Revista Espanola de Geriatria y Gerontologia最新文献

{"title":"Lucidez paradójica e identidad personal en pacientes con demencia avanzada: ¿cambio de paradigma?","authors":"Baldomero Álvarez-Fernández ,&nbsp;José Manuel Marín-Carmona","doi":"10.1016/j.regg.2024.101493","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101493","url":null,"abstract":"<div><p>In this article we approach the concept of paradoxical lucidity (LP) (an unexpected, spontaneous, significant and relevant episode of communication or connection) in persons with advanced dementia. The existence of LP could change the paradigm of dementia as a degenerative, chronic, progressive and irreversible disease (where neuronal death plays the leading role), towards a model where functional deficits of neuronal networks acquire importance, which raises new potentially reversible therapeutic and rehabilitative possibilities. We analyze the ethical consequences that these episodes may have with respect to the implicated persons (patients, caregivers and professionals in charge of their care) and try to answer the following question: Do persons with advanced dementia continue to maintain their personal identity despite suffering cognitive impairment so severe?. The LP indicates that this is possible. In this work we make a transversal outline of the different concepts and theories of personal identity in these patients, from different areas of knowledge (philosophy, psychology, neuroscience).</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101493"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140813563","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":"¿Qué necesidades perciben los expertos y los futuros profesionales de la Actividad Física y del Deporte para promover un envejecimiento saludable? Visión de profesionales y estudiantes","authors":"Oriol Sansano-Nadal ,&nbsp;Blanca Roman-Viñas ,&nbsp;Jose Luis Socorro-Cumplido ,&nbsp;Ainhoa Nieto-Guisado ,&nbsp;Dhayana Dallmeier ,&nbsp;Laura Coll-Planas ,&nbsp;Andrea Fuente-Vidal ,&nbsp;Maria Giné-Garriga","doi":"10.1016/j.regg.2024.101495","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101495","url":null,"abstract":"<div><h3>Introduction</h3><p>Physical activity acts as an adjuvant in the treatment of numerous diseases and in the promotion of healthy aging. Increasing longevity entails an increase in the demand for professionals who prescribe physical activity, specifically physiotherapists and physical-activity educators.</p></div><div><h3>Objectives</h3><p>The main objective of this study was to explore the perceptions of a group of third- and fourth-year Physiotherapy students (n<!--> <!-->=<!--> <!-->9) and Sport Sciences students (n<!--> <!-->=<!--> <!-->5), and experts who work with older adults (n<!--> <!-->=<!--> <!-->3) about their knowledge of the older adult population and healthy aging. The secondary objectives were to: (a) explore what knowledge future professionals need about physical activity programming and about physical activity programs aimed at maintaining and improving health among older adults; (b) explore what would be the best methodology to acquire such knowledge; and (c) explore whether a relationship is perceived between knowledge about the older adult population and motivation to work with this population group.</p></div><div><h3>Methods</h3><p>Two discussion groups with students and three interviews with experts were conducted. Discussion groups and interviews were transcribed verbatim and analyzed through a reflexive thematic analysis, following the steps described by Braun and Clarke (2021).</p></div><div><h3>Results</h3><p>Three themes were identified from the discussion groups: (1) conception and ideas about older adults, (2) skills and knowledge perceived as important, and (3) proposals for motivational intervention addressed to the older population.</p><p>Four themes were identified from the interviews with experts: (1) characteristics of the future professional, (2) physical activity programs for older people: the recipe for success, (3) the role of enjoyment as key to success, and (4) barriers/obstacles along the path.</p></div><div><h3>Conclusion</h3><p>Students of both degrees and experts believe that more practical training opportunities are needed, to enable students to interact with the older population and get to know their needs, motivations, and barriers, to increase physical activity levels in this population group.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101495"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140813552","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":"Pilomatricomas: Benign lesions mimicking malignant tumors in older people","authors":"Juan-Manuel Morón-Ocaña ,&nbsp;Julia Clavijo-Herrera ,&nbsp;Carlos Piédrola-Gordillo ,&nbsp;Isabel-María Coronel-Pérez","doi":"10.1016/j.regg.2024.101496","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101496","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101496"},"PeriodicalIF":0.