Zeitschrift Fur Gerontologie Und Geriatrie最新文献

{"title":"[Ophthalmological care of senior citizens in residential nursing facilities : Care gaps, the TOVIS study and ways to an improved ophthalmological care].","authors":"Thomas Ach, Leon von der Emde","doi":"10.1007/s00391-026-02649-z","DOIUrl":"https://doi.org/10.1007/s00391-026-02649-z","url":null,"abstract":"<p><strong>Background: </strong>Around 800,000 older people live in approximately 16,500 nursing and old people's homes in Germany and this number will continue to rise due to demographic change. Visual impairment and eye diseases in need of treatment are among the most common yet most neglected health problems in this vulnerable population. This article summarizes the current state of ophthalmological care for nursing home residents in Germany, the barriers involved and the potential contribution of novel tele-ophthalmological care models to closing this care gap.</p><p><strong>Material and methods: </strong>Narrative review based on a selective literature search (PubMed, Google Scholar, professional society documents) on ophthalmological care of institutionalized older people with particular focus on the German OVIS and SÄVIP studies, the international literature on prevalence and care models in nursing homes and both published reports on the TOVIS study (TeleOphthalmologische Versorgung In Seniorenheimen).</p><p><strong>Results: </strong>The OVIS study (2017; n = 600; 32 homes) found an ophthalmological result requiring treatment in 61% of residents, most frequently cataract (53%), age-related macular degeneration (AMD, 39%) and glaucoma (11% suspected); the last ophthalmologist visit occurred on average 4 years earlier. Comparable deficits are described across numerous other countries. The TOVIS pilot study (2023; n = 109 of 139 enrolled residents) tested a telemedical shared-eye-care model in which trained nonmedical personnel performed on-site examinations while ophthalmologists provided remote assessment. A vision-relevant cataract was found in 48.5%, typical AMD lesions in 34.1% and inadequately fitted eyeglasses in 60.6%; only 31.2% of the examined residents were aware of their diagnosis. At 6‑month follow-up only 14 of 52 residents (26.9%) with a referral recommendation actually attended a specialist appointment, despite over 80% rating the tele-examination positively.</p><p><strong>Conclusion: </strong>Ophthalmological care in German nursing homes has been insufficient for years, a pattern that is consistently mirrored across numerous other healthcare systems in the international literature. Tele-ophthalmological shared-eye-care models such as TOVIS are feasible and well accepted but do not by themselves solve the aftercare problem. A substantial gap remains between diagnosis and actual specialist treatment, which requires structured appointment management, transport and accompaniment solutions and closer collaboration between nursing staff, primary care and ophthalmology.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149031917","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}

{"title":"Interprofessional and interdisciplinary management of nonwithdrawal delirium in a geriatric trauma center-A practical guide.","authors":"Carla Stenmanns, Helmut Frohnhofen, Henriette Louise Möllmann, Rebecca Vogt, Felix Lakomek, David Latz, Carl Neuerburg, Christoph Beyersdorf","doi":"10.1007/s00391-026-02652-4","DOIUrl":"https://doi.org/10.1007/s00391-026-02652-4","url":null,"abstract":"<p><p>Delirium is gaining increasing importance in the age group of older patients. Firstly, due to demographic change and secondly because the older age group is undergoing surgery more and more frequently.Delirium is not only a burden for patients and their proxies but also causes enormous costs for hospitals and ultimately for the entire population due to intensive care and prolonged hospital stays.Despite its clinical relevance, a number of validated assessment instruments and multimodal delirium prevention and treatment programs, there are still no uniform established comprehensive and practically feasible concepts for delirium risk screening, delirium screening and the resulting consequences in older patients.Given the limited pharmacological and nonpharmacological options for treating delirium, preventing the development of delirium in high-risk patients is crucial. This requires interprofessional and interdisciplinary collaboration.We present a practical guide to delirium management and delirium risk management from admission to the postoperative phase.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018582","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}

{"title":"[Diagnostics of spondylodiscitis in geriatric patients: a case description].","authors":"I Solovyov, M Bonetta, N Miller, S Vogt","doi":"10.1007/s00391-026-02658-y","DOIUrl":"https://doi.org/10.1007/s00391-026-02658-y","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992233","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}

