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Zeitschrift Für Gerontologie und Geriatrie

Daniel Kopf, Walter Hewer
BACKGROUND: Aged patients with severe mental illness (SMI) suffer from a high risk for functional impairment and a high load of somatic comorbidities. Until now, there has been a lack of systematic studies on this patient population in later life. This review summarizes the most significant somatic comorbidities and discusses the consequences for the medical care of this elderly group of patients. METHODS: A selective narrative review based on PubMed research and observations in clinical practice...
October 10, 2018: Zeitschrift Für Gerontologie und Geriatrie
Christian Lange-Asschenfeldt
BACKGROUND: Chronic schizophrenia, depression, and bipolar disorders, among other chronic psychiatric disorders with onset at youth or early adulthood are often referred to as severe mental illness (SMI). Aging with SMI is associated with various psychosocial, physiological, and medical problems with potential impact on psychiatric pharmacotherapy. OBJECTIVES: Determination and discussion of problems and special features of the psychopharmacological treatment of older persons with SMI and presentation of treatment recommendations for the distinct diagnoses...
October 9, 2018: Zeitschrift Für Gerontologie und Geriatrie
Gabriele Röhrig, Ines Gütgemann, Andreas Leischker, Gerald Kolb
Geriatric syndromes are the pathognomonic columns of geriatric medicine. In contrast to many syndromes in younger people, in geriatric patients, the chief complaint does not typically represent the specific pathological condition underlying the change in health status. Geriatric syndromes are usually highly prevalent, multicausal and share a number of common risk factors. In recent years, scientific controversy over anemia in the aged has revealed a high prevalence in geriatric patients, which prompted the "working group on anemia" to publish its first position paper at a European level...
October 4, 2018: Zeitschrift Für Gerontologie und Geriatrie
Jean-Baptist du Prel, Christine Schrettenbrunner, Hans Martin Hasselhorn
BACKGROUND: Over the course of the demographic transition with an aging and shrinking work force, work participation of older employees becomes more and more important. Earlier investigations found social groups to be different in work-related and individual aspects, which were shown to be associated with motivation for early retirement. OBJECTIVE: The aim of the study was to investigate the differences between older employees from distinct social groups in the motivation and determinants for early retirement...
October 2, 2018: Zeitschrift Für Gerontologie und Geriatrie
Jana Mäcken, Sebastian Merkel, Moritz Heß, Josef Hilbert, Gerhard Naegele
BACKGROUND: The aging of societies will increase the need for healthcare services and lead to a growing number of older employees. These two developments are relevant in the healthcare sector (HCS), which is of rising societal and economic importance and at the same time employs many older people. OBJECTIVE: This article, which was written within the EXTEND project, investigates the working conditions and the prospective retirement age of older employees in the HCS in comparison to other sectors and explores what companies are doing to address the needs of this group...
October 2, 2018: Zeitschrift Für Gerontologie und Geriatrie
K A Mausbach, J Velten, P Rehmann, G Kolb, B Wöstmann
BACKGROUND: In the future there will be an increasing demand for professional care with simultaneous retention of the dentition in older people. Due to inadequate dental knowledge, it is often not possible for caregivers to adequately assess dental deficits. OBJECTIVE: The aim of the study was to develop and validate a simple tool (Mini Dental Assessment, MDA) to assess possible dental treatment needs (DTN) of residential geriatric facilities by nursing personnel...
October 2, 2018: Zeitschrift Für Gerontologie und Geriatrie
Jeannette Weber, Annet de Lange, Andreas Müller
BACKGROUND: An increasing number of persons continue to work after retirement age. This decision is often different between men and women as well as working histories, sectors and hierarchical positions; however, whether gender differences in working conditions and occupational well-being also exist in paid employment after retirement (PEAR) has not yet been investigated. OBJECTIVE: This study aimed to examine gender differences in working conditions and well-being of workers in PEAR...
October 2, 2018: Zeitschrift Für Gerontologie und Geriatrie
Jens Benninghoff, Peter Brieger
Diagnostic and therapeutic measures in patients with bipolar disorders are significantly different depending on the age of those affected. Given the demographic changes and the fact that approximately one quarter of patients with bipolar disease are in old age, it is important for geriatricians to be aware of the specific aspects of bipolar disease. This review article presents the diagnostics of bipolar disorders in old people. Interactions with somatic comorbidities, which may lead to the occurrence of secondary mania, just to mention one of the characteristics of old age, are elaborated...
September 28, 2018: Zeitschrift Für Gerontologie und Geriatrie
Heribert Engstler
BACKGROUND: Retirement age limits of the pension system provide guidelines for the individual planning of retirement from employment. Empirical evidence shows that individual exit plans of older employees only delay and partly follow the raising of the retirement age by the statutory pension insurance; however, it is unclear how well the retirement plans of older employees predict the actual transition behavior and which individuals are able or unable to implement their own plans. OBJECTIVE: Therefore, this article addresses the concordances and discrepancies between the planned and the actual age of retiring from work of older employees...
