Journal of gerontology and geriatric research最新文献

{"title":"Application of Medical Moisture Retention Cream (ALHYDRAN®),: A New Option in the Treatment of Venous Eczema","authors":"Rondas Aalm, Schols Jmga","doi":"10.4172/2167-7182.1000395","DOIUrl":"https://doi.org/10.4172/2167-7182.1000395","url":null,"abstract":"Aim: Patients with venous eczema may suffer considerably from redness, crusts, pain, flaking and itching. In general, as treatment, compression therapy and indifferent ointments/cremes are used, often together with topical steroids, though the latter may exhibit considerable side effects. This study aims to explore the effect of Medical Moisture Retention Cream (MMRC = ALHYDRAN®) on the symptoms and complaints of patients suffering a venous eczema, often next to an existing VLU. The working mechanism of MMRC involves a combination of the moisturizing effect of Aloe Vera gel and the moderate occlusion effect of added fatty acids. \u0000Method: In an open case series, 18 patients attending an outpatient wound clinic with moderate venous eczema (maximum TIS score<3) participated. MMRC was applied twice a day and its use was clinically assessed for 4 consecutive weeks. Next to the registration of patient characteristics and capturing the clinical details of the skin lesions in weekly pictures, a VAS scale to assess the patients’ and caregivers’ experience with the treatment was used. \u0000Results: During the application of MMRC, the signs and symptoms of a dry, itchy, scaly, crusty and erythematous skin, fainted in all patients. The skin condition of most participating patients improved and there was also a visibly better skin hydration status in all patients. Relevant aspects such as ‘night rest’, ‘mood’ and ‘social participation’ improved, except for 2 patients. The clinical skin condition of one of these deteriorated in a week, which was not related to the use of MMRC. No side effects to the use of MMRC were observed. The wound care experienced nurses assessed MMRC as effective and feasible. \u0000Conclusion: This study shows that MMRC is effective, safe, and feasible in the treatment of venous eczema. Future Randomized Controlled Trials are necessary to compare the efficacy and feasibility of MMRC with the application of other hydrating creams/ointments and topical steroids.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128537216","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":"Quaternary Prevention in Geriatric Anesthesiology","authors":"Sukhminder Jit Bajwa","doi":"10.4172/2167-7182.1000402","DOIUrl":"https://doi.org/10.4172/2167-7182.1000402","url":null,"abstract":"Anesthesia administration in geriatric patients has always been challenging. Besides, the variable pharmacokinetics and pharmacodynamics, numerous other factors need to be considered for any surgical procedure or during treatment of critically ill geriatric patients in intensive care units. Besides taking care of clinical comorbidities, many other preventive measures are necessary to minimize the morbidity and mortality in this subset of population. The concept of ‘quaternary prevention’ has recently gained popularity but its application in geriatric population presenting for surgery has been very limited. The current brief review discusses various aspects of quaternary prevention applicable to anesthesia procedures in geriatric patients during peri-operative period.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126276545","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":"TSH Elevation and Chronic Kidney Disease in Elderly Adults","authors":"Mei-Hsing Chuang, Y. Hung, P. Chou","doi":"10.4172/2167-7182.1000397","DOIUrl":"https://doi.org/10.4172/2167-7182.1000397","url":null,"abstract":"Chronic kidney disease (CKD) is common in the elderly. Thyroidstimulating hormone (TSH) progressively increases over time in older individuals, and hypothyroidism is highly prevalent in CKD patients. Hypothyroidism was reported to be associated with increased mortality in CKD patients.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123535239","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":"Structural Validity and Reliability of the Dutch Older Patient in Acute Care Survey (OPACS), Measuring Nurses Attitude towards Older Patients","authors":"J. Dikken, J. G. Hoogerduijn, Sharon Klaassen, M. Schuurmans","doi":"10.4172/2167-7182.1000393","DOIUrl":"https://doi.org/10.4172/2167-7182.1000393","url":null,"abstract":"Background: In clinical practice, nurses’ attitudes regarding older patients are important in relation to quality of care. The Older People in Acute Care Survey (OPACS) is an instrument measuring hospital nurses attitudes regarding older patients and validated in Australia and the USA. The OPACS is translated in Dutch language and content validity of this translation is previously assessed, presenting questionable results. Measurement instruments, however, cannot be “validated” based on content validity evidence alone. Judgmental evidence and statistical analysis should be combined to fully evaluate content domain definition and representation and guide further development. \u0000Objective: Assess structural validity and reliability to fully evaluate the OPACS for use in the Netherlands, complementing previous conducted content validity results. \u0000Design: Cross-sectional. \u0000Setting: Three general hospitals in the Netherlands. \u0000Participants: 201 registered nurses. \u0000Methods: Confirmatory factor analysis was used to assess the structural validity. Reliability was assessed with Cronbach’s alpha. \u0000Results: OPACS Section A (measuring practice experiences) demonstrated to have acceptable structural validity- and good reliability outcomes after exclusion of two items (model fit: x² [df=537]=8475.40, p |z|)= 0.551 -0 .788). \u0000Conclusion: Even though structural validity for section A was acceptable, content validity scores of a majority of items in this subscale were low, resulting in questionable use of this subscale for the Dutch context. The findings of this study, in relation to the earlier findings regarding content validity, justify the conclusion that use of the Dutch OPACS in clinical practice and research is not recommended. Given these findings, future research should pursue the development or (cross-cultural) validation of other instruments measuring hospital nurses attitudes towards older patients for the Dutch cultural context. Furthermore, this study demonstrated the influence of cultural differences on measurement instruments and the need for rigorous research before using a measurement instrument in a new culture or context.