Asian Journal of Gerontology and Geriatrics最新文献_第3页

Delayed diagnosis of parkinsonism hyperpyrexia syndrome resulting in death: a case report 帕金森病高热综合征的延误诊断导致死亡1例

Asian Journal of Gerontology and Geriatrics Pub Date : 2022-07-15 DOI: 10.12809/ajgg-2021-497-cr

C. Kwok, Y. Chan

引用次数: 0

Calciphylaxis of the fingers: a case report 手指钙化反应1例报告

Asian Journal of Gerontology and Geriatrics Pub Date : 2022-07-15 DOI: 10.12809/ajgg-2021-501-cr

Zay Yar Aung, Kumar Sheetanshu, Shan‐Xian Lee, C. Chen

引用次数: 0

Pain and frailty among community-dwelling older people in Hong Kong 香港社区长者的痛苦和虚弱

Asian Journal of Gerontology and Geriatrics Pub Date : 2022-07-15 DOI: 10.12809/ajgg-2022-529-oa

Doris KY Miu

{"title":"Pain and frailty among community-dwelling older people in Hong Kong","authors":"Doris KY Miu","doi":"10.12809/ajgg-2022-529-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2022-529-oa","url":null,"abstract":"Introduction. Pain and frailty are common geriatric syndromes and can lead to adverse health outcomes. This study aims to examine the association between pain and frailty in community-dwelling older adults in Hong Kong and to suggest a patient-centred intervention for frail older people with pain. Methods: Community-dwelling older adults aged ≥ 65 years were invited to attend a health check programme. Characteristics of pain were recorded, including the presence of pain, the total number of pain sites, the highest pain intensity, and the frequency of pain. The 5-item FRAIL scale was used to screen frailty. The Lawton instrumental activity of daily living (IADL) scale was used to assess independence. Handgrip strength of the dominant hand and walking speed for 6 meters were measured. Results: Of 445 older adults who attended the health check programme, 265 women and 64 men (mean age, 75 years) agreed to participate and were included for analysis. Of them, 123 (37.4%) reported persistent pain, 116 (35.5%) reported sporadic pain, and 90 (27.4%) reported no pain. Participants were classified as frail (n=47, 14.3%), prefrail (n=200, 60.8%), or robust (n=82, 24.9%). Comparing the combined frail and prefrail group with the robust group, frailty was independently associated with age (odds ratios [OR]=1.053, p=0.007), Lawton IADL (OR=0.602, p=0.004), and sporadic pain (OR=2.072, p=0.031), after adjusting for walking speed and handgrip strength. Conclusion: The prevalence of frailty is high among community-dwelling older adults in Hong Kong. Age, IADL, and sporadic pain are independently associated with frailty; only pain is amenable. Pain management may help prevent progression to frailty in older people.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42512392","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

Simulation training on donning personal protective equipment and performing cardiopulmonary resuscitation for nurses in a geriatric step-down hospital during COVID-19 新冠肺炎期间老年降压医院护士穿戴个人防护装备和心肺复苏的模拟训练

Asian Journal of Gerontology and Geriatrics Pub Date : 2022-07-15 DOI: 10.12809/ajgg-2021-460-oa

