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Policy geriatrics

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https://www.readbyqxmd.com/read/27874181/ags-position-statement-making-medical-treatment-decisions-for-unbefriended-older-adults
#1
Timothy W Farrell, Eric Widera, Lisa Rosenberg, Craig D Rubin, Aanand D Naik, Ursula Braun, Alexia Torke, Ina Li, Caroline Vitale, Joseph Shega
In this position statement, we define unbefriended older adults as patients who: (1) lack decisional capacity to provide informed consent to the medical treatment at hand; (2) have not executed an advance directive that addresses the medical treatment at hand and lack capacity to do so; and (3) lack family, friends or a legally authorized surrogate to assist in the medical decision-making process. Given the vulnerable nature of this population, clinicians, health care teams, ethics committees and other stakeholders working with unbefriended older adults must be diligent when formulating treatment decisions on their behalf...
November 22, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27871235/development-of-the-interrai-home-care-frailty-scale
#2
John N Morris, Elizabeth P Howard, Knight R Steel
BACKGROUND: The concept of frailty, a relative state of weakness reflecting multiple functional and health domains, continues to receive attention within the geriatrics field. It offers a summary of key personal characteristics, providing perspective on an individual's life course. There have been multiple attempts to measure frailty, some focusing on physiologic losses, others on specific diseases, disabilities or health deficits. Recently, multidimensional approaches to measuring frailty have included cognition, mood and social components...
November 21, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27869351/social-participation-willingness-and-quality-of-life-a-population-based-study-among-older-adults-in-rural-areas-of-china
#3
Qian He, Yanjie Cui, Ling Liang, Qi Zhong, Jie Li, Yuancheng Li, Xiaofeng Lv, Fen Huang
AIM: The present study aimed to reflect the current situation of social participation in rural areas of China, willingness to participate in social activities, association between health-related quality of life and social participation, and factors related to social participation. METHODS: A total of 2644 rural adults aged 60 years and older were randomly selected and surveyed with a self-rating questionnaire. We used the unified definition of social participation in our study...
November 21, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27843821/geriatric-health-policy-in-india-the-need-for-scaling-up-implementation
#4
REVIEW
N Sherin Susan Paul, Mathew Asirvatham
In an anticipation of the rising geriatric population in India, the Central government constituted the National Policy for Older Persons in 1999 to promote the health and welfare of senior citizens in India. A major strategy of this policy is to encourage families to take care of their older family members. The policy also encourages voluntary organizations to supplement the care provided by the family and provide care and protection to vulnerable elderly people. The implementation of this policy, particularly in the rural areas, has been negligible and calls for a scaling-up of programs to address the physical, psychological, and social needs of the poor...
April 2016: Journal of Family Medicine and Primary Care
https://www.readbyqxmd.com/read/27843375/polymyalgia-rheumatica-and-cancer-risk-the-importance-of-the-diagnostic-set
#5
Ciro Manzo, Maria Natale
In the last few years, the relationship between polymyalgia rheumatica (PMR) and cancer has been considered with very different conclusions. In particular, in 2010, Ji et al examined the overall and specific cancer risks among Swedish subjects following hospitalization for PMR and giant cell arteritis and noted that the risk of cancer was highest in the first year after hospitalization (of 3941 total cancer diagnoses, 783 [19.1%] were in the first year). In 2013, Muller et al, using data from General Practice Research Database, highlighted that elderly patients with a PMR diagnosis were significantly more likely to receive a cancer diagnosis in the year after PMR diagnosis (313/667 cancer cases [69%])...
2016: Open Access Rheumatology: Research and Reviews
https://www.readbyqxmd.com/read/27830996/permanent-emergency-inequality-in-access-to-hospitalisation-among-urban-elderly-chinese
#6
Tim F Liao, Cuntong Wang
The phenomenon of elderly patients staying in hospital emergency department observation units for extended time in urban China poses a challenge to China's healthcare system and presents a social problem of inequality. In this paper, we analyse statistics collected from 16 major public hospitals in Beijing to assess the extent and intensity of the problem and examine interviews of medical professionals to understand the mechanisms linking the issue to the Chinese healthcare system. We study the issue with the literature on market transition theory and on China's recent healthcare reforms and view this age-based inequality as an outcome of the economic and social transformations in China...
November 10, 2016: Global Public Health
https://www.readbyqxmd.com/read/27828590/-depressive-symptoms-among-the-elderly-a-cross-sectional-population-based-study
#7
Natália Hellwig, Tiago Neuenfeld Munhoz, Elaine Tomasi
A cross-sectional population-based study was conducted in Pelotas, Rio Grande do Sul, in 2014 with the aim of measuring the prevalence and factors associated with depressive symptoms among the elderly. Sampling was carried out by clusters in two stages. All the elderly people (≥ 60 years) living in the selected households were invited to participate. The occurrence of depressive symptoms was measured using GDS-10 (Geriatric Depression Scale) with ≥ 5cut-off. Information for 1,451 elderly people was obtained...
