Tijdschrift voor Gerontologie en Geriatrie最新文献_第10页

Signalementen 2019/3

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-11-07 DOI: 10.36613/tgg.1875-6832/2019.03.02

Redactiebureau Tgg

引用次数: 0

[Pharmacotherapy in older adults with personality disorders: a new area of attention]. [人格障碍老年人的药物治疗:一个新的关注领域]。

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-11-07 DOI: 10.36613/tgg.1875-6832/2019.03.01

Julie E M Schulkens, Jamila Ibirane, Sebastiaan P J van Alphen, Sjacko Sobczak

{"title":"[Pharmacotherapy in older adults with personality disorders: a new area of attention].","authors":"Julie E M Schulkens, Jamila Ibirane, Sebastiaan P J van Alphen, Sjacko Sobczak","doi":"10.36613/tgg.1875-6832/2019.03.01","DOIUrl":"https://doi.org/10.36613/tgg.1875-6832/2019.03.01","url":null,"abstract":"Background: Pharmacotherapy in older adults with personality disorders (PD) is a new and important area of attention. Nowadays, symptom based pharmacotherapy in older adults with PD is based on multidisciplinary guidelines, which are constructed on research performed in patients up to 50 years of age. There is no specific guideline for older adults with PD.Goal: Providing a description of patient characteristics: number of comorbid psychiatric disorders, use of medication, including polypharmacy, in older adults (≥ 65 years) with personality disorders.Method: A retrospective cross-sectional patient file study (n = 50) in a clinical center of excellence for older adults with personality disorders (outpatient setting).Results: . From the file study, it appears that 1) the unspecified/other specified personality disorder and the borderline personality disorder (BPD) occur most frequently, 2) there is a trend (no significant difference) that older adults with BPS use most medication (somatic medication and psychotropics) and 3) there is a trend (no significant difference) that polypharmacy is the most prevalent amongst older adults with BPD.Conclusion: The use of medication in certain subgroups of older adults with PD tends to be high. Further research is necessary to optimize pharmacotherapy in older adults with PD.","PeriodicalId":39945,"journal":{"name":"Tijdschrift voor Gerontologie en Geriatrie","volume":"50 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38400988","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

Abstracts 15e Nationaal Gerontologiecongres ‘SAMEN WORDEN WE OUDER’ 摘要第十五届全国老年学大会“我们一起变老”

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-10-30 DOI: 10.36613/tgg.1875-6832/2019.03.03

Nederlandse Vereniging Voor Gerontologie

{"title":"Abstracts 15e Nationaal Gerontologiecongres ‘SAMEN WORDEN WE OUDER’","authors":"Nederlandse Vereniging Voor Gerontologie","doi":"10.36613/tgg.1875-6832/2019.03.03","DOIUrl":"https://doi.org/10.36613/tgg.1875-6832/2019.03.03","url":null,"abstract":"Algemeen abstract integraal symposium: Het omvangrijke probleem van eenzaamheid krijgt veel aandacht van beleidsmakers en professionals in de praktijk. Met deze aandacht groeit de behoefte aan wetenschappelijke kennis. Vaak gestelde vragen gaan over het concept eenzaamheid en de beleving daar van. Wat is het precies? Wat is de relatie met zingeving, en met depressie? Andere vragen gaan over prevalentie: bij welke ouderen komt eenzaamheid het meest voor? En uiteraard zijn er vragen naar oplossingsrichtingen. Kan er wat tegen eenzaamheid van ouderen gedaan worden, en zo ja, wat? Waar hebben ouderen behoefte aan? Wat zijn goede en effectieve interventies? Hoe doe je die? In dit symposium brengen we recente ontwikkelingen bij elkaar. De eerste presentatie presenteert gegevens uit LASA. De vraag is of het concept existentiële eenzaamheid verschilt van het gangbare begrip eenzaamheid. Naast emotionele en sociale eenzaamheid zijn er ervaringen van gebrek aan verbondenheid met de sociale wereld en het ontbreken van betekenisvol zijn. De tweede presentatie is gebaseerd op diepte-interviews. Eenzaamheid bij ouderen gaat vaak gepaard met levensvragen en vragen over zingeving. Ontmoeting en activering zijn geen passende oplossingen. Er is behoefte aan emotionele steun. Ook de derde presentatie is gebaseerd op diepte-interviews en toont de ontwikkeling van een gespreksinstrument gericht op eenzaamheid. Er zijn vijf categorieën aandachtspunten. Mensen hebben geen behoefte aan goedbedoelde en vaak te simpele adviezen. Zij vinden het fijn wanneer oprecht naar hen wordt geluisterd. Het symposium sluit af met discussie over te beantwoorden kennisvragen om ons begrip van eenzaamheid en mogelijke oplossingen verder te brengen.","PeriodicalId":39945,"journal":{"name":"Tijdschrift voor Gerontologie en Geriatrie","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83227955","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

