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Geriatric Rehabilitation

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https://www.readbyqxmd.com/read/29138675/benign-effect-of-extremely-low-frequency-electromagnetic-field-on-brain-plasticity-assessed-by-nitric-oxide-metabolism-during-poststroke-rehabilitation
#1
Natalia Cichoń, Piotr Czarny, Michał Bijak, Elżbieta Miller, Tomasz Śliwiński, Janusz Szemraj, Joanna Saluk-Bijak
Nitric oxide (NO) is one of the most important signal molecules, involved in both physiological and pathological processes. As a neurotransmitter in the central nervous system, NO regulates cerebral blood flow, neurogenesis, and synaptic plasticity. The aim of our study was to investigate the effect of the extremely low-frequency electromagnetic field (ELF-EMF) on generation and metabolism of NO, as a neurotransmitter, in the rehabilitation of poststroke patients. Forty-eight patients were divided into two groups: ELF-EMF and non-ELF-EMF...
2017: Oxidative Medicine and Cellular Longevity
https://www.readbyqxmd.com/read/29132659/-assessment-of-walking-problems-in-the-elderly-person
#2
Frédéric Pamoukdjian, Christine Charniot, Georges Sebbane
Walking problems represent a major public health issue in the geriatric population due to their frequency and the dramatic consequences they cause. They also mark a starting point of the physical frailty of elderly people. Their early detection should result in adapted functional rehabilitation in order to reduce the associated complications. Overview of walking problems in the elderly and the clinical means for assessing them.
November 2017: Soins. Gérontologie
https://www.readbyqxmd.com/read/29126759/malnutrition-increases-the-incidence-of-death-cardiovascular-events-and-infections-in-patients-with-stroke-after-rehabilitation
#3
Keisuke Maruyama, Naoki Nakagawa, Satoshi Koyama, Jun-Ichi Maruyama, Naoyuki Hasebe
BACKGROUND: Although the impact of malnutrition in patients with acute stroke has been reported, its significance after rehabilitation is not well understood. The geriatric nutritional risk index (GNRI) is a simple and well-established nutritional screening tool that predicts poor prognosis in elderly patients and in those with a high risk of cardiovascular events. We investigated the associations between GNRI and all-cause mortality, cardiovascular events, and infectious diseases in patients with stroke after rehabilitation...
November 7, 2017: Journal of Stroke and Cerebrovascular Diseases: the Official Journal of National Stroke Association
https://www.readbyqxmd.com/read/29105507/-factors-affecting-services-offered-to-older-adults-with-psychological-morbidity-an-exploration-of-health-professional-attitudes
#4
Jennifer White, Kath Greer, Grant Russell, Aislinn Lalor, Rene Stolwyk, Cylie Williams, Ted Brown, Terrence Haines
AIM: Poor collaboration between the multiple services involved in hospital discharge planning may contribute to suboptimal patient outcomes post discharge. This study aimed to explore clinician (medical, allied health and nursing) attitudes towards the management of the older patient with psychological morbidity during and following hospitalization. METHODS: Focus groups were held with 54 health professionals comprising of 7 from acute, 20 from subacute (geriatric assessment and rehabilitation), and 27 from community care settings...
November 6, 2017: Aging & Mental Health
https://www.readbyqxmd.com/read/29105246/role-of-potentially-inappropriate-medication-use-in-rehabilitation-outcomes-for-geriatric-patients-after-strokes
#5
Eiji Kose, Toshiyuki Hirai, Toshiichi Seki, Hiroyuki Hayashi
AIM: The effect of the use of potentially inappropriate medications (PIM) on mortality and functional outcome after strokes is unclear in Japan. The aim of the present study was to establish whether treatment with PIM affects functional improvements among geriatric patients convalescing after strokes. METHODS: This retrospective longitudinal study included consecutive geriatric patients admitted and discharged from convalescent rehabilitation wards for stroke between 2010 and 2016...