November 2016: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/27770588/health-care-for-older-adults-in-uganda-lessons-for-the-developing-world
#8
Wai Jia Tam, Philip Yap
Approximately two-thirds of the world's older adults live in developing nations. By 2050, as many as 80% of such older people will live in low- and middle-income countries. In sub-Saharan Africa alone, the number of individuals aged 60 and older is projected to reach 163 million. Despite this demographic wave, the majority of Africa has limited access to qualified geriatric health care.(3) Although foreign aid and capacity-building efforts can help to close this gap over time, it is likely that failure to understand the unique context of Africa's older adults, many of whom are marginalized, will lead to inadequacies in service delivery and poor health outcomes...
October 22, 2016: Journal of the American Geriatrics Society
https://www.readbyqxmd.com/read/27769907/growing-relevance-of-cardiac-rehabilitation-for-an-older-population-with-heart-failure
#9
REVIEW
David W Schopfer, Daniel E Forman
Cardiac rehabilitation (CR) is a comprehensive lifestyle program that can have particular benefit for older patients with heart failure (HF). Prevalence of HF is increasingly common among older adults. Mounting effects of cardiovascular risk factors in older age as well as the added effects of geriatric syndromes such as multimorbidity, frailty, and sedentariness contribute to the high incidence of HF as well as to management difficulty. CR can play a decisive role in improving function, quality of life, symptoms, morbidity, and mortality, and also address the idiosyncratic complexities of care that often arise in old age...
October 18, 2016: Journal of Cardiac Failure
https://www.readbyqxmd.com/read/27757231/emergency-department-crowding-in-singapore-insights-from-a-systems-thinking-approach
#10
Lukas K Schoenenberger, Steffen Bayer, John P Ansah, David B Matchar, Rajagopal L Mohanavalli, Sean Sw Lam, Marcus Eh Ong
OBJECTIVES: Emergency Department crowding is a serious and international health care problem that seems to be resistant to most well intended but often reductionist policy approaches. In this study, we examine Emergency Department crowding in Singapore from a systems thinking perspective using causal loop diagramming to visualize the systemic structure underlying this complex phenomenon. Furthermore, we evaluate the relative impact of three different policies in reducing Emergency Department crowding in Singapore: introduction of geriatric emergency medicine, expansion of emergency medicine training, and implementation of enhanced primary care...
2016: SAGE Open Medicine
https://www.readbyqxmd.com/read/27754821/the-growth-of-gerontology-and-geriatrics-in-mexico-past-present-and-future
#11
Maricruz Rivera-Hernandez, Sergio Flores Cerqueda, José Carlos García Ramírez
Life expectancy is increasing in Mexico, creating new opportunities and challenges in different areas, including gerontology and geriatric education and research. Although in the European Union there are more than 3,000 institutions that focus on aging research, in Latin America there are only 250 programs where theoretical and practical knowledge is taught. In Mexico, the number of institutions that offer gerontology and geriatric education is relatively small. One of the major concerns is that Mexico is not adequately prepared to optimally deal with the aging of its population...
October 18, 2016: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/27743841/health-social-and-economic-variables-associated-with-depression-among-older-people-in-low-and-middle-income-countries-world-health-organization-study-on-global-ageing-and-adult-health
#12
Ethel M Brinda, Anto P Rajkumar, Jǿrn Attermann, Ulf G Gerdtham, Ulrika Enemark, Kuruthukulangara S Jacob
OBJECTIVE: Although depression among older people is an important public health problem worldwide, systematic studies evaluating its prevalence and determinants in low and middle income countries (LMICs) are sparse. The biopsychosocial model of depression and prevailing socioeconomic hardships for older people in LMICs have provided the impetus to determine the prevalence of geriatric depression; to study its associations with health, social, and economic variables; and to investigate socioeconomic inequalities in depression prevalence in LMICs...
December 2016: American Journal of Geriatric Psychiatry
https://www.readbyqxmd.com/read/27713624/evaluation-of-the-master-s-curriculum-for-elderly-nursing-a-qualitative-study
#13
Fatemeh Ghaffari, Nahid Dehghan-Nayeri, Nasrin Navabi, Khatereh Seylani
BACKGROUND: Improving the quality of health care and rehabilitation for the elderly is one of the most important priorities of the health care system. Given the importance of evaluating the strengths and weaknesses of any program after its implementation, this study was conducted to identify the advantages and weaknesses of a geriatric nursing program at Tehran University of Medical Sciences. METHODS: This was a qualitative study, and the study population comprised students, graduates, and professors of geriatric nursing at the Master of Science level...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27636839/nutritional-status-of-patients-with%C3%A2-alzheimer-s-disease-and-their-caregivers
#14
Mario Tombini, Maura Sicari, Giovanni Pellegrino, Francesca Ursini, Pasqualina Insardá, Vincenzo Di Lazzaro
BACKGROUND: Malnutrition is one of the most important conditions that negatively affects the health of elder people, particularly in patients with dementia. OBJECTIVE: To provide an assessment of nutritional status of patients affected by Alzheimer's disease (AD) living at home and of their caregivers by means of Mini Nutritional Assessment (MNA), and to explore the influence of different factors on nutrition. METHODS: 90 patients affected by AD living at home and 90 age- and sex-matched caregivers were enrolled...
