Gerontology and Geriatric Medicine最新文献

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Depressive Symptoms Associated With Social Participation in Older Adults Living With Mild Cognitive Impairment. 与轻度认知障碍老年人社会参与相关的抑郁症状。
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2024-01-05 eCollection Date: 2024-01-01 DOI: 10.1177/23337214231223637
Juleen Rodakowski, Jennie L Dorris, Sarah Stahl
{"title":"Depressive Symptoms Associated With Social Participation in Older Adults Living With Mild Cognitive Impairment.","authors":"Juleen Rodakowski, Jennie L Dorris, Sarah Stahl","doi":"10.1177/23337214231223637","DOIUrl":"10.1177/23337214231223637","url":null,"abstract":"<p><p>Mild Cognitive Impairment (MCI) affects 15% of adults 50 years old and over. Individuals living with MCI have shown decreased social participation, a critical activity as it may delay cognitive decline. Depression may be a key factor in limiting participation. This study is a secondary data analysis of 30 older adults living with MCI, looking for associations with participation. Participation was examined using the Patient Reported Outcomes Measurement Information System (PROMIS<sup>®</sup>) Satisfaction with Participation in Social Roles Computer Adaptive Test (CAT) form. Depressive symptoms were reported using the PROMIS Quality of Life in Neurological Disorders Depression CAT form and the Patient Health Questionnaire (PhQ-9) form. Results showed that demographics (age, sex) were not significantly associated with participation, but depressive symptoms were significantly associated. This suggests that adults living with MCI who have higher levels of depressive symptoms may be a uniquely vulnerable population who benefit from interventions that support participation.</p>","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10771048/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Adherence Promotion With Tailored Motivational Messages: Proof of Concept and Message Preferences in Older Adults 通过量身定制的激励信息促进坚持治疗:概念验证与老年人的信息偏好
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2024-01-01 DOI: 10.1177/23337214231224571
Shenghao Zhang, Michael Dieciuc, Andrew T. Dilanchian, Mia Lustria, Dawn Carr, Neil Charness, Zhe He, W. Boot
{"title":"Adherence Promotion With Tailored Motivational Messages: Proof of Concept and Message Preferences in Older Adults","authors":"Shenghao Zhang, Michael Dieciuc, Andrew T. Dilanchian, Mia Lustria, Dawn Carr, Neil Charness, Zhe He, W. Boot","doi":"10.1177/23337214231224571","DOIUrl":"https://doi.org/10.1177/23337214231224571","url":null,"abstract":"This study examined the feasibility of using tailored text messages to promote adherence to longitudinal protocols and determined what facets of text message tone influence motivation. Forty-three older adults (Mage = 73.21, SD = 5.37) were recruited to engage in video-game-based cognitive training for 10 consecutive days. Participants received encouraging text messages each morning that matched their highest or lowest ranking reasons for participating in the study, after which they rated how effective each message was in motivating them to play the games that day. After 10 days, participants rated all possible messages and participated in semi-structured interviews to elicit their preferences for these messages. Results showed that messages matching participants’ reasons for participating were more motivating than mismatched messages. Further, participants preferred messages that were personalized (i.e., use second person voice) and in formal tones. Messages consistent with these preferences were also rated as more motivating. These findings establish the feasibility of using message tailoring to promote adherence to longitudinal protocols and the relevance of tailoring messages to be personal and formal.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139455983","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}
引用次数: 0
Nutritional Status of the Elderly Residing in a 24-Hour Medical Care Facility After Nutritional Intervention 居住在 24 小时医疗护理机构的老年人在接受营养干预后的营养状况
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2024-01-01 DOI: 10.1177/23337214231224574
Ścisło Lucyna, Walewska Elżbieta, Kliś-Kalinowska Anna, Pluta Judyta
{"title":"Nutritional Status of the Elderly Residing in a 24-Hour Medical Care Facility After Nutritional Intervention","authors":"Ścisło Lucyna, Walewska Elżbieta, Kliś-Kalinowska Anna, Pluta Judyta","doi":"10.1177/23337214231224574","DOIUrl":"https://doi.org/10.1177/23337214231224574","url":null,"abstract":"Malnutrition is a significant issue among elderly individuals in 24-hour care facilities, leading to increased morbidity. The aim of the study was to compare the nutritional status before and after nutritional intervention based on selected indicators of nutritional status among residents of a 24-hour care institution. The study included a group of 104 people aged 65 to 97 years. Nutritional status was assessed before and after the nutritional intervention based on indicators: levels of prealbumin, albumin, transferrin, total lymphocyte count, BMI, and MNA scale. The nutritional intervention consisted of administering oral nutritional