Zeitschrift Fur Gerontologie Und Geriatrie最新文献_第10页

[What really matters can't be planned ahead : Impediments for advance care planning from a qualitative study on very old people living alone]. [真正重要的是不能提前计划：一项对独居老人的定性研究对提前护理计划的阻碍]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-07 DOI: 10.1007/s00391-025-02414-8

Sabine Pleschberger, Paulina Wosko

{"title":"[What really matters can't be planned ahead : Impediments for advance care planning from a qualitative study on very old people living alone].","authors":"Sabine Pleschberger, Paulina Wosko","doi":"10.1007/s00391-025-02414-8","DOIUrl":"https://doi.org/10.1007/s00391-025-02414-8","url":null,"abstract":"Background: Despite there is evidence for the need for advance care planning for older people living alone (OPLA), especially if they want to stay at home until the end, utilization of measures for ACP remains rather scarce. The causes for this discrepancy have not yet been researched in this target group.Objectives: Aim of this study was to get insight into the perspectives of OPLA in the community on planning ahead for the end of life.Materials and methods: (Secondary) Analysis of 26 qualitative interviews. 17 were from the Austrian Survey on the very old (ÖIHS), and 9 additional interviews were conducted with a specific focus on advance care planning to enrich the data base. Verbatim transcripts were analysed by applying coding procedures.Results: Not all people had specific concerns or a desire to deal with the end of life. In contrast to others, concerns about avoiding (unnecessary) life-prolonging measures resulted in a formal regulation, usually a living will. Staying at home or issues regarding burial and inheritance were often equally important concerns for OPLA. Numerous obstacles to formal arrangements were identified.Conclusion: The heterogeneity of OPLA with regard to their willingness and form of planning ahead for staying at home shows the limits of standardized procedures. Comprehensive approaches to advance care planning that go beyond health issues are needed to meet the concerns of OPLA in the community.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574370","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

["Good vision in care facilities" : Qualitative evaluation study from the perspective of the vision officers]. [“护理机构的良好视力”：视力官视角的定性评价研究]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-05 DOI: 10.1007/s00391-025-02422-8

Nadine Olschowka, Amelie Altenbuchner, Laura Stürzbecher, Klara Wolf, Lena Himmelreich, Thomas Johann Gehr

{"title":"[\"Good vision in care facilities\" : Qualitative evaluation study from the perspective of the vision officers].","authors":"Nadine Olschowka, Amelie Altenbuchner, Laura Stürzbecher, Klara Wolf, Lena Himmelreich, Thomas Johann Gehr","doi":"10.1007/s00391-025-02422-8","DOIUrl":"https://doi.org/10.1007/s00391-025-02422-8","url":null,"abstract":"Background: Visual impairment increases with age and can adversely affect the quality of life of older people. Ophthalmological care in nursing homes is often inadequate, leading to poor detection and treatment of visual problems. The prevention program \"Good vision in care facilities\" (\"Gutes Sehen in Pflegeeinrichtungen\") of the Institute for the Blind Foundation (Blindeninstitutsstiftung) aims to promote the eye health of residents through targeted measures and the training of qualified vision officers.Objective: The aim was to evaluate the prevention program from the perspective of the vision officers, focusing on their role, the performance of vision assessments, the improvement of the living environment and the qualification measures.Method: A qualitative evaluation study was conducted through guideline-based interviews with eight vision officers from seven nursing homes. The data were analyzed using Mayring's structured content analysis.Results: Vision officers consider their role to be important but the success of implementation depends on the available resources. The performance of vision assessment varies due to cognitive impairment and motivation of the residents. Barriers to accessibility were primarily addressed when minimal effort was required. Face to face training sessions contribute significantly to awareness due to their practical content and interaction.Conclusion: The sustainable implementation of the prevention program requires resource allocation by nursing home management. The qualification of several vision officers in each facility could increase the success of the program. Alternative methods of vision assessment for cognitively impaired residents should be developed.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568666","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

Mitteilungen der ÖGGG. OGG通讯。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-01 DOI: 10.1007/s00391-025-02408-6

