{"title":"[CGA tools and its usefulness].","authors":"","doi":"10.3143/geriatrics.62.17","DOIUrl":"https://doi.org/10.3143/geriatrics.62.17","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"17-20"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754874","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":"[Screening and Management of Dementia Using CGA].","authors":"","doi":"10.3143/geriatrics.62.21","DOIUrl":"https://doi.org/10.3143/geriatrics.62.21","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"21-27"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754837","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":"[Person-centered care-based digital transformation education program for elderly dementia patients with delirium: a comparison of the effect on nurses and doctors].","authors":"Mizue Suzuki, Tomotaka Ito, Keigo Inagaki, Soichiro Mimuro, Miyae Yamakawa, Keigo Takiue, Keisuke Sawaki, Yusuke Komatsu, Masayo Uchiyama, Chieko Kawashima, Kaoru Yamazaki, Masako Satoh, Satoshi Isogai","doi":"10.3143/geriatrics.62.59","DOIUrl":"https://doi.org/10.3143/geriatrics.62.59","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop an educational program for doctors and nurses who treat and care for older adults with dementia and delirium, based on a person-centered care program, utilizing virtual reality (VR) and augmented reality (AR).</p><p><strong>Methods: </strong>A VR/AR-based program was implemented from February 16 to June 10, 2023, and participants were asked to complete questionnaires before the intervention, immediately after, and three months later.</p><p><strong>Results: </strong>This study included 74 participants, including 61 nurses (84.2%) and 13 doctors (17.6%). Confidence in delirium care significantly increased for both nurses and doctors immediately after the intervention and one month later relative to baseline. However, knowledge of delirium did not show significant improvement in either nurses or doctors. In the Approaches to Dementia Questionnaire, nurses showed significant improvement in the domain of \"personhood\" and their total score after one month relative to baseline. The total score of doctors only improved immediately after the intervention relative to the baseline score. In the Team Approach Assessment Scale-Revised, nurses showed significant improvement in the domain of \"clarification of goals and roles\" and the total score of nurses at one month relative to baseline, while physicians showed no significant improvement.</p><p><strong>Conclusion: </strong>The program using VR/AR to experience the viewpoints of elderly individuals with dementia and the experiences of multiple professions in this study significantly improved nurses' practice and awareness of person-centered care for older adults with dementia, and nurses' and physicians' confidence in their treatment and care for delirium. Moreover, the study highlights the necessity of incorporating interventions that draw upon the expertise of various professions within dementia care programs to promote multidisciplinary collaboration.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"59-69"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754885","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":"[Introduction of a smart insulin pen in an elderly patient with type 1 diabetes mellitus].","authors":"Arina Yamasaki, Shiho Egashira, Yuka Komatsu, Hitomi Minagawa, Hiroki Takayanagi, Hirokazu Takahashi, Keizo Anzai","doi":"10.3143/geriatrics.62.93","DOIUrl":"https://doi.org/10.3143/geriatrics.62.93","url":null,"abstract":"<p><p>In elderly diabetes patients with an impaired cognitive function and activities of daily living, multiple daily insulin injection (MDI) therapy is associated with poor injection rates. However, patients with insulin-dependent conditions, such as type 1 diabetes, need to continue insulin therapy. Intermittently scanned continuous glucose monitoring (isCGM) and smart insulin pens have recently emerged as devices for blood glucose management. Smart insulin pens are devices that automatically record the insulin injection time and injection units of insulin and wirelessly transfer the data to a smartphone application. We herein report an elderly patient with type 1 diabetes who was treated with a smart insulin pen.An 84-year-old woman was diagnosed with type 1 diabetes at 45 years old and had been receiving MDI therapy. She had frequent unconscious hypoglycemia and thus had isCGM introduced at 80 years old. Her Mini-Mental State Examination score was 20 points, indicating mild cognitive decline, and isCGM revealed repeated hyperglycemia due to forgetting her insulin injection and hypoglycemia due to over-dose of insulin. When she was hospitalized for diabetic ketosis at 84 years old, a smart insulin pen was introduced. Following this introduction, her family and medical staff checked her insulin records and encouraged her to perform injections. She subsequently no longer experienced hyperglycemic crisis or severe hypoglycemia.Elderly patients with type 1 diabetes often have difficulty with self-management of MDI therapy. Smart insulin pens are expected to reduce the rate of forgetting insulin injections and improve injection rates.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"93-99"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754881","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":"[Management of malignant tumors (systemic cancer therapy) using CGA].","authors":"","doi":"10.3143/geriatrics.62.32","DOIUrl":"https://doi.org/10.3143/geriatrics.62.32","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"32-36"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754883","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":"[Utilization of comprehensive geriatric assessment (CGA) in geriatric nursing].","authors":"","doi":"10.3143/geriatrics.62.37","DOIUrl":"https://doi.org/10.3143/geriatrics.62.37","url":null,"abstract":"","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"37-41"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754901","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":"[Cross-sectional association between social isolation and nutritional status among older urban adults: The Itabashi Longitudinal Study on Aging].","authors":"Lena Käläntär, Tatsunosuke Gomi, Keiko Motokawa, Misato Hayakawa, Yurie Mikami, Maki Shirobe, Masanori Iwasaki, Narumi Kojima, Yosuke Osuka, Hiroyuki Sasai, Hiroki Inagaki, Fumiko Miyamae, Ayako Edahiro, Tsuyoshi Okamura, Hirohiko Hirano, Shuichi Awata","doi":"10.3143/geriatrics.62.70","DOIUrl":"https://doi.org/10.3143/geriatrics.62.70","url":null,"abstract":"<p><strong>Aim: </strong>The social isolation of older Japanese adults with infrequent contact with others diminishes appetite, reduces food intake, and worsens their nutritional status. However, there is insufficient evidence regarding the association between social isolation and nutritional status, with studies primarily confined to rural and suburban areas. This cross-sectional study aimed to investigate the association between social isolation and nutritional status among older adults residing in urban areas.</p><p><strong>Methods: </strong>This cross-sectional analysis included 1,052 adults (mean age, 78 years). Nutritional status was assessed using the Mini Nutritional Assessment<sup>®</sup> Short Form, with a score of 11 or below indicating malnutrition. Applying the abbreviated Lubben Social Network Scale, a score < 12 was considered indicative of social isolation. Logistic regression was applied to the entire population, then the population was separated by sex, with social isolation as the independent variable and malnutrition as the dependent variable. The covariates included age, living alone, economic status, health, daily activities, smoking habits, drinking habits, and years of education.</p><p><strong>Results: </strong>Social isolation was observed in 41.7% (n = 439) of the total population, while malnutrition was observed in 27.4% (n = 288). Social isolation was significantly associated with malnutrition (odds ratio: 1.41, 95% confidence interval: 1.06-1.88). Sex subgroup analyses revealed that a significant association was retained only among female participants.</p><p><strong>Conclusions: </strong>Social isolation has been associated with malnutrition among older urban adults in Japan. Future longitudinal studies of the nutritional status of socially isolated individuals are essential.</p>","PeriodicalId":35593,"journal":{"name":"Japanese Journal of Geriatrics","volume":"62 1","pages":"70-77"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143754876","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}
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