Geriatric Care最新文献_第9页

Electroconvulsive therapy: old acquaintance for the youngster or new opportunity for the elder? Review of the literature and applications in the geriatric population 电休克疗法:年轻人的老相识还是老年人的新机会?文献综述及其在老年人群中的应用

Geriatric Care Pub Date : 2019-12-23 DOI: 10.4081/gc.2019.8385

M. Palleschi, Davide Trubian, A. Palleschi

{"title":"Electroconvulsive therapy: old acquaintance for the youngster or new opportunity for the elder? Review of the literature and applications in the geriatric population","authors":"M. Palleschi, Davide Trubian, A. Palleschi","doi":"10.4081/gc.2019.8385","DOIUrl":"https://doi.org/10.4081/gc.2019.8385","url":null,"abstract":"Electroconvulsive therapy (ECT) is among the most controversial and mythicized therapies in the psychiatric and medical clinical context. Historically, this practice was used in some contexts as a torture or a coercive method and the lay public as well as the collective imaginary has always considered and represented this treatment as inhuman. Prejudices and limited knowledge of this therapeutic tool have contributed to consider this procedure as a violent act and an assault to human dignity, progressively reducing its employment in time. Despite these prejudices, in the international literature several studies have demonstrated a considerable evidence in support of the use of ECT for some psychiatric diseases, considering it among the safest and most effective treatments. Especially in case of life-risk diseases, such as major depression, ECT proved to be necessary in dealing with pharmaco-resistance and bringing to remission psychotic depression with high risk of suicide. Furthermore, to date ECT results to be the treatment of choice in depressed patients that cannot be treated with pharmacotherapy, e.g. in pregnant women, in which the use of antidepressant drugs exposes the fetus to a teratogenic risk, or in elder patients, in which multiple-drug treatments and interactions have to be carefully considered. The purpose of this paper is to provide a review of the literature regarding ECT and concise guidelines for this treatment and its clinical outcomes, with special reference to geriatric population.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/gc.2019.8385","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43507199","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}

引用次数: 0

Rare diseases in the elderly: a new perspective for the specialist in geriatrics 老年人罕见病:老年病学专家的新视角

Geriatric Care Pub Date : 2019-12-20 DOI: 10.4081/gc.2019.8769

C. Sabbà, G. M. Lenato, C. Custodero, P. Suppressa

{"title":"Rare diseases in the elderly: a new perspective for the specialist in geriatrics","authors":"C. Sabbà, G. M. Lenato, C. Custodero, P. Suppressa","doi":"10.4081/gc.2019.8769","DOIUrl":"https://doi.org/10.4081/gc.2019.8769","url":null,"abstract":"Rare diseases (RD) encompass a broad spectrum of highly heterogeneous illnesses characterized by a prevalence lower than 1:2000 in general population. Although relatively uncommon, when considered as a whole, these pathologies represent a relevant public health problem. In light of their usual early onset and high severity and mortality, RD have been traditionally regarded as affecting mainly childhood or young adulthood, and considered to be excluded from filed of interest of geriatric specialists. However, more recent epidemiological studies, suggest that demographic changes, sometimes joined with advances in diagnostic and therapeutic strategies, are permitting longer survival of some persons affected by these conditions, thus making RD compatible with geriatric age. Hence, in the next future, specialists in geriatrics will be referred to by an increasing number of elderly subjects with RD seeking medical care. Geriatricians should be aware about the high management complexity of elderly patients with RD, characterized by considerable frailty status, related to both the primary RD and to the ageingrelated condition.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/gc.2019.8769","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49193012","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}

引用次数: 1

Implementation of the SELFY-MPI in five European countries: a multicenter international feasibility study SELFY-MPI在五个欧洲国家的实施：一项多中心国际可行性研究

Geriatric Care Pub Date : 2019-12-02 DOI: 10.4081/gc.2019.8502

S. Zora, Katerin Leslie Quispe Guerrero, N. Veronese, A. Ferri, A. Boone, M. P. González, Y. Pers, H. Raat, G. Baker, A. Cella, A. Pilotto

{"title":"Implementation of the SELFY-MPI in five European countries: a multicenter international feasibility study","authors":"S. Zora, Katerin Leslie Quispe Guerrero, N. Veronese, A. Ferri, A. Boone, M. P. González, Y. Pers, H. Raat, G. Baker, A. Cella, A. Pilotto","doi":"10.4081/gc.2019.8502","DOIUrl":"https://doi.org/10.4081/gc.2019.8502","url":null,"abstract":"It is essential for welfare systems to predict the health and care needs of people with chronic diseases. The Multidimensional Prognostic Index (MPI) proved excellent accuracy in predicting negative health outcomes. Recently, a selfadministered version of MPI (SELFY-MPI) was developed and validated in community-dwelling subjects showing an excellent agreement between the two instruments regardless of age. This is a feasibility study concerns the implementation of SELFYMPI in five European countries. The SELFY-MPI includes the self-administration of Barthel Index, Instrumental Activities of daily Living (IADL), Test Your Memory (TYM) Test, Mini Nutritional Assessment-Short Form (MNA-SF), comorbidity, number of medications, and the Gijon’s Socio-Familial Evaluation Scale (SFES). A descriptive analysis was performed on the data collected. 300 subjects (mean age 62 years, range 19-88 years; male/female ratio 0.81) completed the SELFY-MPI. The mean value of the SELFY-MPI was 0.131 (range: 0.00.563) showing a significant correlation with age (Pearson coefficient=0.373, P<0.001). The mean value of the SELFYMPI filling time was 15 minutes (range: 545 minutes) showing a significant correlation between age and filling time (Pearson coefficient=0.547, P<0.001). The SELFYMPI is an excellent self-administered tool for comprehensive self-assessment screening of community-dwelling people at risk of physical and cognitive frailty and/or socioeconomic vulnerability.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/gc.2019.8502","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45199761","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}

