Geriatrics最新文献

{"title":"Nurses' Clinical Practice in Nursing Homes: Depressive Symptoms and Fall Risk Assessment.","authors":"Alcina Matos Queirós, Armin von Gunten, Maria Manuela Martins, Henk Verloo","doi":"10.3390/geriatrics9060158","DOIUrl":"https://doi.org/10.3390/geriatrics9060158","url":null,"abstract":"<p><strong>Background: </strong>Depression and falls are highly prevalent, interrelated concerns for nursing home (NH) residents. Relationships between depression and falls should guide nurses towards developing evidence-based practices for assessing these conditions together. This study aimed to ascertain NH nurses' clinical practices and perceptions regarding the assessment of depression and fall risk.</p><p><strong>Methods: </strong>This study was an exploratory descriptive study on the reported practices and perceptions from NH nurses in the canton of Vaud, Western Switzerland. Statistical analyses included descriptive statistics, nonparametric tests and a content analysis of responses to open-ended questions.</p><p><strong>Results: </strong>The mean age of our 116 responding nurses was 44.6 years old (SD = 11.3), 99 were women and their mean work experience in NHs was 13.1 years (SD = 9.2). The reporting showed that 88.8% of nurses relied on mood observation for assessing depression and 88.8% relied on the history of falls to identify fall risk. Only 75.9% and 61.2% of nurses used validated scales to detect depression and fall risk, respectively. Additionally, 56.9% of participants considered depression to be a significant factor in fall risk.</p><p><strong>Conclusion: </strong>Validated tools to assess depression and fall risk in NHs should be used more widely. Health policies must support and enhance NH nurses' training and skills.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comfort-Promoting Interventions for the Elderly in Hospital Settings.","authors":"Rita Marques, Maria Dos Anjos Dixe, Patrícia Pontífice Sousa","doi":"10.3390/geriatrics9060157","DOIUrl":"https://doi.org/10.3390/geriatrics9060157","url":null,"abstract":"<p><p><b>Background:</b> The comfort of the elderly in hospital settings requires special attention from the health care professionals involved, particularly nurses, since hospitalization often generates suffering and discomfort. In such contexts, it is essential to consider the specific characteristics of the elderly, taking into account their life experiences and their needs, to promote the health, well-being, and comfort of this population. Hence, the present work aimed to explore the nursing interventions that promote comfort among the elderly in hospital settings. <b>Methods:</b> A mixed descriptive exploratory study was conducted through the application of a questionnaire, using intentional non-probabilistic sampling. The study encompassed 55 elderly individuals hospitalized in the medical service of a public hospital located in Lisbon. <b>Results:</b> The results show that the participants perceived a reasonable level of comfort (5.65 ± 6.46). The following categories emerged from the content analysis: (1) physical interventions; (2) psycho-spiritual interventions; (3) socio-cultural interventions; and (4) environmental interventions. <b>Conclusions:</b> These findings help to understand comfort-promoting nursing interventions in the studied population. It was concluded that, to improve care quality, comforting interventions should focus on the elderly patient's individuality, through support activities, empowerment, and the preservation/correction of the surrounding environment. Additionally, the provided care should be based on the real needs, expectations, preferences, and values of the elderly individual.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relevance of Preoperative Cognitive Impairment for Predicting Postoperative Delirium in Surgical Medicine: A Prospective Cohort Study.","authors":"Henriette Louise Moellmann, Eman Alhammadi, Philipp Olbrich, Helmut Frohnhofen","doi":"10.3390/geriatrics9060155","DOIUrl":"10.3390/geriatrics9060155","url":null,"abstract":"<p><strong>Background: </strong>Post-operative delirium is a dreaded complication after surgery in older patients. The identification of risk factors for delirium and comprehensive geriatric assessment is an extensive part of recent research. However, the preoperative assessment of risk factors, such as impaired cognition, is frequently not standardized.</p><p><strong>Methods: </strong>A comprehensive preoperative assessment was performed in 421 surgical patients to investigate the impact of preoperative cognitive impairment (PCI) on the risk of delirium and to evaluate appropriate screening tools (Six-item screener (SIS) and clock-drawing test (CDT)).</p><p><strong>Results: </strong>Both screening tools showed a significantly increased risk of delirium with <i>p</i> < 0.001 (OR 12.5, 95% [6.42; 24.4]) in SIS and <i>p</i> = 0.042 (OR 2.02, 95%CI [1.02; 4.03]) in CDT for existing cognitive impairment. A higher level of care (<i>p</i> < 0.001) and statutory care (<i>p</i> < 0.001, OR 5.42, 95%CI [2.34; 12.6]) also proved to be significant risk factors. The ROC curves of the two tests show AUC values of 0.741 (SIS) and 0.630 (CDT). The COP values for the SIS are 4 points with a Youden index of 0.447; for the CDT, the COP is 2 (Youden index = 0.177).