Zeitschrift Fur Gerontologie Und Geriatrie最新文献_第2页

[Journal Club]. [期刊俱乐部］

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-11-01 Epub Date: 2024-09-26 DOI: 10.1007/s00391-024-02361-w

Anna Maria Affeldt

引用次数: 0

[Human dignity and autonomy in medicoethical decisions at the end of life]. [生命终结时医学伦理决定中的人的尊严和自主权]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-11-01 Epub Date: 2024-05-14 DOI: 10.1007/s00391-024-02308-1

Florian Derler

{"title":"[Human dignity and autonomy in medicoethical decisions at the end of life].","authors":"Florian Derler","doi":"10.1007/s00391-024-02308-1","DOIUrl":"10.1007/s00391-024-02308-1","url":null,"abstract":"Respect of human dignity is an unquestionable part of daily clinical routine as well as of evaluations in medical ethics. Some aspects of human dignity are a subject of transformation in the course of a lifetime. If the ability to form a will is reduced, it might be difficult to satisfy the individual perception of a dignified treatment, which is of particular interest in terminal care. As illustrated by the presented case report, moral problems can arise when the patient's present verbal or non-verbal expressions are opposed to what is documented or what is estimated by dependants to be the individual's will. In clinical decision-making processes, the determination of the will via an advance directive can be overstated, which can go so far that human dignity is reduced to autonomy. A concept of dignity reduced to autonomy misses the point not only of a dignity-centered medical care but also of shared decision-making. In situations at the end of life other aspects, such as authenticity or self-actualization should be considered when respecting the individual's dignity. Medicine should as such not marginalize death but provide a care based on principles that focus on human interaction and respect for a comprehensive concept of dignity.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"550-555"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11499326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140923659","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

[Risks for a good life in old age-Importance of selected dimensions of living conditions]. [美好晚年生活的风险--生活条件某些方面的重要性]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-11-01 Epub Date: 2024-08-28 DOI: 10.1007/s00391-024-02341-0

Katrin Falk, Josefine Heusinger, Kerstin Kammerer, Birgit Wolter

{"title":"[Risks for a good life in old age-Importance of selected dimensions of living conditions].","authors":"Katrin Falk, Josefine Heusinger, Kerstin Kammerer, Birgit Wolter","doi":"10.1007/s00391-024-02341-0","DOIUrl":"10.1007/s00391-024-02341-0","url":null,"abstract":"Background: Life situation dimensions, such as financial resources, housing, health and social relationships, have a significant influence on the scope available to older people for coping with everyday life and participation and thus for a good life in old age.Method: As a basis for identifying current and future challenges posed by precarious living conditions in old age, current publicly available data and study results on the income situation, housing, health and care are reported as central dimensions of the living conditions of people aged 65 years and over in Germany.Results: The study results presented provide indications as to which groups of older people live in particularly precarious living situations, which provide starting points for municipal action. Inequalities exist in the availability of income, affordable and accessible housing, social networks, health opportunities and care support services. Particular importance is attached to the risk of poverty, which goes hand in hand with the risk of disadvantages in the other dimensions analyzed.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":"520-526"},"PeriodicalIF":1.1,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142094103","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

Erratum zu: Gerontologisches Gutachten zu fachlich begründeten Einzelleistungen nach § 71 SGB XII. 更正：老年学专家关于根据《德国民事诉讼法典》第 71 条第 XII 款提供专业上合理的个人服务的意见。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-10-11 DOI: 10.1007/s00391-024-02376-3

Stefanie Engler, Christian Bleck, Cornelia Kricheldorff

引用次数: 0

[Alzheimer's dementia in people with Down syndrome : Results of guideline-assisted expert interviews on healthcare deficits in the diagnostics and treatment as well as solution approaches]. [唐氏综合征患者的阿尔茨海默氏痴呆症：关于诊断和治疗中的医疗保健缺陷以及解决方法的指南辅助专家访谈结果]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-10-09 DOI: 10.1007/s00391-024-02371-8

Theresa Hüer, Milena Weitzel, Godwin Denk Giebel, Pascal Raszke, Jürgen Wasem, Johannes Levin, Georg Nübling, Olivia Wagemann, Elisabeth Wlasich, Johannes Pantel, Valentina Tesky, Arthur Schall, Anke Walendzik

