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https://www.readbyqxmd.com/read/29743211/advancing-the-science-of-implementation-in-primary-health-care
#1
EDITORIAL
Andrew Bazemore, Anne Victoria Neale, Phillip Lupo, Dean Seehusen
Implementation Science is commonly described as the study of methods and approaches that promote the uptake and use of evidence-based interventions into routine practice and policymaking. In this issue of JABFM , investigators share a wealth of new insights from the frontlines of Implementation Science in primary care: what it is, how we are doing it, and how it is advancing the evidence base of primary care. The breadth of implementation science in primary care is affirmed by the range of topics covered, from thought leader recommendations on future directions for the field, to reports on how best practices in policy and practice are shaping primary care implementation in the United States and Canada...
May 2018: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/29691069/a-multidisciplinary-bootcamp-as-an-educational-launch-to-a-geriatric-emergency-department
#2
Allyson A Kreshak, Sean X Neath, Vaishal M Tolia, Edward M Castillo, Thoedore C Chan
BACKGROUND: Emergency department (ED) visits are increasing among patients ≥65 years of age. Geriatric EDs (GED) provide specialized emergency care for this older population. Interdisciplinary education of GED staff and providers is needed as part of the development of a GED. OBJECTIVES: We sought to describe the effective use of a GED bootcamp as an educational mechanism for the introduction of a GED to a health system. METHODS: An all-day, in-person GED bootcamp was held on the campus of our health system's medical school campus and was led by experts in geriatric emergency care...
April 21, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29673895/direct-costs-of-very-old-persons-with-subsyndromal-depression-a-5-year-prospective-study
#3
Mikael Ludvigsson, Lars Bernfort, Jan Marcusson, Ewa Wressle, Anna Milberg
OBJECTIVES: This study aimed to compare, over a 5-year period, the prospective direct healthcare costs and service utilization of persons with subsyndromal depression (SSD) and non-depressive persons (ND), in a population of very old persons. A second aim was to develop a model that predicts direct healthcare costs in very old persons with SSD. DESIGN AND SETTING: A prospective population-based study was undertaken on 85-year-old persons in Sweden. MEASUREMENTS: Depressiveness was screened with the Geriatric Depression Scale at baseline and at 1-year follow-up, and the results were classified into ND, SSD, and syndromal depression...
March 15, 2018: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/29670897/searching-for-clinically-relevant-biomarkers-in-geriatric-oncology
#4
REVIEW
Theodora Katsila, George P Patrinos, Dimitrios Kardamakis
Ageing, which is associated with a progressive decline and functional deterioration in multiple organ systems, is highly heterogeneous, both inter- and intraindividually. For this, tailored-made theranostics and optimum patient stratification become fundamental, when decision-making in elderly patients is considered. In particular, when cancer incidence and cancer-related mortality and morbidity are taken into account, elderly patient care is a public health concern. In this review, we focus on oncogeriatrics and highlight current opportunities and challenges with an emphasis on the unmet need of clinically relevant biomarkers in elderly cancer patients...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29624984/geriatric-intervention-strategy-to-enhance-the-social-roles-of-the-elderly
#5
Marcelo Piña-Morán, María Gladys Olivo-Viana, María de la Luz Martínez-Maldonado, Víctor Manuel Mendoza-Núñez
At the global level, population aging is an issue that is becoming increasingly important due to the great impact it will have on the 21st century society. It is essential to develop policies, strategies and actions aimed at addressing the issues that will arise from the rapid increase in this segment of population. The aim of this paper is to propose the geriatric intervention as a strategy for the development of the older people in their community. We expose the epistemological frame, the theoretical and methodological support and the need to find a language to incorporate the older adult actively to society, in a condition of total equality...
2018: Revista Médica del Instituto Mexicano del Seguro Social
https://www.readbyqxmd.com/read/29607245/future-of-health-findings-from-a-survey-of-stakeholders-on-the-future-of-health-and-healthcare-in-england
#6
Jennie Corbett, Camilla d'Angelo, Lorenzo Gangitano, Jon Freeman
This article presents findings from a survey conducted by RAND Europe at the request of the National Institute for Health Research (NIHR) to gather and synthesise stakeholder views on the future of health and healthcare in England in 20 to 30 years' time. The aim of the research was to generate an evidenced-based picture of the future health and healthcare needs, and how it might differ from today, in order to inform strategic discussions about the future priorities of the NIHR and the health and social care research communities more broadly...
April 2018: Rand Health Quarterly
https://www.readbyqxmd.com/read/29574144/consensus-paper-on-the-executive-summary-of-the-international-conference-on-mediterranean-diet-and-health-a-lifelong-approach-an-italian-initiative-supported-by-the-mediterranean-diet-foundation-and-the-menarini-foundation
#7
Virginia Boccardi, Riccardo Calvani, Federica Limongi, Anna Marseglia, Alexandra Mason, Marianna Noale, Domenico Rogoli, Nicola Veronese, Gaetano Crepaldi, Stefania Maggi
The Mediterranean Diet Foundation, in collaboration with the International Menarini Foundation, organized the "International Conference on Mediterranean Diet and Health: A Lifelong Approach." The Conference was held in Ostuni (Puglia, Italy) from March 30 to April 1, 2017. The event received the endorsement of the American Federation for Aging Research, the Research Consortium "Luigi Amaducci," the European Nutrition for Health Alliance, the European Union Geriatric Medicine Society, the Clinical Section of the International Association of Gerontology and Geriatrics-European Region, the National Research Council Research Project on Aging, the Italian Society of Gerontology and Geriatrics, and the Italian Society of Clinical Nutrition and Metabolism...