November 3, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29081391/independent-association-between-pre-operative-cognitive-status-and-discharge-location-after-surgery-a-strategy-to-reduce-resource-use-after-surgery-for-deformity
#6
Owoicho Adogwa, Aladine A Elsamadicy, Amanda Sergesketter, Victoria D Vuong, Jessica Moreno, Joseph Cheng, Isaac O Karikari, Carlos A Bagley
BACKGROUND: The aim of this study is to determine if preoperative scores on a screening measure for cognitive status(the Saint Louis Mental Status), were associated with discharge to a location other than home in elderly patients undergoing surgery for deformity. METHODS: Elderly subjects (≥65 years) undergoing a planned elective spinal surgery for correction of adult degenerative scoliosis were enrolled in this study. Pre-operative baseline cognition was assessed using the validated Saint Louis Mental Status (SLUMS) test...
October 25, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29071479/association-of-potentially-inappropriate-medications-with-outcomes-of-inpatient-geriatric-rehabilitation-a%C3%A2-prospective-cohort-study
#7
Madeleine Bachmann, Jan Kool, Peter Oesch, Marcel Weber, Stefan Bachmann
BACKGROUND: Higher age is associated with multimorbidity, which may lead to polypharmacy and potentially inappropriate medication (PIM). OBJECTIVE: To evaluate whether PIM on admission for geriatric inpatient rehabilitation is associated with rehabilitation outcome regarding mobility and quality of life. MATERIAL AND METHODS: A total of 210 patients were included. Medications at hospital admission were analyzed with the Screening Tool of Older Persons' potentially inappropriate Prescriptions (STOPP) and the number of PIMs individual patients were taking was determined...
October 25, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/29061633/factors-associated-with-quality-of-life-in-elderly-hospitalised-patients-undergoing-post-acute-rehabilitation-a-cross-sectional-analytical-study-in-switzerland
#8
Marc-Antoine Bornet, Eve Rubli Truchard, Etienne Rochat, Jérôme Pasquier, Stéfanie Monod
OBJECTIVES: We investigated whether biopsychosocial and spiritual factors and satisfaction with care were associated with patients' perceived quality of life. DESIGN: This was a cross-sectional analytical study. SETTING: Data were collected from inpatients at a postacute geriatric rehabilitation centre in a university hospital in Switzerland. PARTICIPANTS: Participants aged 65 years and over were consecutively recruited from October 2014 to January 2016...
October 22, 2017: BMJ Open
https://www.readbyqxmd.com/read/29059073/the-role-of-nutrition-in-geriatric-rehabilitation
#9
Rebecca Diekmann, Julia Wojzischke
PURPOSE OF REVIEW: To highlight the importance of nutrition in older adults undergoing a rehabilitation program. Geriatric rehabilitation aims at the recovery of physical abilities for a largely independent life in the community. The term 'geriatric rehabilitation' is wide and includes inpatient and ambulatory care as well as rehabilitation programs in hospitals, also outside geriatric wards. The role of nutrition is therefore not clearly defined, but an association between declined functional status and low nutritional status is evident...
October 20, 2017: Current Opinion in Clinical Nutrition and Metabolic Care
https://www.readbyqxmd.com/read/29041916/early-coordinated-rehabilitation-in-acute-phase-after-hip-fracture-a-model-for-increased-patient-participation
#10
Gillian Asplin, Gunnel Carlsson, Lena Zidén, Gunilla Kjellby-Wendt
BACKGROUND: Studies have shown that patients with hip fracture treated in a Comprehensive Geriatric Care (CGC) unit report better results in comparison to orthopaedic care. Furthermore, involving patients in their healthcare by encouraging patient participation can result in better quality of care and improved outcomes. To our knowledge no study has been performed comparing rehabilitation programmes within a CGC unit during the acute phase after hip fracture with focus on improving patients' perceived participation and subsequent effect on patients' function...
