Zeitschrift Fur Gerontologie Und Geriatrie最新文献

Advance directives in German memory clinics. 德国记忆诊所的预先指示。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-27 DOI: 10.1007/s00391-025-02455-z

Daniel Garmann, Christina Abele, Stefanie Baisch, Jonas Karneboge, Gregor Lindl, Janina Florack, Anna Theile-Schürholz, Julia Haberstroh

{"title":"Advance directives in German memory clinics.","authors":"Daniel Garmann, Christina Abele, Stefanie Baisch, Jonas Karneboge, Gregor Lindl, Janina Florack, Anna Theile-Schürholz, Julia Haberstroh","doi":"10.1007/s00391-025-02455-z","DOIUrl":"https://doi.org/10.1007/s00391-025-02455-z","url":null,"abstract":"People have the right to accept or refuse medical treatment provided they give voluntary, prior and informed consent. When capacity to consent is impaired, autonomy can be preserved through a clear, legally valid advance directive. Cognitive impairments, such as dementia, increase the risk of compromised capacity to consent. This study examines the prevalence of advance directives among patients at German memory clinics and explores predictors influencing their presence, focusing on compliance with informed consent standards.Using an observational cross-sectional design, 289 outpatients were assessed. Data included the presence of advance directives, circumstances of their creation and the patient characteristics age, gender, education, cognitive status, physical and mental health, need for autonomy in medical decision-making and health literacy. Descriptive statistics were calculated, and multivariable logistic regression models were applied to analyze the data.The results indicate that age is the strongest predictor for the presence of advance directives. Beyond age, specific events or experiences, rather than personal traits, may prompt individuals to create advance directives.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Heat dome in Germany and how well we are prepared for it]. （德国的高温穹顶以及我们对此的准备）。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-27 DOI: 10.1007/s00391-025-02459-9

Clemens Becker, Thomas Griebe, Christian Weingart

{"title":"[Heat dome in Germany and how well we are prepared for it].","authors":"Clemens Becker, Thomas Griebe, Christian Weingart","doi":"10.1007/s00391-025-02459-9","DOIUrl":"https://doi.org/10.1007/s00391-025-02459-9","url":null,"abstract":"Background: In the last 4 years some countries, such as Arizona (USA), India, Saudi Arabia, Australia and British Columbia (Canada), have experienced extremely long heat waves of 40 °C and more. The duration of the episodes ranged from 14 days in Canada to more than 3 months in Arizona. The heat dome in the Vancouver region showed that similar events can occur in our latitudes but these are not adequately taken into account in the planning in Germany.Methods: So far only peer-reviewed data from Canada are available and data on other events have not yet been comprehensively processed. Governmental information and other trustworthy sources were used for the research. The aim was to identify areas which have so far not been sufficiently considered in the ongoing planning discourse in Germany.Results: Numerous measures were identified that have not or only insufficiently been considered in Germany, such as the establishment of crisis management teams, determination of prior planning of a communications strategy and predefined responsibilities for measures, such as bans on outdoor activities, evacuation and holiday restrictions for healthcare workers. Extreme heat events must be defined as natural disasters in order to initiate these and other measures in Germany due to legal requirements. Many of the measures that are now being planned on a voluntary basis would then have to be mandated and, if necessary, made compulsory.Conclusion: The planning of measures for extreme heat events must be revised in many places in Germany. These are not stipulated in the 25 action plans for heat events published so far. Many regions are not adequately prepared. It is potentially about preventing tens of thousands of deaths that could occur in one single event.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Social networks and care for older lesbian, gay, bisexual, transgender, and intersex persons : Scoping review of family of choice resources for support]. [老年女同性恋、男同性恋、双性恋、变性人和双性人的社会网络和护理：家庭选择资源支持的范围审查]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-26 DOI: 10.1007/s00391-025-02452-2

Maria Magdalena Acosta, Ralf Lottmann

{"title":"[Social networks and care for older lesbian, gay, bisexual, transgender, and intersex persons : Scoping review of family of choice resources for support].","authors":"Maria Magdalena Acosta, Ralf Lottmann","doi":"10.1007/s00391-025-02452-2","DOIUrl":"https://doi.org/10.1007/s00391-025-02452-2","url":null,"abstract":"Background: Social relationships are an important source of practical, emotional and nursing support, especially in the context of the need for care. As older lesbian, gay, bisexual, transgender, and intersex (LGBTI*) people frequently live alone and have children less often, non-kinship relationships take on a particularly important role. The extent to which non-heterosexual individuals develop (potentially compensatory) strategies to cope with episodes of needing care has, to date, rarely been the focus of research on aging.Objective: To investigate the role of social support for older LGBTI* people with long-term care needs, including any implications for how this should be approached.Methods: The international scoping review was conducted using the scientific databases: APA PsycInfo, CINAHL, Psychology and Behavioral Sciences Collection, PSYNDEX literature with PSYNDEX tests, BASE, Livivo, Pubpsych, PubMed, and Google Scholar. A total of 19 articles were identified for analysis.Conclusion: This article highlights three key themes related to social networks and care for older LGBTI* individuals: sociodemographic challenges, support resources, and structures for care of older persons and strategies for good quality of care. Family of choice connections are the backbone of social support for LGBTI* individuals but are also perceived as fragile when it comes to long-term care. Strategies for good quality of care include visibility of non-conforming sexual or gender identity, stigma management in long-term care facilities and proactive care planning. In order to support the compensatory effect of chosen family relationships among LGBTI* seniors, the development of diversity sensitive care and work with caregivers is needed. How this has been addressed to date and recommendations for future themes in gerontological diversity research are discussed.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[On the threshold of needing long-term care-Comparison of older people with and without a care level recommendation in Bavaria]. [关于需要长期护理的门槛-巴伐利亚州有和没有护理水平推荐的老年人的比较]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-26 DOI: 10.1007/s00391-025-02457-x