{"title":"[Rehabilitation with active participation of nursing staff in residential long-term care : A scoping review].","authors":"Thomas Boggatz","doi":"10.1007/s00391-026-02645-3","DOIUrl":"https://doi.org/10.1007/s00391-026-02645-3","url":null,"abstract":"<p><strong>Background: </strong>Geriatric rehabilitation can reduce care dependency in old age. To complement the clinical rehabilitation, some countries have developed rehabilitative approaches for long-term care facilities in which nursing personnel play an active role; however, a comprehensive review of these approaches and their effects is lacking.</p><p><strong>Objective: </strong>The aims of this scoping review are to identify rehabilitative approaches in nursing homes involving active participation of nursing personnel and to summarize the effects that have been reported to date.</p><p><strong>Material and methods: </strong>A literature search was conducted in PubMed, CINAHL, Web of Science and the Cochrane Central Register of Controlled Trials. Studies examining the effects of rehabilitative approaches in long-term care facilities with active involvement of nursing personnel were included.</p><p><strong>Results: </strong>A total of 27 studies were included. The investigated target groups and outcomes were heterogeneous. Most rehabilitative interventions focused on training activities of daily living and were carried out by nursing personnel with varying levels of qualification. In some studies positive effects were reported for self-care, mobility, depressive symptoms and individual goal attainment. Most studies had methodological limitations and there were also indications of low motivation to participate in rehabilitative interventions.</p><p><strong>Conclusion: </strong>The limited evidence for the effectiveness of rehabilitative approaches in long-term care is attributable not only to methodological limitations but also to the limited acceptance of rehabilitation among older people and problems in addressing such reservations. Future research should consider these factors and investigate strategies to promote the rehabilitative potential of nursing homes.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992226","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}

{"title":"[Frequent neurosurgically treatable diseases in geriatric patients].","authors":"Roland Nau, Christian Reparon, Johannes Gossner, Marija Djukic, Jörg Larsen, Kay Mursch","doi":"10.1007/s00391-026-02642-6","DOIUrl":"https://doi.org/10.1007/s00391-026-02642-6","url":null,"abstract":"<p><p>Geriatrics and neurosurgery have several points of contact, which require a close cooperation. In this context, diseases frequently affecting old people include chronic subdural hematomas, benign and malignant brain tumors, normal pressure hydrocephalus, spinal compression syndromes, spinal nerve root and peripheral nerve affections. In the case of absolute indications for surgery (e.g., symptomatic subdural hematoma, paraparesis or tetraparesis due to compression of the myelon), no alternative conservative treatment option is available to prevent death or irreversible damage. Such interventions should not be withheld from geriatric patients, as long as there is a realistic chance to prolong their lives with a satisfactory quality and if they truly wish this intervention. With respect to relative indications for surgery (e.g., pain without paresis as a consequence of an affection of a nerve root or a peripheral nerve), surgery should only be considered once all options for conservative therapy have been exhausted.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148992186","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}

{"title":"[Integrated health and social care for older people in \"real life contexts\" : Multilevel multiple case studies as a method for analyzing complex care trajectories].","authors":"Anja Dieterich, Julia Franz, Melina Maier","doi":"10.1007/s00391-026-02648-0","DOIUrl":"https://doi.org/10.1007/s00391-026-02648-0","url":null,"abstract":"<p><strong>Background: </strong>The care of older people is often characterized by cross-sectoral support and care arrangements in which health and social services are closely intertwined. As such arrangements frequently fail in practice, analyzing complex care trajectories is important to foster more user-centered care systems. To date, suitable research designs for this purpose are limited.</p><p><strong>Objective: </strong>Drawing on established approaches to case study methodology and the authors' own empirical preliminary work, this paper presents a qualitative case study design to empirically reconstruct care trajectories.</p><p><strong>Material and methods: </strong>The paper outlines the methodology of a multilevel multiple case study in which care trajectories are conceptualized as case constellations. These emerge from interactive practices involving the individuals concerned as well as professional and informal caregivers (microlevel), they are embedded in organizations and in local and professional networks (mesolevel) and are shaped by broader contextual conditions (macrolevel). The design combines interviews, documents, socio-spatial and network analyses, evaluated using reflexive thematic analysis and cross-case generalization.</p><p><strong>Results: </strong>Biographical, professional and institutional perspectives are systematically integrated. Through the multiperspective reconstruction of actual care practices, context-dependent conditions of care delivery can be identified.</p><p><strong>Conclusion: </strong>Multilevel multiple case studies offer new opportunities for analyzing care settings. They place high demands on field access, data integration and research ethics. Case studies expand the methodological toolkit for health services research.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148983865","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}