</p><p><strong>Conclusions: </strong>The recording of PCI should be a central component of the preoperative geriatric assessment. The tools used are simple yet effective and can be easily implemented in routine clinical practice. By reliably identifying patients at risk, the available resources can be personalized and used in a targeted approach.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11675788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clarifying the Actual Situation of Old-Old Adults with Unknown Health Conditions and Those Indifferent to Health Using the National Health Insurance Database (KDB) System.","authors":"Mio Kitamura, Takaharu Goto, Tetsuo Ichikawa, Yasuhiko Shirayama","doi":"10.3390/geriatrics9060156","DOIUrl":"https://doi.org/10.3390/geriatrics9060156","url":null,"abstract":"<p><p><b>Background/Objectives</b>: This study aimed to investigate the actual situation of individuals with unknown health conditions (UHCs) and those indifferent to health (IH) among old-old adults (OOAs) aged 75 years and above using the National Health Insurance Database (KDB) system. <b>Methods</b>: A total of 102 individuals with no history of medical examinations were selected from the KDB system in a city in Japan. Data were collected through home visit interviews and blood pressure monitors distributed by public health nurses (PHNs) from Community Comprehensive Support Centers (CCSCs). The collected data included personal attributes, health concern levels, and responses to a 15-item OOA questionnaire. Semi-structured interviews were conducted with seven PHNs. The control group consisted of 76 users of the \"Kayoinoba\" service (Kayoinoba users: KUs). <b>Results</b>: Of the 83 individuals who could be interviewed, 50 (49.0%) were classified as UHCs and 11 (10.8%) were classified as IH, including 5 from the low health concern group and 6 who refused to participate. In the word cloud generated from the PHNs' interviews, the words and phrases \"community welfare commissioner\", \"community development\", \"blood pressure monitor\", \"troublesome\", \"suspicious\", and \"young\" were highlighted. In the comparison of health assessments between UHCs and KUs, \"body weight loss\" and \"cognitive function\" were more prevalent among KUs, and \"smoking\" and \"social participation\" were more prevalent among UHCs. <b>Conclusions</b>: The home visit activities of CCSCs utilizing the KDB system may contribute to an understanding of the actual situation of UHCs, including IHs, among OOAs. UHCs (including patients with IH status) had a higher proportion of risk factors related to smoking and lower social participation than KUs.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Physicians' Feedback on the Feature Design of a Digital Health Platform to Streamline the Care of Older Adults.","authors":"Marjan Abbasi, Sheny Khera, Julia Dabravolskaj, Amira Aissiou, Reza Abbasi-Dezfouly","doi":"10.3390/geriatrics9060154","DOIUrl":"10.3390/geriatrics9060154","url":null,"abstract":"<p><p><b>Background/Objectives</b>: Family physicians are essential to a well-functioning healthcare system; however, they face significant administrative and cognitive burdens that contribute to their burnout and reduce the quality of patient care they provide. Digital health tools offer potential solutions to these problems. This study examined the interface design and features of a digital health platform, Carmi, designed to mitigate administrative inefficiencies and cognitive overload by asynchronous patient data gathering and automated report generation. <b>Methods</b>: We conducted semi-structured interviews with nine family physicians practicing in Alberta, Canada, to gather their feedback on Carmi's interface design and features. Participants were asked to view a 20 min virtual demonstration of Carmi and provide input on its interface, navigation, potential impact on their clinic workflow, and suggestions for additional features. Interviews were transcribed and thematically analyzed using NVivo. <b>Results</b>: Participants found Carmi's interface user-friendly; most agreed that Carmi could reduce cognitive burden by automatically generating summary reports of assessments completed by patients and facilitating care coordination. Participants thought integration within existing electronic medical records was important, albeit Care of the Elderly physicians saw the value of Carmi as a standalone platform, noting that it can become a collaborative space where all healthcare providers can contribute to patient care. <b>Conclusions:</b> Carmi has the potential to improve primary care efficiency, especially for older adults with complex health needs. Work is underway at several pilot sites that have implemented Carmi so far to gather physicians, patients, and their caregivers' feedback on its usability.