supplements (ONS) to patients, regardless of nutritional status. The method of retrospective analysis of patients' medical records was used. Statistical analysis was performed using IBM SPSS Statistics 24 for Windows. Improvements in nutritional status occurred among patients with malnutrition based on MNA and prealbumin indices, and in groups of patients with moderate or mild malnutrition as determined by transferrin, prealbumin and albumin. The mean levels of nutritional indices significantly increased: MNA (p = .001), BMI (p = .001), prealbumin (p = .001), and albumin (p < .001). The use of ONS resulted in better nutritional status parameters based on MNA, albumin and prealbumin. These indices may be predictors of reducing the risk of various disorders among the elderly.","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139454246","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}
引用次数: 0
Influence of Personality on Geriatric Rehabilitation Outcomes in Cauda Equina Syndrome Case. 性格对马尾综合征病例老年康复效果的影响
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2023-12-30 eCollection Date: 2024-01-01 DOI: 10.1177/23337214231220831
Vitriana Biben, Irma Ruslina Defi, Elisa Surjadi, Muhammad Fajarulhuda, Sitti Ayu Hemas Nurarifah
{"title":"Influence of Personality on Geriatric Rehabilitation Outcomes in Cauda Equina Syndrome Case.","authors":"Vitriana Biben, Irma Ruslina Defi, Elisa Surjadi, Muhammad Fajarulhuda, Sitti Ayu Hemas Nurarifah","doi":"10.1177/23337214231220831","DOIUrl":"10.1177/23337214231220831","url":null,"abstract":"<p><p>Cauda Equina Syndrome (CES) becomes more common as the population ages, making diagnosis challenging and leading to underdiagnosis and poor management. Person-centered care is crucial for successful rehabilitation outcomes, and patient's personality influences it. Female, 77 years old, diagnosed with CES caused by nucleus pulposus herniation at fourth to fifth lumbar vertebrae, with a complication of pressure injury grade IV due to immobilization. Her family's lack of caregiving skills, poverty, and histrionic personality disorder were her barriers to comply to rehabilitation program. Adding a psychotherapy based on personality on rehabilitation program increased her functional outcome. This case highlight the significance of assessing each patient's personality to optimize outcomes, emphasizing the importance of tailoring rehabilitation programs to individual needs, including psychosocial and environmental factors.</p>","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10757440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Social Support, Social Participation, and Life Accomplishment of Older Adult Residents of Assisted Living Facilities and Their Adjoining Communities. 生活辅助设施及其邻近社区老年居民的社会支持、社会参与和生活成就。
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2023-12-24 eCollection Date: 2023-01-01 DOI: 10.1177/23337214231218797
Christopher Olusanjo Akosile, Chisom Onyekwuluje, Ukamaka Gloria Mgbeojedo, Emmanuel Chiebuka Okoye, Ayodeji Ayodele Fabunmi, Emeka Usman Mong, Anita Chinwendu Okafor
{"title":"Social Support, Social Participation, and Life Accomplishment of Older Adult Residents of Assisted Living Facilities and Their Adjoining Communities.","authors":"Christopher Olusanjo Akosile, Chisom Onyekwuluje, Ukamaka Gloria Mgbeojedo, Emmanuel Chiebuka Okoye, Ayodeji Ayodele Fabunmi, Emeka Usman Mong, Anita Chinwendu Okafor","doi":"10.1177/23337214231218797","DOIUrl":"10.1177/23337214231218797","url":null,"abstract":"<p><p><b>Objectives:</b> To assess and compare levels of social support (SS), social participation (SP) and life accomplishment (LA) among older adults in some assisted-living facilities (ALFs) and their community-dwelling (CD) peers. <b>Methods:</b> One hundred twenty older adults (54 ALF, 66 CD) from a Nigerian population participated in this cross-sectional survey. The Multidimensional Scale for Perceived Social Support, the Participation Scale and the Life Habit Questionnaires were used to evaluate levels of SS, SP, and LA, respectively. Data was analyzed using descriptive statistics, Mann-Whitney <i>U</i> test and Spearman rank order correlation, at .05 alpha level. <b>Results:</b> Participation restriction (PR) was significantly more prevalent among the ALF group compared to the CD group (χ<sup>2</sup> = 12.74; <i>p</i> = .01) but the two groups enjoyed comparable level of SS. LA was significantly better for the CD group in the overall score. LA had significant correlation with PR in both the ALFs (<i>r</i> = -.44; <i>p</i> < .05) and CD (<i>r</i> = -.62; <i>p</i> < .05) group. <b>Conclusions:</b> Older adults in ALFs received moderate SS, had LA, and a high PR, while CD older adults received a high SS and LA but had no PR. The findings implicate that social participation and enhancing community support for older adults may be important for a sustainable community.</p>","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10749526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Optimizing Contact Between Older Adults and Senior Services: South Korean users' Perceptions of Gateway Institutions. 优化老年人与养老服务机构之间的联系:韩国用户对网关机构的看法。
