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Geriatric Behavioral Health

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https://www.readbyqxmd.com/read/29307979/psychosocial-status-and-economic-dependence-for-healthcare-and-nonhealthcare-among-elderly-population-in-rural-coastal-karnataka
#1
Priyanka Dsouza Rent, Sudeep Kumar, Mackwin Kenwood Dmello, Jagannath Purushotham
Introduction: The elderly who will constitute 10% of the Indian population by 2021 face problems such as deteriorating healthcare status, loneliness, and economic constraints among others. All these factors together may affect the psychosocial status of the elderly and their health-seeking behavior. With this background, the current study tried to evaluate the psychosocial status, economic dependence for health and nonhealth expenses and awareness regarding geriatric welfare services (GWS) among elderly patients...
October 2017: Journal of Mid-life Health
https://www.readbyqxmd.com/read/29304202/-i-feel-worn-out-as-if-i-neglected-myself-older-patients-perspectives-on-post-hospital-symptoms-after-acute-hospitalization
#2
Rosanne van Seben, Lucienne A Reichardt, Dirk R Essink, Barbara C van Munster, Jos A Bosch, Bianca M Buurman
Background: The transition between hospital and home is a vulnerable period for acutely hospitalized older patients during which they are at increased risk for adverse health outcomes. Yet, studies describing experiences of a geriatric patient population postdischarge from a patient perspective are missing. Objective: To characterize patient experiences with recovering at home after acute hospitalization. Design and Methods: Qualitative semi-structured interviews, involving 20 recently discharged patients (age ≥ 70), were conducted...
January 3, 2018: Gerontologist
https://www.readbyqxmd.com/read/29302545/morbidity-pattern-and-health-seeking-behavior-of-elderly-in-urban-slums-a-cross-sectional-study-in-assam-india
#3
Kabita Barua, Madhur Borah, Chandana Deka, Rana Kakati
Background: Elderly population in India is increasing fast which indicates a growing share of population with more special needs for health and support. Understanding the morbidities and health-seeking behavior of elderly is essential for strengthening geriatric health-care services delivery. Objectives: The objective of this study was to study the morbidity profile of elderly in urban slum areas and assess their health-seeking behavior. Methodology: A cross-sectional study was conducted in urban slums of Jorhat district of Assam, among 125 elderly selected by simple random sampling...
April 2017: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/29221501/lean-methodology-reduces-inappropriate-use-of-antipsychotics-for-agitation-at-a-psychiatric-hospital
#4
Joshana K Goga, Antonio Depaolo, Sunil Khushalani, J Ken Walters, Robert Roca, Marc Zisselman, Christopher Borleis
OBJECTIVE: To Evaluate the Effects of Applying Lean Methodology-Improving Quality Increasing Efficiency by Eliminating Waste and Reducing Costs-An Approach To Decrease the Prescribing Frequency of Antipsychotics for The Indication of Agitation. DESIGN: Historically Controlled Study. SETTING: Bheppard Pratt Health System is the Largest Private Provider of Psychiatric Care in Maryland With a Total Bed Capacity of 300. There Were 4 337 Patient Days From November 1 2012 to October 31 2013 on the Dementia Unit...
January 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
https://www.readbyqxmd.com/read/29204845/six-month-emergency-department-use-among-older-adults-following-jail-incarceration
#5
Jessi Humphreys, Cyrus Ahalt, Irena Stijacic-Cenzer, Eric Widera, Brie Williams
Although the number of older adults who are arrested and subject to incarceration in jail is rising dramatically, little is known about their emergency department (ED) use or the factors associated with that use. This lack of knowledge impairs the ability to design evidence-based approaches to care that would meet the needs of this population. This 6-month longitudinal study aimed to determine the frequency of 6-month ED use among 101 adults aged 55 or older enrolled while in jail and to identify factors associated with that use...
December 4, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/29184838/magnifying-the-senescence-impact-of-oral-health-on-quality-of-life-and-daily-performance-in-geriatrics-a-cross-sectional-study
#6
Kuldeep Dhama, Priyanka Razdan, Lav Kumar Niraj, Irfan Ali, Basavaraj Patthi, Gagandeep Kundra
Objective: The objective of the study is to study the behavior of the GOHAI as well as the OIDPs as potent measures in oral health related to quality of life in senior citizens. Materials and Methods: An outreach program-based cross-sectional study conducted in Modinagar, Uttar Pradesh, India. A total of 340 study participants aged >60 years were selected from outreach program which were held between January 2017 and April 2017 based on inclusion and exclusion criterion...
October 2017: Journal of International Society of Preventive & Community Dentistry
https://www.readbyqxmd.com/read/29168883/prevalence-of-frailty-and-associated-factors-in-the-community-dwelling-population-of-china
#7
Lina Ma, Zhe Tang, Li Zhang, Fei Sun, Yun Li, Piu Chan
BACKGROUND/OBJECTIVES: Frailty in older adults predicts dependence and mortality and is a major challenge for healthcare systems in countries with rapidly aging populations. Little is known about frailty in China. We investigated the prevalence and associated risk factors of frailty in older adults in China. DESIGN: Cross-sectional. SETTING: Data were obtained from the China Comprehensive Geriatric Assessment Study, conducted in 2011-12, which was the first uniform comprehensive assessment system adopted in China...