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140813727","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":"Traumatismo craneoencefálico en pacientes mayores de 65 años atendidos en urgencias; características y complicaciones","authors":"Josep Guil Sànchez","doi":"10.1016/j.regg.2024.101494","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101494","url":null,"abstract":"<div><h3>Background and objective</h3><p>Ageing is associated with an increased risk of falls and trauma. The aim of the study was to assess the characteristics of patients over 65 years of age who consulted the ED for traumatic brain injury (TBI) in 2022, their relationship with cognitive impairment, functional dependence, use of oral antiplatelet/anticoagulant drugs and complications.</p></div><div><h3>Materials and Methods</h3><p>Retrospective study conducted from 1 January to 31 December 2022. Demographic data were collected: age, sex, origin; cardiovascular risk factors; cognitive impairment using the Pfeiffer questionnaire; physical disability according to the Barthel Index; number of drugs; use of antiplatelet and oral anticoagulant (OAC); mechanism of fall; performance of cranial X-ray/CT, and presence of complications: intracranial haemorrhage (ICH), death.</p></div><div><h3>Results</h3><p>599 patients were included. The mean age was 82.3<!--> <!-->±<!--> <!-->8.2 years. 63.8% were female and 36.2% male. 75.3% were from home, 24.7% from residence. No dementia in 61.4%, moderate-severe dementia in 38.6%. 58.1% were functionally independent, 25.1% had moderate-severe dependence. 85.7% had CVRF: HT 476 (79.5%), dyslipidaemia 354 (59.1%), DM 217 (36.2%), obesity 173 (28.9%), smoking 15 (2.5%). The number of drugs per patient was 9.2<!--> <!-->±<!--> <!-->4.3. Polypharmacy was present in 94.7% of patients. 35.9% were taking antiplatelet drugs and 30.2% anticoagulants. Intracranial haemorrhage occurred in 11 (2.3%) patients. Four (0.7%) patients died.</p></div><div><h3>Conclusions</h3><p>The TBI in our study was caused by low-energy trauma in a female patient, without dementia, functionally independent and with polypharmacy. There were few serious complications: 2.3% ICH and 0.7% deaths. 90.1% of ICH occurred in patients on antiplatelet and/or OAC therapy.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 3","pages":"Article 101494"},"PeriodicalIF":0.0,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140533271","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":"Infecciones relacionadas con catéteres vasculares: a propósito de un caso","authors":"Myriam Teresa Aponte ,&nbsp;Sandra Cerviño Camino ,&nbsp;Raquel Ramírez-Martín ,&nbsp;Alicia Rico Nieto","doi":"10.1016/j.regg.2024.101491","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101491","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101491"},"PeriodicalIF":0.0,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140345197","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":"Tecuide. Telemonitorización de pacientes con deterioro cognitivo y sus cuidadores","authors":"Mercedes Fernández López ,&nbsp;Montserrat Martín-Baranera ,&nbsp;Meritxell Davins Riu ,&nbsp;Benito Fontecha Gómez","doi":"10.1016/j.regg.2024.101492","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101492","url":null,"abstract":"<div><h3>Introduction</h3><p>Given the growing increase in dementia, the need to control these patients, together with the rise of new technologies, makes a change in the current control system imperative.</p></div><div><h3>Material and method</h3><p>We have carried out a single-center, clinical study with two groups, a control group of 72 patients/caregivers, who followed the usual controls in consultations, and another telematic group of 76 patients/caregivers, who followed the controls through of the Tecuide platform. The platform had a survey part to detect problems in patients and caregiver claudication, another training part and another chat for direct communication when the caregiver needed it and also served to respond when a problem was detected.</p></div><div><h3>Results</h3><p>After a year of monitoring with the platform we have obtained: a)<!--> <!-->in patients, reduce behavioral disorders and use of drugs, increase physical exercise and delay institutionalization (DS not found); b)<!--> <!-->in caregivers there is an improvement in satisfaction with respect to the control of patients with cognitive impairment, and c)<!--> <!-->in terms of resources, visits to emergency services and dementia consultations have decreased, although admissions to the psychogeriatric unit have increased.