引用次数: 10

Falls prevention among older adults at a Nursing home in a northern suburban of Perth in Western Australia 在西澳大利亚州珀斯北部郊区的一家养老院，老年人预防跌倒

Geriatric Care Pub Date : 2019-11-25 DOI: 10.4081/gc.2019.8358

Horatius Musembi, D. Sundin

{"title":"Falls prevention among older adults at a Nursing home in a northern suburban of Perth in Western Australia","authors":"Horatius Musembi, D. Sundin","doi":"10.4081/gc.2019.8358","DOIUrl":"https://doi.org/10.4081/gc.2019.8358","url":null,"abstract":"The objective was to identify factors leading to falls and determine the role of nurses and carers play in falls prevention. A retrospective audit of the performance of nurses and carers regarding falls prevention among older adults was used. Residents who had a fall during July 2015 (n=25) were identified using purposeful sampling. Data for this study were collected from the files of these residents. Data analysis was done by using the Fisher exact test which was appropriate for the collected data. Residents aged 85-89 years had the most falls (32%); however, one resident who fell five times in the studied month was aged 90 years. Residents aged 70-74 years had the lowest number of falls (8%). Twenty-two (88%) of the residents who fell were incontinent, 20 (80%) were confused, 19 (76%) were using walking aids and four (16%) were blind. Only five (20%) residents who reported falls in the studied month were independent. Most falls occurred among residents of advanced age, and among those who had incontinence, were confused and failed to use walking aids. Residential home staff should increase vigilance during specific times and monitors closely residents with a high risk of falls.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":"5 1","pages":"57"},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/gc.2019.8358","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42012286","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}

引用次数: 0

Impact of anticholinergic burden on cognitive impairment, disability and malnutrition: a cross-sectional study among hospitalized older patients 抗胆碱能负荷对认知障碍、残疾和营养不良的影响:住院老年患者的横断面研究

Geriatric Care Pub Date : 2019-11-25 DOI: 10.4081/gc.2019.8473

M. Nastri, G. Bartoli, P. De Colle

{"title":"Impact of anticholinergic burden on cognitive impairment, disability and malnutrition: a cross-sectional study among hospitalized older patients","authors":"M. Nastri, G. Bartoli, P. De Colle","doi":"10.4081/gc.2019.8473","DOIUrl":"https://doi.org/10.4081/gc.2019.8473","url":null,"abstract":"The anticholinergic burden (ACB) is known to be associated with the worsening of functional and cognitive status. This study aims at demonstrating a correlation between the ACB and the malnutrition, given the widespread effect on the digestive tract of anticholinergic medications. From 2012 to 2018, 2843 patients were recruited among the new admissions to our Geriatric Unit. For each patient the activities of daily living (ADL), the instrumental activities of daily living (IADL), the mini mental state examination (MMSE), the cumulative illness rating scale (CIRS), the mini nutritional assessment (MNA) and the ACB of medications were evaluated. The correlations between the ACB and the ADL (P<0.001), the IADL (P<0.001), the MMSE (P<0.001) scores were confirmed, and a significant correlation was also found between the ACB and the MNA (P<0.001) score. The CIRS and the ACB scores resulted to be independent predictors of all outcomes considered, in a linear regression model adjusted for age, sex, comorbidity and number of prescribed drugs. Therefore, ACB seems to have by itself an impact on physical and cognitive functions and on nutritional status.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/gc.2019.8473","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45879695","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}