November 23, 2017: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29165098/effects-of-olive-oil-on-tnf-%C3%AE-and-il-6-in-humans-implication-in-obesity-and-frailty
#8
Nagendra Sastry Yarla, Angela Polito, Ilaria Peluso
BACKGROUND AND OBJECTIVE: Tumor necrosis factor-alpha (TNF)-α and interleukin (IL)-6 are important mediators of chronic low-grade systemic inflammation. The latter plays a central role in several obesity-related pathologies, such as diabetes, metabolic syndrome and cardiovascular diseases. Besides, these cytokines have been also implicated in geriatric and cancer-induced anorexia, cachexia, sarcopenia and frailty. Potential interventions for both obesity and frailty include dietary advice and nutraceuticals...
November 20, 2017: Endocrine, Metabolic & Immune Disorders Drug Targets
https://www.readbyqxmd.com/read/29163756/effect-of-chronic-administration-of-resveratrol-on-cognitive-performance-during-aging-process-in-rats
#9
A R Navarro-Cruz, R Ramírez Y Ayala, C Ochoa-Velasco, E Brambila, R Avila-Sosa, S Pérez-Fernández, J C Morales-Medina, P Aguilar-Alonso
The increase in the elderly population has generated concern to meet health demands. The research efforts to elucidate the mechanisms of damage associated with aging have also been significantly increased, especially in order to avoid the reduction of the cognitive abilities in geriatric patients, resulting from the damage generated mainly at the level of the hippocampus during old age. At present, many studies describe resveratrol as an antiaging component. There are reports that it can activate the Sirt1 gene related to antiaging, emulating the effects obtained by caloric restriction in rodents...
2017: Oxidative Medicine and Cellular Longevity
https://www.readbyqxmd.com/read/29161971/lying-to-patients-with-dementia-attitudes-versus-behaviours-in-nurses
#10
Daniela Cantone, Francesco Attena, Sabrina Cerrone, Antonio Fabozzi, Riccardo Rossiello, Laura Spagnoli, Concetta Paola Pelullo
BACKGROUND: Using lies, in dementia care, reveals a common practice far beyond the diagnosis and prognosis, extending to the entire care process. OBJECTIVES: In this article, we report results about the attitude and the behaviour of nurses towards the use of lies to patients with dementia. RESEARCH DESIGN: An epidemiological cross-sectional study was conducted between September 2016 and February 2017 in 12 elderly residential facilities and in the geriatric, psychiatric and neurological wards of six specialised hospitals of Italy's Campania Region...
January 1, 2017: Nursing Ethics
https://www.readbyqxmd.com/read/29156247/humor-doesn-t-retire-improvisation-as-a-health-promoting-intervention-for-older-adults
#11
Lucy A Morse, Linda Xiong, Vanessa Ramirez-Zohfeld, Seltzer Anne, Becca Barish, Lee A Lindquist
As our population ages and aging in place continues to remain a priority of older adults, identifying novel ways to promote the wellbeing of older adults and reduce isolation is of the utmost importance. The Second City is a Chicago-based comedy improvisation organization that provides training in improvisation. One of their training courses, Humor Doesn't Retire, specifically teaches adults 55 and over, on improvisation. This study sought to explore the experiences of older adults enrolled in Humor Doesn't Retire, and to characterize any benefits that older adult participants perceived following participation in the comedy improvisation course...
October 28, 2017: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29129215/frailty-screening-and-interventions-considerations-for-clinical-practice
#12
REVIEW
Jeremy Walston, Brian Buta, Qian-Li Xue
Frailty is recognized as a cornerstone of geriatric medicine. It increases the risk of geriatric syndromes and adverse health outcomes in older and vulnerable populations. Although multiple screening instruments have been developed and validated to improve feasibility in clinical practice, frequent lack of agreement between frailty instruments has slowed broad implementation of these tools. Despite this, interventions to improve frailty-related health outcomes developed to date include exercise, nutrition, multicomponent interventions, and individually tailored geriatric care models...
February 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29097857/like-the-eye-of-the-tiger-inpatient-psychiatric-facility-exclusionary-criteria-and-its-knockout-of-the-emergency-psychiatric-patient
#13
Veronica Tucci, John Liu, Anu Matorin, Asim Shah, Nidal Moukaddam
Context: Over 6% of all emergency department (ED) visits in the United States involve primary mental health or behavioral issues. The patients are stabilized in the ED but frequently require admission to an inpatient psychiatric unit or institution for longer term treatment and management. To facilitate this process, an emergency physician (EP) must first "medically clear" the patient as stable for transfer. At present, there is no interdisciplinary consensus regarding the necessary elements of the medical clearance or stability assessment process...