Johanna Schütz, Lorena Denise Wetzel

{"title":"[On the threshold of needing long-term care-Comparison of older people with and without a care level recommendation in Bavaria].","authors":"Johanna Schütz, Lorena Denise Wetzel","doi":"10.1007/s00391-025-02457-x","DOIUrl":"https://doi.org/10.1007/s00391-025-02457-x","url":null,"abstract":"Background: People who have not received a care level (\"Pflegegrad\", PG) in care assessments in accordance with § 14 Social Code (SGB) XI have hardly been addressed by research to date, even though information on this group has enormous preventative potential. This article aims to compare older people with and without PG recommendations in terms of sociodemographic characteristics, independence in various areas of life as well as medical diagnoses.Methods: The analysis is based on n = 122,478 initial care assessments of adults over the age of 50 years, which were carried out by the Bavarian Medical Service (MD) in 2019. Descriptive analyses are used to compare people with and without PG recommendations.Results: Of those assessed, 19.5% were not given a PG recommendation. These people are younger, more often female and living alone than people with PG recommendation. Overall, those assessed without PG recommendation are less restricted in their independence than those with a PG recommendation. Nevertheless, they also have significant limitations in activities relevant to everyday life (especially in mobility outside the home, shopping, cleaning the home). In both groups, a limitation of gait and mobility is the most common diagnosis that leads to an application for a care assessment.Conclusion: Routine data from long-term care assessments provide information about older people who are on the threshold of needing long-term care. People without PG recommendation who nevertheless require support therefore represent an important target group for support measures and should be addressed by preventive and health-promoting interventions.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[The older population in the context of air pollution and climate change : Current vulnerability and prevention of associated risks]. [空气污染和气候变化背景下的老年人口：当前脆弱性和相关风险的预防]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-26 DOI: 10.1007/s00391-025-02451-3

Jürgen M Bauer, Petra Benzinger

引用次数: 0

[Androgen deprivation therapy of prostate cancer from a geriatric perspective]. [从老年角度看前列腺癌的雄激素剥夺治疗]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-23 DOI: 10.1007/s00391-025-02454-0

A Wiedemann, K Becher, A Manseck, J Stein, M Fröhner, C Fiebig, A Piotrowski, R Kirschner-Hermanns, A Bannowsky, S Wirz, J Salem, T H Kuru

引用次数: 0

[Functional independence in daily activities-Validation of the FIDA assessment in rehabilitated geriatric patients]. [日常活动的功能独立性-老年康复患者FIDA评估的验证]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-17 DOI: 10.1007/s00391-025-02446-0

Klaus Freidel, Bernd Röhrig, Beate Feeser, Thorsten Fischer

{"title":"[Functional independence in daily activities-Validation of the FIDA assessment in rehabilitated geriatric patients].","authors":"Klaus Freidel, Bernd Röhrig, Beate Feeser, Thorsten Fischer","doi":"10.1007/s00391-025-02446-0","DOIUrl":"https://doi.org/10.1007/s00391-025-02446-0","url":null,"abstract":"Background: The Functional Independence in Daily Activities (FIDA) is an assessment with 20 items to measure functional independence in activities of daily living. Each item uses a 5-point scale to assess how independently the person can perform the described function. The grading ranges from 'independent/ability present' to 'dependent/ability absent'.Material and methods: 1593 rehabilitants were included in the study. The FIDA and Barthel Index (BI) assessments were used to measure functional independence at the beginning and at the end of rehabilitation. Item difficulty, discriminatory power (rit = item total correlation) and internal consistency (Cronbach's α) were calculated. The factor structure was tested using a confirmatory factor analysis. Convergent validity was tested by correlating the sum values of the FIDA and the BI.Results: The item difficulties (pi) were in the range between 0.17 ≤ pi ≤ 0.89. The internal consistency was α = 0.94 with item-scale correlations between 0.45 < rit < 0.80. The agreement between FIDA and BI at the start of rehabilitation was r = 0.75. The standardised comparison of the sensitivity to change showed slight advantages for the FIDA. The functional areas that were more severely impaired at the start of rehabilitation showed greater improvements.Conclusion: The FIDA is a change-sensitive assessment instrument that is suitable for assessing functional independence in geriatric patients. The psychometrics and analyses on the validity showed good results.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Maintaining mobility of older people in urban areas in the face of climate change : Empirical findings on perceived heat stress and potential adaptive behavior]. [面对气候变化，保持城市地区老年人的流动性：关于感知热应激和潜在适应行为的实证研究结果]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-16 DOI: 10.1007/s00391-025-02456-y