[Forgiveness as a psychological resource in late life]. [宽恕作为晚年的心理资源]。

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-08-16 eCollection Date: 2019-09-26 DOI: 10.36613/tgg.1875-6832/2019.02.03

Jessie Dezutter, Laura Dewitte, Tine Schellekens

{"title":"[Forgiveness as a psychological resource in late life].","authors":"Jessie Dezutter, Laura Dewitte, Tine Schellekens","doi":"10.36613/tgg.1875-6832/2019.02.03","DOIUrl":"https://doi.org/10.36613/tgg.1875-6832/2019.02.03","url":null,"abstract":"Late life is a period during which individuals are increasingly confronted with challenges and losses. These challenges can have a negative impact on late life functioning, which is often reflected in poor well-being or an increase in depressive feelings. Current research points out that positive psychological resources might enhance coping with late life stressors. Forgiveness is a variable that has received increasing interest as a positive psychological resource and is linked with several aspects of late life health and well-being. The idea of forgiveness being pivotal in late life can be framed within the life stage theory of Erikson. Erikson's psychosocial crisis in late life consists of finding a balance between feelings of despair and the achievement of ego-integrity and it is considered as a potential explaining process in the association between forgiveness and positive late life functioning. The results of three quantitative studies in older adults (75+) provide indeed preliminary evidence that forgiveness is a resource in late life. They show that the relationship between forgiveness and late life well-being can be partly explained by the developmental task of finding a balance between integrity and despair.","PeriodicalId":39945,"journal":{"name":"Tijdschrift voor Gerontologie en Geriatrie","volume":"50 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38398378","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

[Is the approach of delirium in Dutch nursing-homes in accordance with the national guideline?] [荷兰养老院的谵妄治疗方法是否符合国家指南?]］

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-08-15 eCollection Date: 2019-09-26 DOI: 10.36613/tgg.1875-6832/2019.02.01

Zippora H A Kentin, Talita Hopman, Astrid Mulder, Linda Dauwerse, Hendrika J Luijendijk, Roland B Wetzels, Barbara C van Munster

{"title":"[Is the approach of delirium in Dutch nursing-homes in accordance with the national guideline?]","authors":"Zippora H A Kentin, Talita Hopman, Astrid Mulder, Linda Dauwerse, Hendrika J Luijendijk, Roland B Wetzels, Barbara C van Munster","doi":"10.36613/tgg.1875-6832/2019.02.01","DOIUrl":"https://doi.org/10.36613/tgg.1875-6832/2019.02.01","url":null,"abstract":"Introduction: Delirium is a common disorder, affecting many patients in nursing-homes, with large impact on patients. Implementation of good care and treatment can potentially prevent development of a delirium or may reduce the severity or duration. This research was conducted to get an impression of delirium care in Dutch nursing homes, and of the implementation of the recommendations of the national guideline.Objectives: 1. How many Dutch nursing homes have a local protocol for delirium?2. To what extend do doctors, specialised in care for older people in nursing homes, screen, diagnose and treat delirium according to the Dutch guideline for delirium?Methods: Between June and December 2016, Dutch nursing homes were approached with an online questionnaire. Data were collected in Survey Monkey and descriptive analyses were performed.Results: 68 nursing homes were included. 32% of the nursing homes had a local delirium protocol. 48% of the doctors knew about the national guideline delirium, 60% used preventive measures, and screening instruments were used in 98%. 29% used diagnostic criteria. Non-medical interventions were applied by 96%. In 98%, haloperidol was the drug of first choice. Preventive antipsychotics were prescribed by 21%.Conclusions: Only a third of the organisations developed a local delirium protocol. Standardising delirium care by a local delirium protocol, with special attention for prevention, diagnostics and aftercare of delirium, can be an important step in improving the quality of care in nursing homes.","PeriodicalId":39945,"journal":{"name":"Tijdschrift voor Gerontologie en Geriatrie","volume":"50 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38398379","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

[Caring for confused community dwelling seniors]. [照顾困惑的社区老年人]。

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-07-18 eCollection Date: 2019-09-26 DOI: 10.36613/tgg.1875-6832/2019.02.05