引用次数: 0

[Improvement of oral health of older people in hospitals: a scoping review]. [改善医院中老年人的口腔健康：范围界定审查]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-01 Epub Date: 2024-09-06 DOI: 10.1007/s00391-024-02339-8

Damian Pazdziernik, Harald Stummer

{"title":"[Improvement of oral health of older people in hospitals: a scoping review].","authors":"Damian Pazdziernik, Harald Stummer","doi":"10.1007/s00391-024-02339-8","DOIUrl":"10.1007/s00391-024-02339-8","url":null,"abstract":"Background: The current evidence regarding interventions to improve oral health in older hospital patients is unclear.Objective: This scoping review assesses the scope and nature of research activities and identifies gaps in the existing literature.Methods: The inclusion criteria for this study included adults over the age of 65 years who were treated as inpatient outside of intensive care units and covered all interventions aimed at promoting oral health or hygiene.Results: The systematic search yielded 12 final studies, focusing on oral healthcare interventions in various settings, primarily in high-income countries. The studies employed diverse designs including randomized controlled trials and prospective studies, with interventions mainly provided by multidisciplinary teams. The interventions aimed to improve oral health or prevent pneumonia. Overall, the studies highlighted a potential effectiveness of multidisciplinary approaches in improving oral health and preventing pneumonia in geriatric populations.Conclusion: This scoping review shows a limited and heterogeneous evidence base for oral health interventions for older patients in hospitals. The need for patient involvement is evident; however, there is often a lack of high-quality studies to draw robust conclusions.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"123-128"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142141574","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

Inhalation treatment of chronic obstructive pulmonary disease (COPD) in older patients. 老年慢性阻塞性肺疾病（COPD）患者的吸入治疗

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1007/s00391-025-02411-x

Carla Stenmanns, Helmut Frohnhofen, Claudia Münks-Lederer, Sandhya Matthes

{"title":"Inhalation treatment of chronic obstructive pulmonary disease (COPD) in older patients.","authors":"Carla Stenmanns, Helmut Frohnhofen, Claudia Münks-Lederer, Sandhya Matthes","doi":"10.1007/s00391-025-02411-x","DOIUrl":"10.1007/s00391-025-02411-x","url":null,"abstract":"Chronic obstructive pulmonary disease (COPD) is frequent in older patients. Frailty, cognitive impairment and sarcopenia are predictors for inadequately performed lung function testing as well as presenting challenges in subsequent disease management. Underdiagnosis and suboptimal treatment are often the result of incomplete assessment of older COPD patients. Problems associated with older COPD patients are not adequately addressed in international guidelines, although numerous evidence-based strategies are available. A key aspect is the management of the various inhaler devices. Up to 60-80% of older patients with COPD do not use the inhalers correctly. Even when the inhaler technique is correct, there is undertreatment if the required inspiratory flow cannot be achieved. Given the high rate of suboptimal inhaler treatment in older patients with COPD, an analysis of the pitfalls is important. An objective measurement of inspiratory flow and assessment of cognition and coordination are essential. A possible clinical algorithm for the assessment of older patients with respect to inhaler treatment of COPD is presented in a consensus approach by the Pneumological Geriatric Medicine Working Group of the German Society of Pulmonologists.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"97-102"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484536","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

[Physiological and pathophysiological changes of the ageing lung]. [肺老化的生理及病理生理变化]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-01 Epub Date: 2025-01-20 DOI: 10.1007/s00391-024-02401-5

Marc Johnsen, Mareike Lehmann

引用次数: 0

Zauber der Kultur: zum Tod von Hans-Joachim von Kondratowitz (1. Juni 1945 bis 19. November 2024). 文化的魅力：汉斯-约阿希姆·冯·康德拉托维茨之死(1。1945年6月至19日。2024年11月).

