 sowohl universitären als auch außeruniversitären Notaufnahmen, angeschlossen an das AKTIN (Aktionsbündnis für Informations- und Kommunikationst...
Article
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Objectives Previous studies were unable to estimate the dynamics of smoking status in the US elderly general population, and no study has assessed the benefit of quitting in terms of resultant gains in life expectancy. We proposed a novel method to estimate the per cent of quitting in remaining lifetime, successful quitting and relapse, as well as...
Article
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Introduction: Meaningful ageing research across the UK is dependent on a network of engaged geriatricians. The research in geriatric specialty training (RGST) survey aimed to establish current research opportunities available to geriatric medicine specialty trainees in the UK. Methods: The RGST survey was disseminated to UK higher specialist tra...
Article
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Objective: This healthcare improvement initiative was designed to increase inpatient osteoporosis treatment after hip fracture. Methods: A new protocol was developed by Geriatric Medicine and Endocrinology departments at a tertiary care hospital in Sydney. Its aim was to standardize assessment and treatment of osteoporosis in patients admitted w...
Article
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Geriatrics is a branch of medicine concerned with diagnosing, treating, and preventing diseases in older people and problems specific to aging. The World Health Organization (WHO) has reported that the number of people aged 65 or older is projected to grow from an estimated 524 million in 2010 to nearly 1.5 billion in 2050. The burden of diseases i...
Article
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Geriatric have different skin characteristic compared with they who are in young age. There is a change in both intrinsic and extrinsic aging factors causing skin aging which is marked by skin wrinkles, loss of elasticity, and textural changes. The composition of collagen in geriatrics has decreased and there is an increase in matrix metalloprotein...
Article
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BACKGROUND: Vaccines against severe acute respiratory syndrome coronavirus 2 have shown effectiveness in the prevention of COVID-19. Breakthrough infections occur, and age has been shown to be one of the dominant risk factors for poorer outcome. This research focuses on characteristics of breakthrough infections in older adults. METHODS: This retro...
Article
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Objective: In patients with COVID-19, the possibility of sarcopenia has climbed further by adding inflammation, malnutrition, and physical inactivity to pre-existing health conditions. This study aimed to examine the sarcopenia status and related factors of patients diagnosed with COVID-19 in the near term after discharge. Methods: Patients hospita...
Article
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Drug interaction is the modification of the effect of a drug due to a drug being given alongside food, drinks or other drugs so that the effectiveness or toxicity of a drug changes. Some of the drugs prescribed in geriatric patients need to be considered so that no adverse drug interactions occur. This study aims to determine the potential for drug...
Article
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Background Anticholinergic burden is associated with an increase in cognitive decline, delirium and confusion. We aimed to examine the Anticholinergic Cognitive Burden (ACB) of patients referred to local dementia services, and the prescribing of acetylcholinesterase inhibitors in patients with a significant anticholinergic burden. We also looked at...
Article
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Objectives Comprehensive geriatric assessment (CGA) is a complex intervention applied to older people with evidence of benefit in medical populations. The aim of this systematic review was to describe how CGA is applied to surgical populations in randomised controlled trials. This will provide a basis for design of future studies focused on optimis...
Article
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Introduction: Racialised immigrant older adults (RIOAs) in Canada have poorer self-rated health and are more likely to report chronic conditions, while they concurrently experience well-documented challenges in navigating and accessing the healthcare system. There is strong evidence that patient and caregiver engagement in their healthcare leads t...
Technical Report
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La lutte contre la maltraitance envers les personnes aînées (ci-après la maltraitance) a grandement été structurée au Québec depuis 2010. D’abord par l’adoption du premier Plan d’action gouvernemental pour contrer la maltraitance envers les personnes aînées (Gouvernement du Québec, 2010) puis en 2017, par l’adoption de la première Loi visant à lutt...
Conference Paper
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Giriş ve Amaç: Bu çalışma Kayseri’de evde sağlık hizmeti alan hastaların profilleri ile bakım gereksinimleri ve tıbbi durumlarını belirlemek üzere yapılmıştır. Yöntem: Tanımlayıcı tipteki bu araştırmanın evrenini, Temmuz 2022 tarihinde Kayseri İl Sağlık Müdürlüğü Evde Sağlık Hizmeti Koordinasyon Merkezi’ne kayıtlı 255 kişi oluşturmaktadır. Veriler...