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2023-12-24 eCollection Date: 2023-01-01 DOI: 10.1177/23337214231218796
Mi-Ran Kim, Kyung-Hoon Lee
{"title":"Optimizing Contact Between Older Adults and Senior Services: South Korean users' Perceptions of Gateway Institutions.","authors":"Mi-Ran Kim, Kyung-Hoon Lee","doi":"10.1177/23337214231218796","DOIUrl":"10.1177/23337214231218796","url":null,"abstract":"<p><p>In response to the growing need for effective policy implementation strategies for older adults in South Korea, we propose the establishment of a user-centered institution tightly integrated with policies, termed, \"comprehensive gateway institution for older adults.\" This research addresses the challenges 231 older adult users face when navigating various health policies. Our survey findings revealed that these users experienced difficulties in dealing with the current policy approach for older adults. The respondents expressed their expectations for improved service access through the proposed gateway institution. They emphasized the importance of universal access to services and the need for personalized offerings that consider their unique circumstances, physical abilities, and skills. By incorporating these research outcomes into practice, we can help lay the groundwork for more effective policies measures and create a system that better meets the needs of older adults in the future.</p>","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-12-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10749527/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139038210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessing Social Inequalities in Older Family Caregivers' Frailty Conditions, Comorbidity, and Cognitive Functioning: A Cross-sectional Study. 评估老年家庭照顾者的虚弱状况、合并症和认知功能的社会不平等:一项横断面研究。
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2023-12-21 eCollection Date: 2023-01-01 DOI: 10.1177/23337214231214082
Roosa-Maria Savela, Tarja Välimäki, Outi Kiljunen, Irma Nykänen, Sohvi Koponen, Anna Liisa Suominen, Ursula Schwab
{"title":"Assessing Social Inequalities in Older Family Caregivers' Frailty Conditions, Comorbidity, and Cognitive Functioning: A Cross-sectional Study.","authors":"Roosa-Maria Savela, Tarja Välimäki, Outi Kiljunen, Irma Nykänen, Sohvi Koponen, Anna Liisa Suominen, Ursula Schwab","doi":"10.1177/23337214231214082","DOIUrl":"https://doi.org/10.1177/23337214231214082","url":null,"abstract":"<p><p>We aimed to assess the social inequalities in older family caregivers' frailty conditions, comorbidity, and cognitive functioning. A cross-sectional study was conducted. Study participants were recruited in 2019 in Finland. First, cognitive functioning was assessed with a Mini-Mental State Examination, comorbidity with the modified Functional Comorbidity Index, and frailty conditions were evaluated using the abbreviated Comprehensive Geriatric Assessment. Study participants were also interviewed on socioeconomic factors. The social inequalities in these health outcomes were assessed using the Independent Samples <i>t</i>-test, Pearson Chi-square test, and Binary Logistic Regression Analysis. Family caregivers' (<i>n</i> = 125) mean age was 74, and 73% had frailty conditions. Family caregivers' social inequalities in frailty conditions were linked to their older age and the lowest caregiving cash benefit. Family caregivers' low educational attainment was also the main factor predicting their minor cognitive impairment. Family caregivers' social determinants of health should be fully assessed in their health assessment, policies, and programs to ensure healthy aging for both family caregivers and care recipients in the future.</p>","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10748589/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Association Between Types of Family Support and Glycemic Control for Adults With Cognitive Impairment. 认知障碍成人的家庭支持类型与血糖控制之间的关系。
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2023-12-21 eCollection Date: 2023-01-01 DOI: 10.1177/23337214231218800
Yaguang Zheng, Katharine Lawrence, Jason Fletcher, Xiang Qi, Bei Wu
{"title":"Association Between Types of Family Support and Glycemic Control for Adults With Cognitive Impairment.","authors":"Yaguang Zheng, Katharine Lawrence, Jason Fletcher, Xiang Qi, Bei Wu","doi":"10.1177/23337214231218800","DOIUrl":"10.1177/23337214231218800","url":null,"abstract":"<p><strong>Background: </strong>Family support is important in assisting with diabetes self-management for individuals with cognitive impairment, but what types of family support are most effective remain unknown.</p><p><strong>Objectives: </strong>We aimed to examine the association between the types of family support in diabetes self-management with glycemic control in middle-aged and older adults with cognitive impairment.</p><p><strong>Methods: </strong>A total of 267 individuals were included with diabetes and cognitive impairment (27-point Telephone Interview for Cognitive Status score <12), using the data of 2003 Health and Retirement Study (HRS) Diabetes Study and 2004 wave of the HRS.