Corina K C Bosma, Nicole A B M Ketelaar, Marjon Rouwette-Witting

{"title":"[Caring for confused community dwelling seniors].","authors":"Corina K C Bosma, Nicole A B M Ketelaar, Marjon Rouwette-Witting","doi":"10.36613/tgg.1875-6832/2019.02.05","DOIUrl":"https://doi.org/10.36613/tgg.1875-6832/2019.02.05","url":null,"abstract":"A qualitative research focused on contributing and obstructing factors for healthcare assistants in district nursing Older people with confused behavior have behavioral problems due to dementia, mental problems or social problems. For the Healthcare Assistant (HA) in district nursing, it is a daily challenge to care for older people with confused behavior. Aim of this research is to achieve an insight in the strategies the HA uses to deal with the daily care for older people with confused behavior. It is also the aim to have insight in factors which contribute to the daily care in a positive or negative way. Method: a qualitative explorative research. 17 HA's in district nursing participated in semi-structured interviews. All respondents had experience with caring for older people with confused behavior. The most important influencing factors are the experienced relationship between HA and the client and the experienced support by the team. Particularly behavioral problems due to mental problems can impede a relationship with the client. Further research is recommended to study the level of knowledge and competences of all levels of employees in district nursing.","PeriodicalId":39945,"journal":{"name":"Tijdschrift voor Gerontologie en Geriatrie","volume":"50 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38398380","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

[What makes residents of care centers feel at home and satisfied: a Delphi study]. [是什么让护理中心的居民感到宾至如归和满意:一项德尔菲研究]。

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-07-01 eCollection Date: 2019-09-26 DOI: 10.36613/tgg.1875-6832/2019.02.07

Twan A M M G de Bruijn, Esther C Bakker, Sanne C T Peeters

{"title":"[What makes residents of care centers feel at home and satisfied: a Delphi study].","authors":"Twan A M M G de Bruijn, Esther C Bakker, Sanne C T Peeters","doi":"10.36613/tgg.1875-6832/2019.02.07","DOIUrl":"https://doi.org/10.36613/tgg.1875-6832/2019.02.07","url":null,"abstract":"A major event in the human life course is the move to a care center. In order for this transition to be successful, it is important that a care center creates the right conditions to achieve that residents feel at home and satisfied. The aim of this study is to investigate which characteristics are important for this, according to the employees of care centers in the Netherlands. First a limited list of 15 characteristics has been constructed on the basis of literature research. With the help of the Delphi method, in three rounds, employees of Dutch care institutions were then asked about the importance of these characteristics for a successful adaptation of residents to the new living environment and they were asked to provide additional comments. Based on this, characteristics have been reformulated, added or removed. The result after the third round was a high degree of agreement on the characteristics that were considered (very) important. The attribute 'respect', scored in all three rounds the highest, followed directly by the characteristics 'approach' and 'safety'. There was a high degree of agreement about the most important characteristics between the different job levels (such as employee care or supervisor).","PeriodicalId":39945,"journal":{"name":"Tijdschrift voor Gerontologie en Geriatrie","volume":"50 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38398381","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

Signalementen 2019/2

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-06-30 DOI: 10.36613/tgg.1875-6832/2019.02.04

Redactiebureau Tgg

引用次数: 0

[Psychotic depression in older adults: an overview]. [老年人精神病性抑郁症:综述]。

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-03-15 eCollection Date: 2019-03-01 DOI: 10.36613/tgg.1875-6832/2019.01.01

Tom Vermeulen, Linda van Diermen, Yamina Madani, Bernard C G Sabbe, Roos C van der Mast

引用次数: 1

[Geriatric rehabilitation of patients selected at the emergency department: patient factors related to rehabilitation outcome]. [在急诊科选择患者的老年康复:与康复结果相关的患者因素]。

Tijdschrift voor Gerontologie en Geriatrie Pub Date : 2019-03-14 eCollection Date: 2019-03-01 DOI: 10.36613/tgg.1875-6832/2019.01.02

Stephanie van Zuilekom, Renate M Schut, Barbara C van Munster, Petra Spies

{"title":"[Geriatric rehabilitation of patients selected at the emergency department: patient factors related to rehabilitation outcome].","authors":"Stephanie van Zuilekom, Renate M Schut, Barbara C van Munster, Petra Spies","doi":"10.36613/tgg.1875-6832/2019.01.02","DOIUrl":"https://doi.org/10.36613/tgg.1875-6832/2019.01.02","url":null,"abstract":"In the Netherlands geriatric rehabilitation is possible (among others) for patients who are selected by a geriatrician at the emergency department of a hospital. The aim of this study was to investigate the rehabilitation trajectory of patients who were selected for geriatric rehabilitation at the emergency department after a single contact with the geriatrician and to identify patient factors related to rehabilitation outcome. Successful rehabilitation was defined as discharge to home or a residential care facility after a maximum of 6 months. All patients who in 2016 were selected for geriatric rehabilitation were included. Data were collected retrospectively from electronic patient files. 74 patients were included (mean age 84.7 years). 84% were successfully discharged home or to a residential care facility within six months. The presentation with a fall and the absence of a partner at home was higher in the unsuccessful group. In the successful group more patients lived independent and without professional help prior to rehabilitation. Noteworthy is that the analysed patient group is a frail group, considering the high one-year mortality (21,6%) and overall functional decline despite geriatric rehabilitation.","PeriodicalId":39945,"journal":{"name":"Tijdschrift voor Gerontologie en Geriatrie","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38398373","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