引用次数: 2

Pet ownership and cognitive decline in older people 养宠物与老年人认知能力下降

Geriatric Care Pub Date : 2019-11-04 DOI: 10.4081/gc.2019.8568

N. Veronese, Lee Smith, V. Noventa, G. López-Sánchez, J. Demurtas, C. Sharpley, V. Bitsika, S. Jackson

{"title":"Pet ownership and cognitive decline in older people","authors":"N. Veronese, Lee Smith, V. Noventa, G. López-Sánchez, J. Demurtas, C. Sharpley, V. Bitsika, S. Jackson","doi":"10.4081/gc.2019.8568","DOIUrl":"https://doi.org/10.4081/gc.2019.8568","url":null,"abstract":"Animals can have a positive influence on human health. However, it is not yet known whether pet ownership can prevent cognitive decline. Therefore, we aimed to investigate cross-sectional and prospective associations between pet ownership and cognitive function in a large, representative sample of older adults. Data were from the English Longitudinal Study of Ageing (ELSA) using data collected in wave 5 and six years later in wave 8. Pet ownership was categorized as no pet, dog, cat or other pet. Cognitive function was assessed using tests of verbal fluency (assessed by asking how many different animals the participants could name in 60 seconds) and memory (sum of immediate and delayed verbal recall). Multiple linear regression, adjusted for potential confounders, was used to test the associations between pet ownership and cognitive function. A total of 8291 people (mean age: 66.72 years) were included. In cross-sectional analyses, dog owners had better verbal fluency than individuals with no pet, but there was no significant difference between cat or other pet owners and those with no pet. In prospective analyses, dog owners had a significantly larger decline in recall than those with no pet, whilst cat owners had a significantly smaller decline in verbal fluency. These results provide some evidence to suggest that pet ownership may have positive effects on cognition in later life. However, benefits of pet ownership were not unilaterally observed across different types of pet and measures of cognitive function suggesting that further research is required.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/gc.2019.8568","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45961106","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}

引用次数: 0

Urological-Geriatric Integrated Diagnostic-Therapeutic Pathway for elderly patients with urologic diseases 老年泌尿系统疾病患者的泌尿-老年综合诊断-治疗途径

Geriatric Care Pub Date : 2019-11-04 DOI: 10.4081/gc.2019.8501

A. Pilotto, C. Introini, G. Capponi, F. Bonini, Monica Pomata, R. Custureri, Lisa A Cammalleri

{"title":"Urological-Geriatric Integrated Diagnostic-Therapeutic Pathway for elderly patients with urologic diseases","authors":"A. Pilotto, C. Introini, G. Capponi, F. Bonini, Monica Pomata, R. Custureri, Lisa A Cammalleri","doi":"10.4081/gc.2019.8501","DOIUrl":"https://doi.org/10.4081/gc.2019.8501","url":null,"abstract":"Aging of population represents a new challenge for physicians who have to deal with the balance of risk and benefit in a population that is poorly represented in clinical trials. Frail patients need individualized treatments because of their high risk of developing complications in the course of therapies. Several studies have reported the effect of frailty on falls, hospitalization and mortality, but only few have focused on surgical patients and frailty is not included in the traditional surgical risk scales. Geriatric surgery patients have a physiologic vulnerability requiring assessment beyond the traditional preoperative evaluation of adults. Although single organ evaluation cannot be ignored in elderly population, recognition of frail patients during preoperative assessment may provide additional insight in predicting poor outcome; thus, aiding preoperative decision-making. We developed a Urological-Geriatric Integrated Diagnostic-Therapeutic Pathway in order to evaluate ≥65 years old patients affected by urogenital pathologies which require major surgery and to early identify frail subject.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/gc.2019.8501","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46479972","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}

引用次数: 0

The prescription paradox: a guide to appropriate prescribing in the elderly 处方悖论:老年人合理处方指南

Geriatric Care Pub Date : 2019-11-04 DOI: 10.4081/gc.2019.8523

Ryan B. Thomas, S. R. Jang, M. Lombardi, V. Maio

引用次数: 1

Importance of quality of life in people with dementia treated with enteral nutrition: the role of the nurse 肠内营养对痴呆患者生活质量的重要性：护士的作用

Geriatric Care Pub Date : 2019-07-30 DOI: 10.4081/GC.2019.8253

N. Veronese, S. Minto, O. Bonso, A. Merlo

{"title":"Importance of quality of life in people with dementia treated with enteral nutrition: the role of the nurse","authors":"N. Veronese, S. Minto, O. Bonso, A. Merlo","doi":"10.4081/GC.2019.8253","DOIUrl":"https://doi.org/10.4081/GC.2019.8253","url":null,"abstract":"Nutritional problems are common in dementia and can lead to enteral nutrition, a nutritional treatment option in severe stages of dementia. However, the benefits of enteral nutrition in people with dementia are still weak. The decision to use artificial nutrition in these patients is often emotional and complex and the attitudes of health personnel (physicians and nurses) in this sense they are very different. The objective of this review is to show the role of enteral nutrition on quality of life in patients affected by dementia and the possible implications for practice and research, with a special focus on nurse role. We made a literature search in PubMed and Scopus, searching for studies dealing with enteral nutrition and quality of life in dementia. We were able to find only a few observational studies related to enteral nutrition and quality of life, with a lack in the scientific literature regarding the management of nutritional problems in dementia, particularly taking in account quality of life. Furthermore, by orienting the research on a possible role of nurses, there were limited studies on properly nursing aspects. From this work emerges the need for further research in this context for which the training and education of health personnel result of fundamental importance, with a view to improving the quality of life of the patients with dementia and their family.","PeriodicalId":30930,"journal":{"name":"Geriatric Care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4081/GC.2019.8253","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46255723","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}

引用次数: 3

Abstract Book of the 33° Congresso Nazionale SIGOT - Bologna, 5-7 giugno 2019 2019年6月5-7日，博洛尼亚第33届全国大会摘要

Geriatric Care Pub Date : 2019-05-17 DOI: 10.4081/GC.2019.8290

E. Pilotto

引用次数: 0