October 17, 2017: BMC Geriatrics
https://www.readbyqxmd.com/read/29031345/rehabilitation-needs-of-the-elderly-patient-with-cancer
#11
REVIEW
Jesuel Padro-Guzman, Jennifer P Moody, Jessica L Au
Physiatrist taking care of the geriatric patient with cancer should be able to manage an array of conditions that might present from diagnosis throughout completion of treatments and beyond. The elderly cancer population is at greater risk of functional impairments. The physician should anticipate changes in clinical status and must adjust rehabilitation goals accordingly. Treatment options and rehabilitation goals should be tailored to help maximize quality of life in these patients.
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/29031336/psychosocial-issues-in-geriatric-rehabilitation
#12
REVIEW
Ricardo M Rodriguez
Geriatric patients present multiple age-related challenges and needs that must be taken into account during the rehabilitation process to achieve expected goals. This article examines the importance of identifying and managing psychosocial issues commonly observed in older adults and presents strategies to optimize their rehabilitation process. Depression, anxiety, fear of falling, adjustment issues, neurocognitive disorders, and caregiver support are discussed as a selection of factors that are relevant for geriatric patients undergoing rehabilitation...
November 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/28993049/prestroke-mobility-and-dementia-as-predictors-of-stroke-outcomes-in-patients-over-65%C3%A2-years-of-age-a-cohort-study-from-the-swedish-dementia-and-stroke-registries
#13
Sara Garcia-Ptacek, Beatriz Contreras Escamez, Eva Zupanic, Dorota Religa, Lena von Koch, Kristina Johnell, Mia von Euler, Ingemar Kåreholt, Maria Eriksdotter
OBJECTIVES: To explore the association between prestroke mobility dependency and dementia on functioning and mortality outcomes after stroke in patients>65 years of age. DESIGN: Longitudinal cohort study based on SveDem, the Swedish Dementia Registry and Riksstroke, the Swedish Stroke Registry. PARTICIPANTS: A total of 1689 patients with dementia >65 years of age registered in SveDem and suffering a first stroke between 2007 and 2014 were matched with 7973 controls without dementia with stroke...
October 6, 2017: Journal of the American Medical Directors Association
https://www.readbyqxmd.com/read/28990422/gait-speed-has-comparable-prognostic-capability-to-six-minute-walk-distance-in-older-patients-with-cardiovascular-disease
#14
Kentaro Kamiya, Nobuaki Hamazaki, Yuya Matsue, Alessandro Mezzani, Ugo Corrà, Ryota Matsuzawa, Kohei Nozaki, Shinya Tanaka, Emi Maekawa, Chiharu Noda, Minako Yamaoka-Tojo, Atsuhiko Matsunaga, Takashi Masuda, Junya Ako
Background Although gait speed and six-minute walk distance are used to assess functional capacity in older patients with cardiovascular disease, their prognostic capabilities have not been directly compared. Methods The study population was identified from the Kitasato University Cardiac Rehabilitation Database and consisted of 1474 patients ≥60 years old with a mean age of 72.2 ± 7.1 years that underwent evaluation of both usual gait speed and six-minute walk distance in routine geriatric assessment between 1 June 2008-30 September 2015...
January 1, 2017: European Journal of Preventive Cardiology
https://www.readbyqxmd.com/read/28984597/cognitive-change-in-rehabilitation-patients-with-dementia-prevalence-and-association-with-rehabilitation-success
#15
Ilona Dutzi, Michael Schwenk, Marietta Kirchner, Jürgen M Bauer, Klaus Hauer
BACKGROUND: Dementia is a frequent diagnosis in geriatric rehabilitation. Studies in patients with dementia on the development of their cognitive status during rehabilitation and its relation to functional outcomes have been scarce. OBJECTIVES: To describe the changes in cognitive status in patients with dementia during inpatient rehabilitation and to determine its association with patient characteristics and rehabilitation outcome. METHODS: Cohort study in a geriatric rehabilitation center with data collection at admission and discharge...