February 8, 2018: Nutrition
https://www.readbyqxmd.com/read/29551564/a-concept-analysis-of-patient-participation-in-intermediate-care
#8
REVIEW
Linda Aimée Hartford Kvæl, Jonas Debesay, Anne Langaas, Asta Bye, Astrid Bergland
OBJECTIVE: Although the concept of patient participation has been discussed for a number of years, there is still no clear definition of what constitutes the multidimensional concept, and the application of the concept in an intermediate care (IC) context lacks clarity. Therefore this paper seeks to identify and explore the attributes of the concept, to elaborate ways of understanding the concept of patient participation for geriatric patients in the context of IC. METHODS: Walker and Avant's model of Concept analysis [1] based on a literature review...
March 5, 2018: Patient Education and Counseling
https://www.readbyqxmd.com/read/29518180/reappraising-the-good-death-for-populations-in-the-age-of-ageing
#9
Kristian Pollock, Jane Seymour
This is the second in an occasional series of paired commentaries in Age and Ageing, the Journal of the British Geriatrics Society and the Journal of the American Geriatrics Society (JAGS). The aim is to address issues of current significance and to foster dialogue and increased understanding between academics and clinicians working in comparative international settings. Both commentaries address the urgent need to improve palliative care for older people, with a critique of some stereotypes surrounding palliative care and the 'good death'...
May 1, 2018: Age and Ageing
https://www.readbyqxmd.com/read/29504842/fall-prevention-strategy-in-an-emergency-department
#10
Mwali Muray, Charles H Bélanger, Jamil Razmak
Purpose The purpose of this paper is to document the need for implementing a fall prevention strategy in an emergency department (ED). The paper also spells out the research process that led to approving an assessment tool for use in hospital outpatient services. Design/methodology/approach The fall risk assessment tool was based on the Morse Fall Scale. Gender mix and age above 65 and 80 years were assessed on six risk assessment variables using χ2 analyses. A logistic regression analysis and model were used to test predictor strength and relationships among variables...
February 12, 2018: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/29494321/clinical-practice-guideline-hoarseness-dysphonia-update
#11
Robert J Stachler, David O Francis, Seth R Schwartz, Cecelia C Damask, German P Digoy, Helene J Krouse, Scott J McCoy, Daniel R Ouellette, Rita R Patel, Charles Charlie W Reavis, Libby J Smith, Marshall Smith, Steven W Strode, Peak Woo, Lorraine C Nnacheta
Objective This guideline provides evidence-based recommendations on treating patients who present with dysphonia, which is characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication and/or quality of life. Dysphonia affects nearly one-third of the population at some point in its life. This guideline applies to all age groups evaluated in a setting where dysphonia would be identified or managed. It is intended for all clinicians who are likely to diagnose and treat patients with dysphonia...
March 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29494316/clinical-practice-guideline-hoarseness-dysphonia-update-executive-summary
#12
Robert J Stachler, David O Francis, Seth R Schwartz, Cecelia C Damask, German P Digoy, Helene J Krouse, Scott J McCoy, Daniel R Ouellette, Rita R Patel, Charles Charlie W Reavis, Libby J Smith, Marshall Smith, Steven W Strode, Peak Woo, Lorraine C Nnacheta
Objective This guideline provides evidence-based recommendations on treating patients presenting with dysphonia, which is characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication and/or quality of life. Dysphonia affects nearly one-third of the population at some point in its life. This guideline applies to all age groups evaluated in a setting where dysphonia would be identified or managed. It is intended for all clinicians who are likely to diagnose and treat patients with dysphonia...
March 2018: Otolaryngology—Head and Neck Surgery
https://www.readbyqxmd.com/read/29493053/frailty-index-and-its-associations-with-self-neglect-social-support-and-sociodemographic-characteristics-among-older-adults-in-rural-china
#13
Jie Li, Dongdong Zhao, Bao Dong, Dandan Yu, Qiongqiong Ren, Jian Chen, Qirong Qin, Peng Bi, Yehuan Sun
AIM: The frailty index is used to measure the health status of older individuals. However, its association with self-neglect, social support and sociodemographic characteristics of older adults is underexplored. The purpose of the present study was to explore such associations among the rural older adults in Anhui Province of China, and to provide scientific evidence for policy-makers to improve the health and well-being of older adults in rural China. METHODS: A cross-sectional survey was undertaken among 3048 older adults in rural China...