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-01 Epub Date: 2025-02-11 DOI: 10.1007/s00391-025-02415-7

Clemens Tesch-Römer

引用次数: 0

Chronic pain management for older adults in ambulatory care : Results of a randomized pragmatic trial in Berlin, Germany. 慢性疼痛管理的老年人门诊护理：结果在柏林，德国的一项随机实用试验。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-01 Epub Date: 2025-02-24 DOI: 10.1007/s00391-025-02429-1

Daniela Koios, Arlett Wenzel, Ronny Kuhnert, Christina Rank, Thomas Günther Riemer, Magdalena Glawe, Reinhold Kreutz, Dagmar Dräger

{"title":"Chronic pain management for older adults in ambulatory care : Results of a randomized pragmatic trial in Berlin, Germany.","authors":"Daniela Koios, Arlett Wenzel, Ronny Kuhnert, Christina Rank, Thomas Günther Riemer, Magdalena Glawe, Reinhold Kreutz, Dagmar Dräger","doi":"10.1007/s00391-025-02429-1","DOIUrl":"10.1007/s00391-025-02429-1","url":null,"abstract":"Chronic pain is a major health challenge in older populations and approaches to improve ambulatory care are urgently needed. We conducted a pragmatic trial to test whether staff-directed interventions can improve chronic pain management in older community-dwelling adults and thereby improve their pain situation. Participants of 22 ambulatory nursing services (clusters) were allocated to 3 study arms: I1 (individual intervention with recommendations for each participant's physician and a newly trained pain nurse), I2 (digital training offered for participants' physicians and nursing staff) and CG (control group). Survey-based face to face interviews were held at the participants' homes. Descriptive statistics, ANOVA, and χ2-tests were utilized for data analysis. At baseline, 190 and at follow-up 144 participants were analyzed (24% dropout). Overall, the interventions were only implemented by a small proportion of involved staff. We found significant changes in documented nursing care in I1 but improvements regarding pain medication appropriateness or pain situations of participants could not be achieved. Structural challenges like time and staff shortages as well as the lack of billing options in ambulatory care were identified as major obstacles to substantially improve pain care. Policy makers need to enable appropriate compensation models for chronic pain care at home to enable aging in place for a growing population of older adults.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"129-136"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mitteilungen der DGG. DG通讯。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-01 DOI: 10.1007/s00391-025-02420-w

引用次数: 0

German version of the engagement of a person with dementia scale: translation and initial application experiences. 德文版痴呆症患者参与量表：翻译和初步应用经验。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2025-03-01 Epub Date: 2024-08-23 DOI: 10.1007/s00391-024-02346-9

Kathrin Seibert, Dominik Domhoff, Jacob Fricke, Karin Wolf-Ostermann

{"title":"German version of the engagement of a person with dementia scale: translation and initial application experiences.","authors":"Kathrin Seibert, Dominik Domhoff, Jacob Fricke, Karin Wolf-Ostermann","doi":"10.1007/s00391-024-02346-9","DOIUrl":"10.1007/s00391-024-02346-9","url":null,"abstract":"Background: Assessment tools for engagement in people with dementia often rely on self-reported measures which restricts their use in people with severe cognitive limitations. The Engagement of a Person with Dementia Scale (EPWDS) is a valid and reliable tool to assess behavioral and emotional expressions and responses of engagement in people with dementia through observation; however, the EPWDS is not yet available in the German language.Objectives: 1) Translation and cross-culturally adaptation of the original English version of the EPWDS into the German language (EPWDS-GER) and 2) to gain insights into assessing data with the newly developed instrument.Material and methods: International recommendations were followed to cross-culturally adapt the English original version of the EPWDS into the German language in 5 steps: translation by three independent translators, synthesis, back translation, expert committee review (N = 10) and test of the prefinal version in nursing practice (N = 22) on a 5-point Likert scale to assess comprehensibility, practicability and suitability of the EPWDS-GER.Results: The EPWDS-GER achieved high ratings for the five subscales on ease of understanding, ease of answering and importance of single items for assessing engagement. Average agreement for all items ranged from 3.86 to 4.43 (SD = 0.68-1.29). Overall rating of EPWDS-GER resulted in a mean agreement of 4.18 (SD = 0.73) for suitability and of 4.09 (SD = 0.81) for practicability.Conclusion: The EPWDS-GER is an easy to use tool for measuring behavioral and emotional expressions and responses of engagement of a person with dementia and can now be utilized in clinical practice and research.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"109-114"},"PeriodicalIF":1.1,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142037470","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0