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11675189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced Nutritional and Functional Recovery in Femur Fracture Patients Post-Surgery: Preliminary Evidence of Muscle-Targeted Nutritional Support in Real-World Practice.","authors":"Francisco José Soria Perdomo, Sara Fernández Villaseca, Cristina Zaragoza Brehcist, Elena García Gómez","doi":"10.3390/geriatrics9060153","DOIUrl":"10.3390/geriatrics9060153","url":null,"abstract":"<p><p><b>Background/Objectives</b>: To describe the effects of muscle-targeted oral nutritional supplementation (MT-ONS) on nutrition, functional capacity, and other health outcomes in patients after femur fracture surgery. <b>Methods</b>: A prospective, open-label, single-centre study was conducted. Patients aged 80+ post-femur fracture were recruited. They were assessed at baseline and after 90 days with MT-ONS, 100% whey protein enriched with leucine and vitamin D. Demographics, clinical and nutritional status (MNA^®-SF), functional capacity [Barthel Index (BI), Lawton and Brody (LB) scale], muscle strength (dynamometry), cognition [Global Deterioration Scale (GDS)], tolerability, and satisfaction data were collected. Descriptive statistics were performed. Ethical approval was obtained. <b>Results</b>: Thirty-one patients (74% women, mean age 87 ± 3.99 years) were enrolled. At baseline, 32% were malnourished and 65% were at risk. After ≥90 days of MT-ONS, malnutrition decreased to 13% and well-nourishment increased to 32%. Ninety percent gained weight, with significant muscle strength improvements (+2 kg, <i>p</i> < 0.001). Eighty-one percent achieved a BI score ≥ 60 points [mean 84.8 (±17.82)]. BI score improvements correlated with higher baseline muscle strength (rho = 0.413, <i>p</i> = 0.021) and better nutritional status (rho = 0.464, <i>p</i> = 0.009). The mean LB score was 4.84 (±2.26). Improvements correlated with the pre-fracture BI score (rho = 0.475, <i>p</i> = 0.007). Positive correlations were noted between nutritional status, muscle strength, and functional outcomes. Cognition remained stable (GDS = 1 in 67.7% patients). Tolerability and satisfaction with MT-ONS were high at 90%. <b>Conclusions</b>: MT-ONS, 100% whey protein enriched with leucine and vitamin D, for ≥90 days enhances nutritional status and functional recovery in patients after femur fracture surgery.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11675484/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The REGENERATE Study: A Non-Randomized Feasibility Study of an Intervention to REduce anticholinerGic burdEN in oldER pATiEnts.","authors":"Athagran Nakham, Christine Bond, Moira Cruickshank, Rumana Newlands, Phyo Kyaw Myint","doi":"10.3390/geriatrics9060152","DOIUrl":"https://doi.org/10.3390/geriatrics9060152","url":null,"abstract":"<p><p><b>Background:</b> Anticholinergic burden (ACB) from medications has been associated with adverse outcomes in older adults. <b>Aim:</b> The aim was to conduct a non-randomized feasibility study of an intervention to reduce the anticholinergic burden in older patients (REGENERATE) to inform a subsequent definitive trial. <b>Methods:</b> The development and evaluation of an ACB reduction intervention was guided by the Medical Research Council framework. Findings from preliminary studies, two systematic reviews, and two qualitative studies informed the design of a mixed-method feasibility study. The study was conducted in one UK primary care site. The clinical pharmacist identified and invited potentially eligible patients, reviewed their medications, and made recommendations to reduce the ACB as needed. Patients completed surveys at baseline and 6 and 12 weeks post-intervention. A purposive sample of patients and healthcare professionals was interviewed. <b>Results:</b> There was a response of 16/20; 14/16 attended the pharmacist-led consultation and completed the baseline questionnaire, and 13/14 completed both follow-up questionnaires. The sustainability of deprescribing was confirmed. The results suggest the potential of the intervention to reduce side effects from medications and improve quality of life (EQ-5D-5L). The interviews showed patients were happy with the study processes and the medication changes and were satisfied with the pharmacist's consultation. <b>Conclusions:</b> This feasibility study demonstrated that a deprescribing/reducing ACB intervention in older adults is feasible in a primary care setting and may benefit patients. Well-designed RCTs and cost-effectiveness studies should be undertaken to confirm the benefits of ACB deprescribing in primary care settings.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kidney Transplantation in Older Recipients Regarding Surgical and Clinical Complications, Outcomes, and Survival: A Literature Review.","authors":"Aleksandra Barbachowska, Jolanta Gozdowska, Magdalena Durlik","doi":"10.3390/geriatrics9060151","DOIUrl":"10.3390/geriatrics9060151","url":null,"abstract":"<p><p><b>Context</b>: The best treatment for end-stage chronic kidney disease (ESKD) is kidney transplantation (KT). As a result of an aging population, each year more kidney transplants in older adults are performed. Nevertheless, older recipients, characterized by more comorbidities and frailty, raise concerns about the outcomes, potential complications, and the general approach. <b>Aim</b>: The aim of this literature review was to study the outcomes, graft and patient survival, as well as common complications, to establish safety and increase awareness of the potential complications of kidney transplantation in the older population. <b>Methods</b>: PubMed and Google scholar databases were searched. The cut-off age defining