2017: Journal of Alzheimer's Disease: JAD
https://www.readbyqxmd.com/read/28972243/assessment-of-clinical-practices-for-crushing-medication-in-geriatric-units
#16
M Fodil, D Nghiem, M Colas, S Bourry, A-S Poisson-Salomon, H Rezigue, C Trivalle
OBJECTIVES: To assess the modification of the form of medication and evaluate staff observance of good clinical practices. DESIGN: One-day assessment of clinical practices. SETTING: 17 geriatrics units in the 3 Teaching Hospitals of Paris-Sud (APHP), France. PARTICIPANTS: Elderly in-patients with difficulties swallowing capsules and tablets. MEASUREMENTS: Assessment of target-patient prescriptions and direct observation of nurses' medical rounds...
2017: Journal of Nutrition, Health & Aging
https://www.readbyqxmd.com/read/28967714/preoperative-risk-evaluation-in-patients-over-75-years-candidates-to-non-cardiac-and-cardiac-surgery
#17
Alessandro Boccanelli, Pompilio Faggiano
In the 24th and 25thof June 2016, 80 national experts were invited to Rome from The Italian Society of Geriatric Cardiology and the Italian Association of Cardiovascular Prevention and Rehabilitation to revise the current knowledge on the perioperative risk in the elderly. Cardiologists, geriatricians, heart and general surgeons and anesthesiologists discussed the topic with the objective of reaching a consensus and to launch observational research and registries in the field of perioperative risk evaluation in the elderly...
July 18, 2017: Monaldi Archives for Chest Disease, Archivio Monaldi Per le Malattie del Torace
https://www.readbyqxmd.com/read/28967408/mastication-and-oral-health-related-quality-of-life-in-removable-denture-wearers-with-alzheimer-disease
#18
Camila H Campos, Giselle R Ribeiro, Renata C M Rodrigues Garcia
STATEMENT OF PROBLEM: Alzheimer disease (AD) can affect masticatory function, affecting oral health-related quality of life (OHRQoL). Whether oral rehabilitation with conventional removable prostheses can restore masticatory function and improve OHRQoL in these individuals is unknown. PURPOSE: The purpose of this clinical study was to evaluate the influence of oral rehabilitation with removable prostheses on masticatory efficiency and OHRQoL in elders with and without AD...
September 27, 2017: Journal of Prosthetic Dentistry
https://www.readbyqxmd.com/read/28963658/-geriatric-rehabilitation-care-doing-the-right-things-right
#19
A J B M de Vos, R van Balen, R J J Gobbens, T J E M Bakker
BACKGROUND: Geriatric rehabilitation concerns short-term integrated multidisciplinary care aimed at functional recovery and social participation for relatively frail elderly. Given the geriatric clients' complex care issues, nurses should possess sufficient and appropriate competencies in order to identify and assess the relevant symptoms and intervene effectively. Yet, nurses experience a certain apprehensiveness to perform their tasks and express difficulties in multidisciplinary communication and collaboration in a constructive manner...
September 29, 2017: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/28960161/geriatric-comanagement-reduces-perioperative-complications-and-shortens-duration-of-hospital-stay-after-lumbar-spine-surgery-a-prospective-single-institution-experience
#20
Owoicho Adogwa, Aladine A Elsamadicy, Victoria D Vuong, Jessica Moreno, Joseph Cheng, Isaac O Karikari, Carlos A Bagley
OBJECTIVE Geriatric patients undergoing lumbar spine surgery have unique needs due to the physiological changes of aging. They are at risk for adverse outcomes such as delirium, infection, and iatrogenic complications, and these complications, in turn, contribute to the risk of functional decline, nursing home admission, and death. Whether preoperative and perioperative comanagement by a geriatrician reduces the incidence of in-hospital complications and length of in-hospital stay after elective lumbar spine surgery remains unknown...
September 29, 2017: Journal of Neurosurgery. Spine
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