Susanne Penger, Kerstin Conrad

{"title":"[Maintaining mobility of older people in urban areas in the face of climate change : Empirical findings on perceived heat stress and potential adaptive behavior].","authors":"Susanne Penger, Kerstin Conrad","doi":"10.1007/s00391-025-02456-y","DOIUrl":"https://doi.org/10.1007/s00391-025-02456-y","url":null,"abstract":"Urban areas face complex challenges, such as climate change, environmental stressors, urbanization and demographic change. Vulnerable individuals, including older people are particularly affected. In old age health risks increase during heat periods due to multiple burdens resulting from dynamic person-environment interactions. How differently older adults perceive extreme heat and the behavioral adaptations they make in response were investigated in a field study conducted in Stuttgart. The aim of the present work was to form segments using cluster analyses that clearly differed in terms of heat stress levels and independent daily living outside the home. The sample included 211 community dwelling individuals (57% female) aged 65-92 years. Data collection was conducted through personal, standardized interviews. Of the four clusters identified one exhibited an accumulation of vulnerability factors, manifesting in particularly high perception of heat stress, impaired independence in daily life and a greater reduction in outdoor activities during heat compared to the other clusters. While the latter could provide protection from heat-related effects, it also poses risks of supply shortages and reduced social participation during heatwaves. Such segmentation beyond chronological age highlights the need for targeted heat protection and prevention measures, which are addressed in municipal heat action plans. Although the development of such plans has already progressed in Germany, the proposed measures must be implemented on a broader and cross-sectoral basis to strengthen health equity for all.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Theory-driven examination of available data on age(ing) and climate change: an explorative contribution]. [关于老龄化和气候变化的现有数据的理论驱动检验：探索性贡献]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-06-13 DOI: 10.1007/s00391-025-02453-1

Hans-Werner Wahl, Andrea Budnick

{"title":"[Theory-driven examination of available data on age(ing) and climate change: an explorative contribution].","authors":"Hans-Werner Wahl, Andrea Budnick","doi":"10.1007/s00391-025-02453-1","DOIUrl":"https://doi.org/10.1007/s00391-025-02453-1","url":null,"abstract":"Background: The socioemotional selectivity theory and the concept of generativity lead to two contradictory predictions, namely (1) a decrease in the significance and importance of climate issues with age, but (2) a similarly high level of engagement at the behavioral level, at least compared to younger age groups.Method: Marking survey studies from German-speaking and European countries are used to provide a descriptive test of the two predictions.Results: On the one hand, the selected studies confirm a decrease in the significance and importance of climate issues as people get older. On the other hand, the age segment of people between around 60 and 75 years old in particular shows a similar or even higher level of commitment in many climate-relevant areas of behavior compared to younger people.Conclusion: We apply the theory of planned behavior to explain the at first glance inconsistent findings driven by our predictions. Future research on aging and climate change needs a more theory-driven approach.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Person-centred care in nursing homes : Qualitative document analysis of mission statements]. [疗养院以人为本的护理：使命宣言的定性文件分析]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-05-30 DOI: 10.1007/s00391-025-02443-3

Anna Louisa Hoffmann-Hoffrichter, Mike Rommerskirch-Manietta, Bernhard Holle, Rebecca Palm, Martina Roes

{"title":"[Person-centred care in nursing homes : Qualitative document analysis of mission statements].","authors":"Anna Louisa Hoffmann-Hoffrichter, Mike Rommerskirch-Manietta, Bernhard Holle, Rebecca Palm, Martina Roes","doi":"10.1007/s00391-025-02443-3","DOIUrl":"https://doi.org/10.1007/s00391-025-02443-3","url":null,"abstract":"Background: Mission statements that address a clearly communicated vision can positively influence the implementation of person-centred care in nursing homes. It is known that nursing homes with a dementia care unit can provide further training or an expert on person-centredness compared to those with a traditional care unit. It is unclear how the mission statements of these nursing homes differ in terms of their wording of person-centredness. The aim is to investigate how mission statements of nursing homes that provide different types of care units describe person-centred care.Methods: We conducted a document analysis of mission statements from German nursing homes from a dataset of the survey study on specialized care for people living with dementia in nursing homes (BeStaDem Survey Study). The nursing homes that provided the mission statements had different care units, including traditional care units and dementia care units. The mission statements were deductively-inductively analysed using content analysis.Results and conclusions: We analysed 60 mission statements of different nursing homes and identified main categories that include aspects of person-centred care. In particular, mission statements of nursing homes with dementia care units describe combinations of central aspects of person-centred care that mission statements of nursing homes with a traditional care unit without dementia-specific focus do not describe. The variation of different understandings or concepts often becomes evident in mission statements. In order for nursing homes to align their mission statement with a person-centred approach, a comprehensive understanding of person-centred care and a development process that includes all employees, is required.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0