</p><p><strong>Results: </strong>Most respondents were White (68.9%), followed by Black (25.8%). The mean age was 73.4±8.4 years. Adults with strong family support (as indicated by a \"strongly agree\" response) in testing sugar and in handling feelings about diabetes had significantly lower A1C compared with those with less family support (mean ± standard deviation: 7.08±1.39 vs. 7.51±1.42, <i>P</i>=.03; 6.79±0.87 vs. 7.57±1.53; <i>P</i>=.007 respectively).</p><p><strong>Conclusions: </strong>Our findings indicate that family members of individuals with cognitive impairment provide critical support to patients with diabetes and cognitive impairment, and may need additional intervention to assist with diabetes self-management tasks that require unique knowledge and skills.</p>","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10748626/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Loneliness of Low-Income Older Adults in a Federal Volunteering Program: A Network Perspective. 联邦志愿服务计划中低收入老年人的孤独感:网络视角
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2023-12-21 eCollection Date: 2023-01-01 DOI: 10.1177/23337214231219097
Qiuchang Katy Cao, Holly Dabelko-Schoeny, Keith Warren, Mo Yee Lee
{"title":"The Loneliness of Low-Income Older Adults in a Federal Volunteering Program: A Network Perspective.","authors":"Qiuchang Katy Cao, Holly Dabelko-Schoeny, Keith Warren, Mo Yee Lee","doi":"10.1177/23337214231219097","DOIUrl":"https://doi.org/10.1177/23337214231219097","url":null,"abstract":"<p><p>Volunteering has been associated with increased social interactions and reduced feelings of loneliness among older adults. However, a growing number of social network analyses (SNA) conducted in the general population outside of volunteering contexts suggest that lonely individuals tended to interact with other lonely individuals in the network, reinforcing loneliness through peer associations. To better understand the psychosocial impact of peer interactions among older adults within volunteer programs, this study examines how older adults' loneliness is correlated with their peers' loneliness within the Senior Companions Program (SCP). This study collected information on the social networks within an SCP in a Midwest Metropolitan and feelings of loneliness among low-income Russian, Khmer, Somali, Nepali, and English-speaking older volunteers (<i>N</i> = 41). A linear network autocorrelation model (LNAM) was constructed to quantify how volunteers' loneliness is correlated with their peers' loneliness within SCP. The LNAM results indicated that less lonely volunteers tended to make friends with lonelier volunteers (ρ = -.06, <i>p</i> < .05) in SCP even when accounting for statistical controls. The finding that more and less lonely individuals connect indicates an altruistic tendency for less lonely individuals to interact with those who are lonelier. This may be an important pathway by which volunteering addresses loneliness.</p>","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10748629/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139032882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates. 监护:住院医生对照顾无行为能力、无代言人的老年人的看法的影响。
IF 2.7
Gerontology and Geriatric Medicine Pub Date : 2023-12-14 eCollection Date: 2023-01-01 DOI: 10.1177/23337214231218581
Linda Wang, Jared Morphew, Caroline Vitale, Patricia Mullan, Kahli Zietlow
{"title":"Guardianship: The Implications of Resident Physician Perceptions of Caring for Incapacitated Older Adults Without Advocates.","authors":"Linda Wang, Jared Morphew, Caroline Vitale, Patricia Mullan, Kahli Zietlow","doi":"10.1177/23337214231218581","DOIUrl":"https://doi.org/10.1177/23337214231218581","url":null,"abstract":"<p><p>As the incidence of dementia rises, increased utilization of surrogate decision-makers, including legal guardians, is anticipated. This manuscript presents an analysis of resident physicians' experiences and perceptions regarding requirements, roles, and responsibilities of caring for older adults in need of, or already under, legal guardianship. This is a cross-sectional study, conducted at a tertiary academic medical center. A survey was sent, via Qualtrics, to all emergency medicine, family medicine, internal medicine, general surgery, and medicine-pediatric resident physicians. Eighty-eight out of three hundred thirty-three (26.4%) eligible residents physicians completed the survey. Most (98.9%) reported caring for patients under guardianship, yet many resident physicians reported significant uncertainty regarding the roles and responsibilities of guardianship, including its potential benefits and limitations. They also displayed misconceptions and overconfidence about guardians' abilities to facilitate disposition, ensure financial security, and assign code status, among other matters. Our study highlights the importance of structured and directed education on the topic of guardianship for medical trainees.</p>","PeriodicalId":52146,"journal":{"name":"Gerontology and Geriatric Medicine","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10725095/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138811234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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