T. Chan, Frankie KK Lam, Hoi-Yan Lam, So Law, Pui-Lui Cheung, YC Tsang, A. Chan, F. H. Chan, J. Luk

{"title":"Simulation training on donning personal protective equipment and performing cardiopulmonary resuscitation for nurses in a geriatric step-down hospital during COVID-19","authors":"T. Chan, Frankie KK Lam, Hoi-Yan Lam, So Law, Pui-Lui Cheung, YC Tsang, A. Chan, F. H. Chan, J. Luk","doi":"10.12809/ajgg-2021-460-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2021-460-oa","url":null,"abstract":"Background. Donning personal protective equipment (PPE) and performing cardiopulmonary resuscitation (CPR) are stressful tasks for healthcare professionals, particularly during the COVID-19 pandemic. This study aimed to assess the effectiveness of simulation training on donning PPE and performing CPR with PPE put on for nurses at a geriatric step-down hospital. Methods. A lecture and simulation training on donning PPE and performing CPR were provided for nurses. Confidence in donning PPE and performing CPR, knowledge of CPR, and satisfaction of participants were assessed before training (baseline), after the lecture, and after the simulation training. Results. 50 nurses (33 women and 17 men) attended both the lecture and simulation training, accounting for 90% of nurses in the department. Self-rated confidence in donning PPE and performing CPR improved significantly after the lecture (both p<0.001) and again after the simulation training (both p<0.001). Knowledge of CPR improved significantly after the lecture (p<0.001). Self-rated satisfaction of participants was high (9.3±0.3). Conclusion. Simulation training on donning PPE and performing CPR with PPE put on significantly improves the knowledge and confidence of nurses in a geriatric step-down hospital. This may contribute to improved patient outcomes, particularly during the COVID-19 pandemic. © 2022 The Hong Kong Geriatrics Society and Hong Kong Association of Gerontology.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43192594","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

Video-based fall prevention education for cognitively impaired inpatients: a pilot study 基于视频的认知障碍住院患者跌倒预防教育:一项试点研究

Asian Journal of Gerontology and Geriatrics Pub Date : 2022-07-15 DOI: 10.12809/ajgg-2021-490-oa

J. Dai, Sibgat Saleheen, Anita Ko, Ishrat Jahan, N. Braidy, D. Chan

{"title":"Video-based fall prevention education for cognitively impaired inpatients: a pilot study","authors":"J. Dai, Sibgat Saleheen, Anita Ko, Ishrat Jahan, N. Braidy, D. Chan","doi":"10.12809/ajgg-2021-490-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2021-490-oa","url":null,"abstract":"Background. Inpatient falls complicate and lengthen hospital admissions for older adults. Cognitive impairment is a risk factor for falls. Current fall prevention education is ineffective for people with cognitive impairment. We aimed to investigate whether an educational video is a better mode of delivery than verbal education for individuals with cognitive impairment in terms of recall and fall prevention. Methods: In a randomised controlled trial, patients were assigned at random to receive fall prevention education either verbally or through an educational video. The co-primary outcomes were recall at 1 day and number of falls. Results: Of 21 and 31 participants assigned to receive video education (intervention) and verbal education (active comparator), respectively, 19 and 31 completed the study, respectively. The percentage of participants who recalled the fall prevention message was significantly higher in the intervention group than in the active comparator group (31.5% [6/19] vs 9.7% [3/31], p=0.03). There was no significant difference in the fall rate between groups. Conclusion: Fall prevention education delivered using a video may be better retained by individuals with cognitive impairment when compared with the standard practice of verbal fall prevention education. Larger studies are needed to confirm our findings.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45785677","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

Cognitive impairment and parkinsonism as a manifestation of delayed neuropsychological sequelae after carbon monoxide poisoning: a case report 一氧化碳中毒后迟发性神经心理后遗症表现为认知障碍和帕金森病1例

Asian Journal of Gerontology and Geriatrics Pub Date : 2022-07-15 DOI: 10.12809/ajgg-2021-487-cr