an old patient was 60 years. The inclusion criteria were as follows: first kidney transplantation, and studies in English language. The exclusion criteria were as follows: more than one organ transplant, dual transplants, articles published before 2015, meta-analysis, reviews, letter to the editor, case reports, and studies published only as a conference abstract. Comparative and noncomparative studies addressing patient survival, death-censored graft survival, surgical complications, and clinical complications, such as delayed graft function (DGF) and biopsy proven acute rejection (PBAR), were included. <b>Results</b>: After screening the papers, 17 studies met the inclusion criteria and were included for review. Eleven papers compared older recipients with younger recipients and in six papers only older patients were analysed. Two studies used paired deceased donors to eliminate donor bias. The rest of the studies used either deceased donors or both living and deceased donors. The majority of patients were male (61.83%) and received a kidney from a deceased donor (58.08%). <b>Conclusions</b>: Kidney transplantation is safe and can be beneficial for recipients over 60 years of age. Older patients suffered more infectious complications, which were also one of the main reasons for death. Most studies did not show a significant difference in death-censored graft survival compared to the younger population. More research is needed to establish the prevalence of surgical complications, and some clinical complications.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587128/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MRI-Based Phenotyping for Osteosarcopenic Adiposity in Subjects from a Population-Based Cohort.","authors":"Elke Maurer, Susanne Rospleszcz, Wolfgang Rathmann, Barbara Thorand, Annette Peters, Christopher L Schlett, Fabian Bamberg, Lena Sophie Kiefer","doi":"10.3390/geriatrics9060150","DOIUrl":"10.3390/geriatrics9060150","url":null,"abstract":"<p><p><b>Objective:</b> Imaging biomarkers of bone, muscle, and fat by magnetic resonance imaging (MRI) may depict osteopenia, sarcopenia, and adiposity as the three different conditions of osteosarcopenic adiposity (OSA). <b>Methods:</b> Subjects from a prospective, population-based case-control study underwent a health assessment and 3 Tesla whole-body MRI scan. Imaging biomarkers of bone (bone marrow fat-fraction (BMFF)), skeletal muscle (skeletal muscle FF (SMFF)), and fat (total adipose tissue (TAT)) were determined. Participants were allocated to one phenotype according to the OSA complex. <b>Results:</b> Among 363 participants forming the study cohort, 81 (22.3%, 48.1% males, 62.4 ± 6.9 years) were allocated into the OSA subgroup. Participants with an OSA phenotype were significantly older compared to all remaining subjects and showed the highest grades of SMFF (all <i>p</i> < 0.005). Together with subjects from the osteopenic sarcopenia group, OSA subjects exhibited the highest amounts of BMFF and together with the three other adiposity-containing subgroups also exhibited the highest BMIs. The highest prevalence of an impaired glucose tolerance as well as significantly higher blood pressure, blood dyslipidemia, and hepatic steatosis was found in the OSA subgroup (all <i>p</i> < 0.005). <b>Conclusions:</b> MR biomarkers of bone, skeletal muscle and fat are feasible for body composition phenotyping and may allow for targeted risk stratification in suspected OSA syndrome.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11587111/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mortality in Newly Admitted Nursing Home Older Adults with Dementia in France: A Post Hoc Analysis from an Observational Study in the Bordeaux Region.","authors":"Damien Krier, Mélanie Le Goff, Catherine Helmer, Jérôme Wittwer","doi":"10.3390/geriatrics9060149","DOIUrl":"10.3390/geriatrics9060149","url":null,"abstract":"<p><strong>Background/objectives: </strong>A significant proportion of older adults with Alzheimer's disease or related disorders live in a long-term care facility. This study aimed to determine the time delay between admission and death for older adults with dementia.</p><p><strong>Methods: </strong>A post hoc analysis was conducted using data from a French observational cohort, identifying older adults with dementia who were admitted to nursing homes. This study assessed median survival times after admission to care facilities by using Kaplan-Meier models and evaluated factors potentially associated with the time until death by using Cox models.</p><p><strong>Results: </strong>A total of 201 individuals were included. The median survival time from admission to a nursing home to death was 39 months. Being male, an older age, and having higher cognitive impairment and comorbidities were associated with decreased survival rates.</p><p><strong>Conclusions: </strong>This study provides survival results for institutionalised older adults with dementia in France and provides elements for the definition of future public policies.</p>","PeriodicalId":12653,"journal":{"name":"Geriatrics","volume":"9 6","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11586958/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142709203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}