{"title":"[Alzheimer's dementia in people with Down syndrome : Results of guideline-assisted expert interviews on healthcare deficits in the diagnostics and treatment as well as solution approaches].","authors":"Theresa Hüer, Milena Weitzel, Godwin Denk Giebel, Pascal Raszke, Jürgen Wasem, Johannes Levin, Georg Nübling, Olivia Wagemann, Elisabeth Wlasich, Johannes Pantel, Valentina Tesky, Arthur Schall, Anke Walendzik","doi":"10.1007/s00391-024-02371-8","DOIUrl":"https://doi.org/10.1007/s00391-024-02371-8","url":null,"abstract":"Background: People with Down syndrome have a genetically increased risk of developing early onset Alzheimer's dementia. An interview study with healthcare providers, patient representatives and employees in residential and work facilities was conducted to identify deficits in the healthcare process and approaches to overcoming them.Method: In this study 14 semi-structured interviews were conducted and analyzed using qualitative content analysis.Results: A lack of knowledge and experience on the part of medical service providers in dealing with and providing medical care for people with Down syndrome was identified as a key challenge. In addition, the diagnosis of dementia in people with Down syndrome is difficult for various reasons (including lack of appropriate diagnostic tools in standard care and lack of time or financial resources). Doubts were expressed about the efficacy of antidementia medications and the reasons for the increased use of sedatives were discussed. Attentive observation of behavior and involvement of caregivers, regular review and reduction of polypharmacy and the use of alternative behavior modification techniques were mentioned as possible solutions.Conclusion: The identified deficits in the medical care of the target population and the approaches to solving them will be incorporated into the development of health policy recommendations in order to optimize the care situation of those affected in the long term.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394670","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

[Geriatric traumatological management of osteoporosis : "Let the first fracture be the last"]. [骨质疏松症的老年创伤管理："让第一次骨折成为最后一次"]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-10-07 DOI: 10.1007/s00391-024-02370-9

Bjoern Buehring, Uwe Maus

{"title":"[Geriatric traumatological management of osteoporosis : \"Let the first fracture be the last\"].","authors":"Bjoern Buehring, Uwe Maus","doi":"10.1007/s00391-024-02370-9","DOIUrl":"https://doi.org/10.1007/s00391-024-02370-9","url":null,"abstract":"In Germany more than 800,000 osteoporotic fractures occur every year, with severe medical, social and health economic consequences. Nevertheless, as in many other countries there is a large gap in care. Fractures frequently occur in older geriatric patients, who are increasingly being (or should be) treated in geriatric trauma centers. This multidisciplinary approach offers the opportunity not only to restore the patient's mobility and independence but also to set the course for preventing further fractures. Diagnosing osteoporosis and initiating treatment early after a fracture is particularly important as there is an imminently high risk of further fractures in the months and years following a fracture. This review article describes a pragmatic, guideline-based approach to osteoporosis management for geriatric trauma patients. It discusses fracture risk assessment, current treatment thresholds and treatment strategies as well as the individual osteoporosis drugs, the indications and contraindications. This review aims to show that the treatment of osteoporosis within the framework of a geriatric traumatology team is feasible in the majority of cases. It is suggested that a treatment decision can be systematically made based on a few questions or a flow chart.","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2024-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382157","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

[First Senior Citizens University in Turkey-Empirical findings on the personal benefits of the programmes from the participants' perspective]. [土耳其第一所老年公民大学--从参与者角度看课程对个人益处的实证研究成果]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-10-01 Epub Date: 2024-02-06 DOI: 10.1007/s00391-024-02281-9

Özlem Özgür, Müveddet Konuşkan Bayraktar, Furkan Ulusal, Fulya Şenay Avcı, İsmail Tufan

引用次数: 0

Mitteilungen der ÖGGG. ÖGGG 通信。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-10-01 DOI: 10.1007/s00391-024-02351-y

引用次数: 0

[Prevention of cognitive decline in old age : Selected primary preventive approaches]. [预防老年认知能力衰退：选定的初级预防方法]。

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-10-01 Epub Date: 2024-08-22 DOI: 10.1007/s00391-024-02337-w

Carolin Steinmetz, Marlena Schnieder, Stephanie Heinemann, Anne Linke, Christine A F von Arnim

引用次数: 0

[Prevention in old age : A missed opportunity in times of demographic change?] [老年预防：人口变化时期错失的机会？］

IF 1.1 4区医学

Zeitschrift Fur Gerontologie Und Geriatrie Pub Date : 2024-10-01 Epub Date: 2024-09-24 DOI: 10.1007/s00391-024-02345-w

Regina Roller-Wirnsberger, Jürgen M Bauer

引用次数: 0