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114674495","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":"Anesthesia Research Academics in Geriatric Patients: Need for a ClinicalCaution?","authors":"Sukhminder Jit Bajwa","doi":"10.4172/2167-7182.1000e143","DOIUrl":"https://doi.org/10.4172/2167-7182.1000e143","url":null,"abstract":"Anesthesia has always been challenging in geriatric patients. The predominant reason being variable pathophysiological changes of aging confer a different degree of response to various anesthetic agents in geriatric population [1]. A basic rule is that geriatric patients are not old adults like the fact that children are not young adults.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122643556","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":"Role of Technology in Management of Health Care of Elderly","authors":"Bhupinder Chaudhary, Rachna V Kumar","doi":"10.4172/2167-7182.1000391","DOIUrl":"https://doi.org/10.4172/2167-7182.1000391","url":null,"abstract":"The latest trend in demography is the rapid ageing of population throughout the world. According to WHO, the elderly population will almost double from 12% to 22% within a span ranging from 2015 to 2050. A similar trend is anticipated for the US. The data seems to be encouraging in terms of increase in life expectancy and reduced mortality due to advancements in medical science. But the flipside is that, the increased number of elderly commands increase in number of, or visits by caregivers to manage the increased demand for Quality of life for the elderly. Another study focused on the increased stress level with emotional and physical fatigue among care givers. A partial solution to this problem can be provided by technological interventions through the branch of Gerontechnology. This paper is an attempt to enlist and analyze the technology, which can augment the Quality of life of elderly along with reducing the burden on formal and informal caregivers.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115510447","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":"Optimal Care for Elderly in Transitionâ¦Lessons Learned","authors":"A. Vos","doi":"10.4172/2167-7182.1000392","DOIUrl":"https://doi.org/10.4172/2167-7182.1000392","url":null,"abstract":"The elderly population in the Netherlands is expected to increase from 2.5 million in 2010 to 4.1 million in 2030. Of these, a quarter is frail. Since the proportion of older elderly is expected to increase more dramatically from 2025 onwards, demographic analyses predict that the number of frail elderly will increase more rapidly than the number of elderly of 65 years and over. In 2030 we expect to have just over 1,000,000 frail elderly.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123647942","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":"Multimorbidity and Health-Related Quality of Life among Older Adults","authors":"Sema K. Aydede, D. Rasali, W. Osei, T. Hunt","doi":"10.4172/2167-7182.1000388","DOIUrl":"https://doi.org/10.4172/2167-7182.1000388","url":null,"abstract":"Multimorbidity, the co-occurrence of two or more chronic conditions in an individual, has been one of the most complex phenomena that has challenged healthcare systems around the world in recent times.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116687534","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":"Utilizing Standardized Patients to Teach Motivational Interviewing to Gerontology Health Care Providers","authors":"A. Jennings","doi":"10.4172/2167-7182.1000385","DOIUrl":"https://doi.org/10.4172/2167-7182.1000385","url":null,"abstract":"Health care institutions across the United States are facing challenges to train their gerontology health care providers to offer the best care possible to older patients in order to achieve optimal patient health outcomes. Innovative training strategies for gerontology health care providers to improve patient care may include the utilization of standardized patients.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116547620","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":"Contribution of Surgical Procedures Including Insertions of Implants, Stents, and Pacemakers to Longevity","authors":"G. Kotwal","doi":"10.4172/2167-7182.1000390","DOIUrl":"https://doi.org/10.4172/2167-7182.1000390","url":null,"abstract":"Several factors enhance longevity. Surgical procedures have been carried out increasingly each year for the past two hundred years since Lister experimented with developing sterile techniques to perform them. Today surgeries are performed in outpatient clinics and in hospitals requiring stays ranging from few hours to overnight stay and at times several days stay.","PeriodicalId":289564,"journal":{"name":"Journal of gerontology and geriatric research","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2017-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131932095","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}