</p></div><div><h3>Conclusions</h3><p>The use of Tecuide as a telematic tool in the control of patients with cognitive impairment does not seem to be inferior to the usual controls in consultations and improves caregiver satisfaction.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101492"},"PeriodicalIF":0.0,"publicationDate":"2024-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140345342","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":"Apoyo social percibido de personas mayores de 60 años que cuidan de sus nietos","authors":"Yanira Aranda Rubio ,&nbsp;Laura Aranda Rubio","doi":"10.1016/j.regg.2024.101490","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101490","url":null,"abstract":"<div><h3>Objective</h3><p>The role of older people in today's society is important in supporting work-life balance and well-being. The aim of the study was to analyze the perception of the support they receive and the psychosocial well-being of people over 60<!--> <!-->years of age who take care of their grandchildren.</p></div><div><h3>Methodology</h3><p>Cross-sectional descriptive observational study. A sample of people over 60<!--> <!-->years of age, who attended the pediatrics service in three health centers accompanying their grandchildren, during the first four-month period of 2018. They were administered the Duke-UNC questionnaire, with measures of social support and involvement in the care of their grandchildren.</p></div><div><h3>Results</h3><p>The majority cared for their grandchildren between 5 and 14<!--> <!-->hours per week, performing recreational and maintenance activities. The participants reported a significant relationship of the caregiver's role in their quality of life and well-being; 88% of the subjects perceived a high level of social support. Involvement in weekly caregiving hours did not correlate with worse perceived support.</p></div><div><h3>Conclusions</h3><p>Older adults who care for their grandchildren and attend the primary care pediatrics service with them perceive an adequate level of social support, regardless of the number of hours spent doing so.</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101490"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140327682","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":"Fragilidad y capacidad intrínseca; del concepto teórico a la aplicabilidad clínica","authors":"Juan Manuel Pérez-Castejón ,&nbsp;Francesc Formiga","doi":"10.1016/j.regg.2024.101483","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101483","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 5","pages":"Article 101483"},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140328625","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":"Planificación anticipada de cuidados en residencias de mayores: revisión narrativa","authors":"Miguel Sánchez-Ortiz ,&nbsp;Mercedes Forcano-García ,&nbsp;Marta López-Pérez ,&nbsp;Rogelio Altisent-Trota ,&nbsp;Javier Rocafort-Gil","doi":"10.1016/j.regg.2024.101488","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101488","url":null,"abstract":"<div><p>Advance care planning is a deliberative process that aims to help patients define goals and preferences for future care and treatment at a times when they have limited decision-making capacity. This study aims to analyze models of advance care planning in elderly individuals living in nursing homes. We reviewed papers published in Cochrane, PubMed and Embase. A total of 26 studies were selected, including a total of 44,131 people over 65 years of age. We analyzed the types of intervention (interviews, videos, workshops, documentation, etc.) and their results derived from the application. We conclude that no study implements a standardized intervention model. These interventions include decision-making (transfers to hospital, resucitation orders) and the adequacy of therapeutic effort (antibiotherapy, nutrition, serotherapy, etc.). Other outcomes are implementation barriers (time and training).</p></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 4","pages":"Article 101488"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140320668","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":"Delirium as a geriatric syndrome in the initial presentation of Takotsubo syndrome","authors":"Jesus Lopez Gomez ,&nbsp;Elisa Garcia Tercero ,&nbsp;Juan Antonio Avellana Zaragoza ,&nbsp;Angel Belenguer Varea ,&nbsp;Daniela Villalón Rubio ,&nbsp;Rodrigo Trigo Suarez ,&nbsp;Cristina Cunha-Pérez ,&nbsp;Francisco José Tarazona-Santabalbina","doi":"10.1016/j.regg.2024.101482","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101482","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 3","pages":"Article 101482"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140321009","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}