March 1, 2018: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29473940/delirium-a-framework-to-improve-acute-care-for-older-persons
#14
Sharon K Inouye
This article is based on the M. Powell Lawton Award Lecture that I delivered at the 2016 Gerontological Society of America Annual Meeting. I provide an overview of my journey in geriatric medicine and delirium research. I created new measures, including the Confusion Assessment Method, for identification of delirium; conceptualized a multifactorial risk model; and developed and tested intervention strategies for delirium prevention. The Hospital Elder Life Program arose from this work. In addition, like Dr...
March 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29471574/-type-2-diabetes-diabetes-in-older-adults-example-for-patient-centered-drug-therapy
#15
Dirk Müller-Wieland
Diabetes in older adults has a high prevalence and is frequently associated with comorbidities of the cardiovascular system, dysfunction of cognition as well as depression and impaired mobility or increased frailty. Furthermore, impaired renal function, heart failure, risk for hypoglycemia and polypharmacy has to be considered in the decision about the diabetes treatment strategy. The goal of blood glucose management is driven by patient relevant issues and patient self-esteem, quality of life defined by the patient, preservation of physical and social mobility rather than potential long-term effects on reduction of cardio- and microvascular events in the future, which is limited by patient-inherent reduced life expectancy of the aged individual...
February 2018: Deutsche Medizinische Wochenschrift
https://www.readbyqxmd.com/read/29471207/locomotive-function-and-quality-of-life-among-older-people-in-liaoning-china-falls-efficacy-as-mediator-or-moderator
#16
Li-Jie Huang, You-Feng Wen, Yong-Chuang Liu, Li-Na Guo, Wen-Ting Du, Min-Min Qin, Jing-Jing Zhang, Kun Liu
OBJECTIVES: This study aimed to examine the role of falls efficacy in the relationship between the locomotive function and quality of life. METHODS: From March to May in 2016, we conducted a cross-sectional survey among 830 community residents aged ≥60 years from Jinzhou,China.GLFS-25 (25-question Geriatric Locomotive Function Scale), FES-I(International edition of Falls Efficacy Scale),and SF-12 (12-item Short Form Health Survey) were used to estimate locomotive function, falls efficacy and quality of life, respectively...
May 2018: Archives of Gerontology and Geriatrics
https://www.readbyqxmd.com/read/29461630/factors-affecting-discharge-to-home-of-geriatric-intermediate-care-facility-residents-in-japan
#17
Kojiro Morita, Sachiko Ono, Miho Ishimaru, Hiroki Matsui, Takashi Naruse, Hideo Yasunaga
OBJECTIVES: To investigate factors associated with lower likelihood of discharge to home from geriatric intermediate care facilities in Japan. DESIGN: Retrospective cohort study. SETTING: We used data from the nationwide long-term care (LTC) insurance claims database (April 2012-March 2014). PARTICIPANTS: Study participants were 342,758 individuals newly admitted to 3,459 geriatric intermediate care facilities during the study period...
April 2018: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/29461025/older-californians-and-the-mental-health-services-act-is-an-older-adult-system-of-care-supported
#18
Kathryn G Kietzman, Danielle Dupuy, JoAnn Damron-Rodriguez, Alina Palimaru, Homero E del Pino, Janet C Frank
This policy brief summarizes findings from the first study to evaluate how California's public mental health delivery system has served older adults (60 years of age and over) since the passage of the Mental Health Services Act (MHSA) in 2004. Study findings indicate that there are unmet needs among older adults with mental illness in the public mental health delivery system. There are deficits in the involvement of older adults in the required MHSA planning processes and in outreach and service delivery, workforce development, and outcomes measurement and reporting...
January 2018: Policy Brief
https://www.readbyqxmd.com/read/29460959/identifying-and-prioritizing-topics-for-evidence-based-geriatric-nursing-practice-guidelines-in-korea
#19
S Kim, K Kim, S J Kim
BACKGROUND: Despite the increasing population of elderly individuals in Korea, there are no evidence-based geriatric nursing practice guidelines. AIM: This study aimed to identify and prioritize topics related to the development of evidence-based geriatric nursing practice guidelines in long-term care facilities in Korea. METHODS: To identify potential topics, 89 nurses responded to a questionnaire on activities that require further evidence and/or standardization in the long-term care facility setting...
February 20, 2018: International Nursing Review
https://www.readbyqxmd.com/read/29440911/should-frail-older-adults-be-in-long-term-care-facilities
#20
Liv Wergeland Sørbye, Sidsel Sverdrup, Birgit Brunborg Pay
Aim: Home-based nursing care is relatively easy to access in Norway compared to the rest of Europe, and the threshold for applying for assistance is relatively low. The aim of the present study was to analyze factors that enable frail older adults to live in their own homes, with a low level of care burden stress. Methodology: In 2015 and 2016, eight municipalities from different parts of Norway participated in a cross-sectional study. The quantitative part of the project consisted of assessing care of 71 older adults, aged ≥80 years, using a geriatric comprehensive assessment...
2018: Journal of Multidisciplinary Healthcare
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