October 18, 2016: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/27635670/integrating-gerontological-competencies-in-canadian-health-and-social-service-education-an-overview-of-trends-enablers-and-challenges
#15
Veronique Boscart, Lynn McCleary, Kelsey Huson, Linda Sheiban, Kelsey Harvey
As the number of older adults increases, it is imperative that gerontological competencies are imbedded in health and social service education review of Canadian published and grey literature presents trends, barriers and enablers of sustained movement towards graduating professionals with gerontology competencies. Overall, gerontological education remains insufficient. Main barriers include resources for faculty and teaching. This review also identified discipline specific competency frameworks that could inform curriculum enhancement and education accreditations; however most educators were unaware of these...
September 16, 2016: Gerontology & Geriatrics Education
https://www.readbyqxmd.com/read/27611892/shared-decision-making-to-support-the-provision-of-palliative-and-end-of-life-care-in-the-emergency-department-a-consensus-statement-and-research-agenda
#16
Naomi George, Jennifer Kryworuchko, Katherine M Hunold, Kei Ouchi, Amy Berman, Rebecca Wright, Corita Grudzen, Olga Kovalerchik, Eric M LeFebvre, Rachel A Lindor, Tammie Quest, Terri A Schmidt, Tamara Sussman, Amy Vandenbroucke, Angelo E Volandes, Timothy F Platts-Mills
BACKGROUND: Little is known about the optimal use of shared decision making (SDM) to guide palliative and end-of-life decisions in the emergency department (ED). OBJECTIVE: To convene a working group to develop a set of research questions that, when answered, will substantially advance the ability of clinicians to use SDM to guide palliative and end-of-life care decisions in the ED. METHODS: Participants were identified based on expertise in emergency, palliative, or geriatrics care, policy, or patient-advocacy and spanned physician, nursing, social work, legal, and patient perspectives...
September 9, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://www.readbyqxmd.com/read/27589586/who-lives-where-and-does-it-matter-changes-in-the-health-profiles-of-older-people-living-in-long-term-care-and-the-community-over-two-decades-in-a-high-income-country
#17
Fiona E Matthews, Holly Bennett, Raphael Wittenberg, Carol Jagger, Tom Dening, Carol Brayne
BACKGROUND: There have been fundamental shifts in the attitude towards, access to and nature of long term care in high income countries. The proportion and profile of the older population living in such settings varies according to social, cultural, and economic characteristics as well as governmental policies. Changes in the profiles of people in different settings are important for policy makers and care providers. Although details will differ, how change occurs across time is important to all, including lower and middle income countries developing policies themselves...
2016: PloS One
https://www.readbyqxmd.com/read/27578367/factors-related-to-the-decision-making-for-moving-the-older-adults-into-long-term-care-facilities-in-taiwan
#18
Yen-Ping Hsieh, Ying-Chia Huang, Shou-Jen Lan, Ching-Sung Ho
AIM: To investigate the relationships between demographic characteristics of the elderly, type of long-term care (LTC) facilities, and the reasons for moving into LTC facilities. METHODS: Research participants included people aged over 65 years, living in LTC facilities. A total of 1280 questionnaires were distributed to 111 LTC facilities in Taiwan; 480 questionnaires were retrieved, and 232 were included in the valid sample. The study used a non-linear canonical correlation analysis, which assesses the relationships among similar sets of categorical variables...
August 31, 2016: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/27560181/finding-the-primary-care-providers-in-the-specialist-dominant-primary-care-setting-of-korea-a-cluster-analysis
#19
Jin Yong Lee, Sang Jun Eun, Hyun Joo Kim, Min-Woo Jo
OBJECTIVE: This study aimed to identify private clinics that have a potential to perform the role of primary care providers (PCPs) in a primary care setting in Korea where private specialists are dominant. METHODS: The 2013 National Patient Sample claim data of Health Insurance Review and Assessment Service in Korea was used. Two-step cluster analysis was performed using characteristics of private clinics, and patient and utilization characteristics of 27,797 private clinics...
2016: PloS One
https://www.readbyqxmd.com/read/27531240/economic-and-living-statuses-of-community-dwelling-older-adults-and-the-related-factors
#20
Meng-Chin Chen, Kuei-Min Chen
AIM: The health and well-being of older adults are closely related to their economic and living statuses. Socioeconomic inequality has a substantial impact on the healthcare received by these older adults. The present study aimed to understand the current economic and living statuses of community older adults, and examine the relationships among their demographics, economic status and living status. METHODS: This study used a cross-sectional correlational design...
August 17, 2016: Geriatrics & Gerontology International
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