{"title":"[Long lie: development of a definition using the Delphi method].","authors":"Jenny Kubitza, Iris Tamara Schneider","doi":"10.1007/s00391-026-02637-3","DOIUrl":"https://doi.org/10.1007/s00391-026-02637-3","url":null,"abstract":"<p><strong>Background: </strong>The term \"long lie\" is frequently used in German-speaking countries although no standardized national or international definition currently exists. Given the high prevalence of long lies among older adults and the significant effects for those affected, a definition is necessary. The aim of this study is to develop a standardized German language definition of the term long lie in older adults.</p><p><strong>Methods: </strong>In a three-round Delphi study 50 experts from various professions evaluated key components of the term in relation to their relevance. The consensus criteria were defined as a minimum agreement rate of 75% and an interquartile range of ≤ 1. Characteristics that met these criteria were carried over to the next round and integrated into the final definition.</p><p><strong>Results: </strong>In the final round 77.6% of the experts approved the definition. The interquartile ranges for all assessed components were consistently ≤ 1. There was consensus regarding the components of acute impaired mobility, the inability to free oneself, the resulting loss of control, the traumatic experience and the multidimensional effects. Disagreement existed regarding the significance of a temporal component as well as the prioritization of physical effects in comparison to psychological and emotional effects.</p><p><strong>Conclusion: </strong>A consensus-based definition of long lies in older adults has been developed. The results also show interprofessional differences in the assessment of key components and underscore the need for further conceptual and interprofessional coordination in research and care.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889153","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}

{"title":"[Cognitive aging, dementia and need for care : Contributions of cognitive psychology to an integrative assistance for old persons].","authors":"Gabriele Rössler, Wolfgang Mack","doi":"10.1007/s00391-026-02641-7","DOIUrl":"https://doi.org/10.1007/s00391-026-02641-7","url":null,"abstract":"<p><p>Cognitive aging, the expectable changes in cognitive abilities with age, can impair the capacity to manage everyday demands, result in the need for care or resemble dementia. Therefore, age-related mental changes should be considered as well as physical changes in preparing for aging and accompanying old people. Based on reviews in cognitive psychology, expectable age-related changes in relevant cognitive domains for everyday management, such as intelligence, memory and social cognition as well as the resulting effect on decision-making and executive functioning are summarized. The flexibility of thinking declines; actions focus on exploitation rather than necessary exploration of resources as evidenced, for example, by clinging to routines for managing everyday demands that are no longer adequate or resisting necessary changes such as the use of assistive technologies. Personal and social resources can balance these changes and promote a self-determined lifestyle. Examples such as the use of structured self-observation or of lasting power of attorney, information provision, counselling and relationship-building demonstrate how knowledge on cognitive aging can be transferred to integrative assistance for old persons.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148889164","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}

{"title":"Abstracts: Gemeinsamer Jahreskongress DGGG & DGG 2026 : „Zukunft Alter(n): Perspektiven im Umbruch“.","authors":"","doi":"10.1007/s00391-026-02634-6","DOIUrl":"https://doi.org/10.1007/s00391-026-02634-6","url":null,"abstract":"","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":"59 Suppl 2","pages":"43-244"},"PeriodicalIF":1.1,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913972","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}

{"title":"[\"No shows\" in dementia diagnostics: qualitative perspectives of patients and caregivers after a positive case finding by general practitioners].","authors":"Carolin Rosendahl, Alexander Hanke, Michael Wagner, Klaus Weckbecker","doi":"10.1007/s00391-026-02633-7","DOIUrl":"https://doi.org/10.1007/s00391-026-02633-7","url":null,"abstract":"<p><strong>Background: </strong>The timely diagnostics of cognitive impairments and dementia syndromes are central to geriatric care. Memory clinics typically perform differential diagnostics following positive case findings in the general practitioner's practice; however, care pathways do not function smoothly, as shown by the \"iCreate\" project. Of 95 patients with positive case findings only 68 utilized the referral to the memory clinic; 27 were no shows. While barriers before the first doctor's visit are well-researched, analysis of the transition between primary and specialist care settings is lacking. The aim was to understand why further differential diagnostics after positive case findings were not pursued and to derive recommendations for action.</p><p><strong>Method: </strong>Qualitative design with semi-structured interviews (n = 9) and telephone surveys (n = 15) of 24 of the 27 no shows or relatives from \"iCreate\". Software-assisted evaluation using qualitative content analysis according to Kuckartz and Rädiker.</p><p><strong>Results: </strong>Affected individuals experience a care gap with uncertainties and an individual interplay of barriers on three levels: a) psychosocial: fear of loss of autonomy/stigma, denial/ambivalence, desire/right not to know; b) structural and organizational: transport/appointment/coordination problems and c) care-related and process-related: unclear benefits, lack of follow-up options.</p><p><strong>Conclusion: </strong>Case finding programs require standardized communication pathways with written summaries (working diagnosis, next steps, contact persons). Stepwise shared decision-making supported by dementia care managers could reduce the perceived barriers and drop-outs while closing care gaps.</p>","PeriodicalId":49345,"journal":{"name":"Zeitschrift Fur Gerontologie Und Geriatrie","volume":" ","pages":""},"PeriodicalIF":1.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702621","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}