October 2017: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29044867/effect-of-one-time-brief-additional-counseling-on-periodic-health-examination-for-40-and-66-year-olds-2-year-follow-up-of-101%C3%A2-260-participants
#14
Ki Young Son, Dong Wook Shin, Hyung-Kook Yang, Jae Moon Yun, So Hyun Chun, Jong-Koo Lee, Be Long Cho
AIM: The aim of the present study was to evaluate whether the effect of one-time brief additional counseling in periodic health examinations (PHE) through the National Screening Program for the Translational Ages in Korea is sustained after 2 years. METHODS: We collected data from National Screening Program for the Translational Ages participants in 2007 and 2008. To evaluate behavior change after 2 years, we collected the participants' health behavior data 2 years later (2009 and 2010)...
October 18, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28932652/psychosocial-treatment-options-for-major-depressive-disorder-in-older-adults
#15
Brenna N Renn, Patricia A Areán
Late-life depression (LLD) is a public health concern with deleterious effects on overall health, cognition, quality of life, and mortality. Although LLD is relatively common, it is not a normal part of aging and is often under-recognized in older adults. However, psychotherapy is an effective treatment for LLD that aligns with many patients' preferences and can improve health and functioning. This review synthesized the current literature on evidence-based psychotherapies for the treatment of depression in older adults...
March 2017: Current Treatment Options in Psychiatry
https://www.readbyqxmd.com/read/28880484/health-checkup-behavior-and-individual-health-beliefs-in-older-adults
#16
Mika Okura, Mihoko Ogita, Miki Yamamoto, Toshimi Nakai, Tomoko Numata, Hidenori Arai
AIM: Despite Japan being a developed nation, half of its older population does not attend regular health checkups. The aim of the present study was to examine the individual health beliefs and personal recommendations that strongly influence health checkup attendance among community-dwelling older adults. METHODS: In 2013, questionnaires were sent to 5401 community-dwelling older adults who were not receiving long-term institutionalized care. The response rate was 94...
September 7, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/28880346/-rom-for-the-elderly-a-prospective-cohort-study-of-the-outcomes-on-the-honos-65-in-various-diagnostic-groups
#17
M L M Hermens, M A Nugter, N Mooij, A W Hoogendoorn, G E van Son, S Robbers, M M van Bueren, A T F Beekman, J Theunissen
Routine outcome monitoring (rom) provides us with opportunities to study treatment outcome in daily clinical practice and to learn from the results.<br/> AIM: To assess the changes that occur in the psychological and social functioning of patients in geriatric psychiatry who are suffering from substance dependence, mood disorder, anxiety disorder, psychotic disorder, or personality disorder.<br/> METHOD: We analysed data relating to 1,810 patients (aged 60-101) from nine mental health care organisations that together form SynQuest cv...
2017: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/28851471/a-systematic-evaluation-of-impulsive-aggressive-behavior-in-psychogeriatric-inpatients-using-the-staff-observation-aggression-scale-revision-soas-r
#18
Myrella Paschali, Daniel Kamp, Claudia Reichmann, Michaela Jaenner, Christian Lange-Asschenfeldt, Tillmann Supprian
BACKGROUND: Impulsive-aggressive behavior is a significant challenge in geriatric psychiatry and requires professional evaluation and management. METHODS: SOAS-R scales (Staff Observation Aggression Scale-Revision) completed by medical staff on three secure psychiatric wards were analyzed during a period of 12 months. Patients were subdivided into the following two diagnostic subgroups: dementia and other diagnoses. RESULTS: A total of 146 aggressive incidents involving 66 patients were reported (8...
August 30, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28841757/the-influence-of-nurses-demographics-on-patient-participation-in-hospitals-a-cross-sectional-study
#19
Simon Malfait, Kristof Eeckloo, Ann Van Hecke
BACKGROUND: Patient participation is an important issue in contemporary healthcare as it improves quality of care and enhances positive health outcomes. The participation of patients is mainly initiated by the nurses' willingness to share their power and responsibility, but knowledge on nurses' demographic characteristics influencing this behavior is nonexistent. This knowledge is essential to understand and improve patient participation. AIM: To determine if nurses' demographic characteristics influence their willingness to engage in patient participation...
August 25, 2017: Worldviews on Evidence-based Nursing
https://www.readbyqxmd.com/read/28822756/differences-in-psychosocial-and-behavioral-variables-by-dietary-screening-tool-risk-category-in-older-adults
#20
Geoffrey W Greene, Ingrid Lofgren, Chelsea Paulin, Mary L Greaney, Phillip G Clark
BACKGROUND: The Dietary Screening Tool (DST) has been validated as a dietary screening instrument for older adults defining three categories of potential nutritional risk based on DST score cutoffs. Previous research has found that older adults classified as being "at risk" differed from those categorized as being "not at risk" for a limited number of health-related variables. The relationship between risk categories and a wide variety of variables has not yet been explored. This research will contribute to an increased understanding of clustering of multiple health concerns in this population...
August 17, 2017: Journal of the Academy of Nutrition and Dietetics
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