Trishpal Kaur Dhaliwal, B. H. Rosario

{"title":"Cognitive impairment and parkinsonism as a manifestation of delayed neuropsychological sequelae after carbon monoxide poisoning: a case report","authors":"Trishpal Kaur Dhaliwal, B. H. Rosario","doi":"10.12809/ajgg-2021-487-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2021-487-cr","url":null,"abstract":"We report a case of delayed neuropsychological sequelae manifesting as cognitive impairment and parkinsonism in a 72-year-old woman who attempted suicide by carbon monoxide poisoning 20 years earlier. was admitted after a fall-related traumatic brain injury resulting in bilateral sub-dural haemorrhages and seizures. She had hypertension, hyperlipidaemia, and depression. She had undergone mastectomy for right breast cancer 20 years earlier. She needed assistance in all instrumental activities of daily living (IADLs) and most basic ADLs. She had deficits in all six of the neurocognitive domains, with severe executive dysfunction, impaired language with paucity of spontaneous speech, and impaired memory and attention for 10 years. She was apathetic with low mood. Notably, in her early 50s, she had attempted suicide by CO poisoning and required mechanical ventilation for 10 days, after which her cognitive and functional deficits developed. Examination revealed features of parkinsonism with hypomimia, bilateral cogwheeling and lead-pipe rigidity of the upper limbs, generalised bradykinesia, and slow gait with decreased arm swing. Her abbreviated mental test score was 8/10. Her mini-mental state examination score was 22/30, with impairments in orientation and visuospatial tasks and unimpaired three-item recall. Her Geriatric Depression scale score was 11/15. She had vitamin B12 deficiency (<111 pmol/L) [normal range, 145-637 pmol/L) and was administered vitamin B12 replacement. Test results of and profiles, thyroid","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47965651","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

Colourimetric capnometry to verify nasogastric tube placement in patients at risk of mal-placement 比色测量法验证有放置不正确风险的患者鼻胃管放置

Asian Journal of Gerontology and Geriatrics Pub Date : 2021-12-17 DOI: 10.12809/ajgg-2020-446-oa

Peggy Pp Cheng, Iris FK Lee

{"title":"Colourimetric capnometry to verify nasogastric tube placement in patients at risk of mal-placement","authors":"Peggy Pp Cheng, Iris FK Lee","doi":"10.12809/ajgg-2020-446-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2020-446-oa","url":null,"abstract":"Background. Nasogastric tubes (NGT) are frequently used in geriatric settings and verification of NGT placement is important for patient safety. This study aimed to ascertain the accuracy of carbon dioxide (CO2) colourimeter in the verification of NGT and to estimate the reduction in patient waiting time for resumption of NGT feeding in the general care setting. Methods. Doubtful NGT placements were obtained from patients in three medical extended wards in a public hospital in Hong Kong. Doubtful NGT placements were verified using both X-ray imaging and CO2 colourimeter. The sensitivity and specificity of CO2 colourimeter were evaluated using X-ray imaging as the gold standard. The patient waiting time for resumption of NGT feeding were estimated by recording the time required for completion of X-ray imaging verification. Results. There were 26 patients in the study with a mean age of 74.07 years (SD = 16.33). Fifteen (57.7%) of them were male. The final sample consisted of 71 doubtful NGT placement and none of them was misplaced. The specificity of CO2 colourimeter was 98.6%, while the sensitivity was unable to determine. The patient waiting time required for X-ray imaging verification ranged from 51 to 1095 minutes (mean = 380.75 min., SD = 179.51). Conclusions. CO2 colourimeter has high specificity in verification of doubtful NGT placement. Replacing X-ray imaging with CO2 colourimetry verification may speed up resumption of NGT feeding.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44760071","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

Editorial 社论

Asian Journal of Gerontology and Geriatrics Pub Date : 2021-12-17 DOI: 10.12809/ajgg-v16n2-ed

J. Luk

引用次数: 0

Statin-induced immune-mediated necrotising myopathy: a case report 他汀类药物诱导的免疫介导的坏死性肌病1例报告

Asian Journal of Gerontology and Geriatrics Pub Date : 2021-12-17 DOI: 10.12809/ajgg-2020-440-cr

Ccd Leung, Wy Chu, CF Ko

引用次数: 0

Proton pump inhibitor–induced hypomagnesaemia leading to recurrent falls and delirium: a case report 质子泵抑制剂诱导的低镁血症导致复发性跌倒和谵妄:一例报告

Asian Journal of Gerontology and Geriatrics Pub Date : 2021-12-17 DOI: 10.12809/ajgg-2020-431-cr

Tanya Joy Zapata Quicho, C. Chen

引用次数: 0