Article
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Context Long-term adherence to physical activity (PA) interventions is challenging. The Lifestyle-integrated Functional Exercise programmes were adapted Lifestyle-integrated Functional Exercise (aLiFE) to include more challenging activities and a behavioural change framework, and then enhanced Lifestyle-integrated Functional Exercise (eLiFE) to be...
Article
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Objective Pneumonia is a disease with high morbidity and mortality among older individuals in Japan. In practice, most older patients with pneumonia are not required ventilatory management and are not necessarily in critical respiratory condition. However, prolonged hospitalization itself is considered to be a serious problem even in these patients...
Article
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Background Falls are a leading cause of injury-related hospitalizations among adults aged 65 years and older and may result in social isolation. Objective To summarise evidence on falls and subsequent social isolation and/or loneliness in older adults through a scoping review. Eligibility criteria Studies were eligible for inclusion if the popula...
Article
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The use of standardized assessment tools is essential for the occupational therapy intervention process to ensure clinical practice is appropriate and of high quality. This study aimed to explore which assessment tools Spanish occupational therapists use in their clinical practice. An ad hoc online questionnaire of 19 open and closed questions was...
Article
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Background Frailty is recognized as a cornerstone of geriatric medicine. Accurately screening and identifying frailty can promote better quality and personalized medical services for the elderly. Previous studies have shown that the association between vitamin D and frailty in the elderly population is still controversial. More research is needed t...
Article
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Introduction: Elderly cancer patients often have ageing-related physical and psychosocial problems that should be fully shared with their oncologists. Geriatric assessment (GA) can assess these ageing-related problems and guide management. Communication support might also facilitate implementation of GA-guided management. We will conduct a multice...
Presentation
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Application of VUCA strategy in the geriatric syndrome of falls
Article
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Introduction: Postoperative delirium (POD) is a major cause of morbidity, particularly in elderly patients. Melatonin has been suggested as a low-risk pharmacological intervention to help prevent POD. A previous systematic review found limited high-quality evidence to support the use of melatonin in the prevention of POD. Several further randomise...
Article
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Objectives To use publicly available submissions and evidence from the Australian Royal Commission into Aged Care Quality and Safety as data for secondary qualitative analysis. By investigating the topic of emergency department transfer from the perspective of residents, family members and healthcare professionals, we aimed to identify modifiable f...
Article
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Introduction: The objective was to study the association of frailty status in hospitalized elderly patients with risk of fall in an acute geriatric unit and to characterize elderly "fallers" using a comprehensive gerontological assessment. Patients and methods: A cross-sectional study was conducted in patients over 65 years of age and hospitaliz...
Article
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Introduction Chronic diseases in older adults are one of the major epidemiological challenges of current times and leading cause of disability, poor quality of life, high healthcare costs and death. Self-management of chronic diseases is essential to improve health behaviours and health outcomes. Technology-assisted interventions have shown to impr...
Article
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Objectives Up to 50% of heart failure (HF) patients may be frail and have worse clinical outcomes than non-frail patients. The benefits of HF-specific pharmacotherapy (beta-blockers, ACE-inhibitors/angiotensin-receptor-blockers and mineralocorticoid-receptor-antagonist) in this population are unclear. This study explored whether HF-specific pharmac...
Book
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Das Buch thematisiert anhand von Fallbeispielen unterschiedliche kunsttherapeutische Kontexte. Dazu gehören klinische Kontexte ebenso wie die Arbeit mit Jugendlichen im Atelier, der kunstpädagogischen Arbeit, der Geriatrie und historische Kontexte. Ausgegangen wird jeweils von einer gestalterischen Arbeit, die im (kunst)therapeutischen Kontext ents...
Article
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Objective The number of older patients with heart failure (HF) is increasing in Japan and has become a social problem. There is an urgent need to develop a comprehensive assessment methodology based on the common language of healthcare; the International Classification of Functioning, Disability and Health (ICF). The purpose of this study was to de...