September 28, 2018: Zeitschrift Für Gerontologie und Geriatrie
Peter Dovjak
No abstract text is available yet for this article.
September 17, 2018: Zeitschrift Für Gerontologie und Geriatrie
Sandra Kurkowski, Maria Heckel, Käte Volland-Schüssel
BACKGROUND: Institutions of inpatient geriatric care are dependent on specific and practicable concepts for the terminal care of old people, because residential and nursing homes are places for the last phase of life. OBJECTIVE: The objective of this study was to identify the wishes of residents for their dying who live in a residential or nursing home. METHOD: The analysis was based on 10 semi-structured expert interviews with residential and nursing home residents...
September 17, 2018: Zeitschrift Für Gerontologie und Geriatrie
R Püllen
No abstract text is available yet for this article.
September 12, 2018: Zeitschrift Für Gerontologie und Geriatrie
Christian Thiel, Tobias Braun, Christian Grüneberg
BACKGROUND AND OBJECTIVE: Clinical practice guidelines recommend a multimodal intervention based on standardized screening for the treatment of frailty, which includes physical exercise as the main component. This study protocol describes a planned randomized controlled pilot study to evaluate the feasibility of a main study and first assessment of the effects of a multimodal, resource-oriented intervention program on frailty in older people. METHODS AND ANALYSES: A total of 50 community-dwelling older men and women with frailty, ≥65 years of age, will be randomly allocated to the intervention or control group...
September 11, 2018: Zeitschrift Für Gerontologie und Geriatrie
Sven-Nelson Ruppert, André Heitmann-Möller, Martina Hasseler
In view of the increasing duties of employees as caregivers for relatives, questions arise concerning the compatibility of work and caregiving in the context of small and medium-sized enterprises. The aim of this exploratory study was to give first insights into this issue whereby the related perceptions and needs of this group were investigated. The research included semi-structured interviews with company executives and two workshops with employees according to the photovoice method. The results showed that the enterprises preferred informal in contrast to formal arrangements...
September 11, 2018: Zeitschrift Für Gerontologie und Geriatrie
Markus A Hobert, Felix P Bernhard, Kristina Bettecken, Jennifer Sartor, Walter Maetzler, Michael Jamour
BACKGROUND: The Geriatrie-Check was developed as a screening tool for the identification of older patients with geriatric treatment requirements in hospitals. It was recommended by the Baden-Wuerttemberg Hospitals Association for routine use in hospitals in 2014 although no published validation studies are available. The test takes 3-5 min. AIM: Validation of the Geriatrie-Check in a prospective cohort of hospitalized neurological patients with and without geriatric characteristics...
September 11, 2018: Zeitschrift Für Gerontologie und Geriatrie
Dirk K Wolter
During the past 20 years substance-related and addictive disorders in old age have markedly increased and this increase is going to continue. It is quite common to make a distinction between early onset (EO) and late onset (LO) of these disorders. EO-addicts are in a more disadvantageous position due to constitutional and psychosocial burdens and the cumulating harmful medical, mental and social consequences of addiction place them at a further disadvantage during the course of the disorder. In old age they are at a disadvantage compared to others of the same age with LO addiction problems because of more and more severe chronic medical conditions, psychiatric comorbidity, less personal and social resources, dysfunctional coping style, and social problems...
September 4, 2018: Zeitschrift Für Gerontologie und Geriatrie
Tania Zieschang, Jürgen Bauer, Daniel Kopf, Alexander Rösler
BACKGROUND: A large number of older acutely ill patients with cognitive impairment are treated in geriatric care units. Since 1990 some geriatric departments in Germany have established special care units (SCU) for this patient population. In 2010 the first inventory of SCUs in Germany was carried out, which was not based on a nationwide systematic survey. OBJECTIVE: Nationwide systematic survey of SCUs for patients with cognitive impairment in geriatric institutions in Germany...
September 3, 2018: Zeitschrift Für Gerontologie und Geriatrie
M S Otte, C Rudack, G Kolb
No abstract text is available yet for this article.
August 21, 2018: Zeitschrift Für Gerontologie und Geriatrie
Christian Jagsch, Alex Hofer
BACKGROUND: The number of people with diseases of the schizophrenia spectrum in old age will increase significantly in the coming years. In the literature the topics of schizophrenia and delusional disorders in older and old people are inadequately represented. AIM: This article gives an overview of the most important diagnostic and differential diagnostic characteristics. Another important aspect is the pharmacological and non-pharmacological treatment options in old age...
August 14, 2018: Zeitschrift Für Gerontologie und Geriatrie
Nacera Belala, Michael Schwenk, Anna Kroog, Clemens Becker
Erratum to: Z Gerontol Geriat (2018) In the online version of this article the following acknowledgement was missing:"This study was supported by a doctoral scholarship from the Robert Bosch Foundation (RBS). The content is solely the responsibility of the ….
August 13, 2018: Zeitschrift Für Gerontologie und Geriatrie
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