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multimorbidity among elderly

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https://www.readbyqxmd.com/read/27884811/how-professionals-share-an-e-care-plan-for-the-elderly-in-primary-care-evaluating-the-use-of-an-e-communication-tool-by-different-combinations-of-professionals
#1
Catharina C de Jong, Wynand Jg Ros, Mia van Leeuwen, Guus Schrijvers
BACKGROUND: Home-dwelling elderly patients with multimorbidity are at risk of fragmentation of care because of the many different professionals involved and a potentially unclear level of communication. Multidisciplinary communication seems to occur incidentally. Mutual feedback is needed for a professional team to provide consistent care and adequate support to the patient system. eHealth technology can improve outcomes. OBJECTIVE: The aim of this study was to evaluate the use of a tool, Congredi, for electronic communication by professionals for the care of home-dwelling elderly patients...
November 24, 2016: Journal of Medical Internet Research
https://www.readbyqxmd.com/read/27883167/frailty-is-a-geriatric-syndrome-characterized-by-multiple-impairments-a-comprehensive-approach-is-needed
#2
L-K Chen, A-C Hwang, L-K Liu, W-J Lee, L-N Peng
OBJECTIVE: To evaluate the prevalence of frailty and the associated multimorbidity and functional impairments among community-dwelling middle-aged and elderly people in Taiwan. DESIGN: a cross-sectional study. SETTING: communities in I-Lan County of Taiwan. PARTICIPANTS: 1839 community-dwelling people aged 50 years and older. INTERVENTION: None. MEASUREMENTS: Frailty defined by Fried's criteria, Charlson's comorbidity index (CCI), Functional Autonomy Measurement System (SMAF), Center for Epidemiologic Studies Depression Scale (CES-D), Mini-Nutrition Assessment (MNA), Mini-Mental State Examination (MMSE), and Short Form-12 quality of life questionnaire...
2016: Journal of Frailty & Aging
https://www.readbyqxmd.com/read/27882453/-implementation-of-a%C3%A2-proactive-integrated-primary-care-program-for-frail-older-people-from-science-to-evidence-based-practice
#3
Nienke Bleijenberg, Artine de Jonge, Morris P Brand, Caitriona O'Flynn, Marieke J Schuurmans, Niek J de Wit
BACKGROUND: Multimorbidity, functional impairment and frailty among community-dwelling older people are causing increasing complexity in primary care. A proactive integrated primary care approach is therefore essential. Between October 2014-2015, an evidence-based proactive care program for frail older people was implemented in the region Noord-West Veluwe en Zeewolde, the Netherlands. This study evaluated the feasibility of the implementation, having a strong focus on the collaboration between the medical and social domain...
December 2016: Tijdschrift Voor Gerontologie en Geriatrie
https://www.readbyqxmd.com/read/27835995/relationship-between-health-related-quality-of-life-perceived-family-support-and-unmet-health-needs-in-adult-patients-with-multimorbidity-attending-primary-care-in-portugal-a-multicentre-cross-sectional-study
#4
Filipe Prazeres, Luiz Santiago
BACKGROUND: Multimorbidity has a high prevalence in the primary care context and it is frequently associated with worse health-related quality of life (HRQoL). Few studies evaluated the variables that could have a potential effect on HRQoL of primary care patients with multimorbidity. The purpose of this study, the first of its kind ever undertaken in Portugal, is to analyse the relationship between multimorbidity, health-related quality of life, perceived family support and unmet health needs in adult patients attending primary care...
November 11, 2016: Health and Quality of Life Outcomes
https://www.readbyqxmd.com/read/27800181/type-of-multimorbidity-and-patient-doctor-communication-and-trust-among-elderly-medicare-beneficiaries
#5
Rahul Garg, Chan Shen, Nethra Sambamoorthi, Kimberly Kelly, Usha Sambamoorthi
Background. Effective communication and high trust with doctor are important to reduce the burden of multimorbidity in the rapidly aging population of the US. However, the association of multimorbidity with patient-doctor communication and trust is unknown. Objective. We examined the relationship between multimorbidity and patient-doctor communication and trust among the elderly. Method. We used the Medicare Current Beneficiary Survey (2012) to analyze the association between multimorbidity and patient-doctor communication and trust with multivariable logistic regressions that controlled for patient's sociodemographic characteristics, health status, and satisfaction with care...
2016: International Journal of Family Medicine
https://www.readbyqxmd.com/read/27784269/the-association-of-multimorbidity-and-disability-in-a-community-based-sample-of-elderly-aged-80-or-older-in-shanghai-china
#6
Peng Su, Hansheng Ding, Wei Zhang, Guangfeng Duan, Yitong Yang, Rong Chen, Zengjie Duan, Lixia Du, Chunyan Xie, Chunlin Jin, Chaoqun Hu, Zixue Sun, Junrui Long, Lingling Gong, Wenhua Tian
BACKGROUND: Both multimorbidity and activities of daily living (ADL) disability and instrument activities of daily living (IADL) disability are common among elderly individuals. ADL/IADL disability may reduce individuals' capacities for independent living and quality of life. This study aimed to examine the association between multimorbidity and ADL/IADL disability. METHODS: A multi-stage cluster sample of 2058 residents aged 80 or older was investigated in Shanghai, China...
October 27, 2016: BMC Geriatrics
https://www.readbyqxmd.com/read/27699741/-the-association-between-multimorbidity-and-medication-non-adherence-in-elderly-with-hypertension-in-western-china
#7
Zhi Li, Yi-Pu Zhao, Xiu-Ying Hu
BACKGROUND: The prevalence of hypertension increases with aging. Medication non-adherence is an important reason for the failure to control hypertension effectively, which increases the risks of cardiovascular and cerebrovascular incidents and of mortality. Multimorbidity is common among the elderly and has become a WHO-supported priority of research worldwide. While recent research suggests an association between multimorbidity and medication non-adherence, the results are not yet conclusive...
October 2016: Hu Li za Zhi the Journal of Nursing
https://www.readbyqxmd.com/read/27694212/professionals-perspectives-towards-health-promotion-in-residential-aged-care-an-explorative-study-in-austria
#8
Benjamin Marent, Christina C Wieczorek, Karl Krajic
Following the trend in most developed countries, in Austria the oldest old are the fastest growing population group. Among this group, there is a high prevalence of multimorbidity, functional impairment, dementia and psychiatric conditions. While health promotion (HP) has been considered relevant in coping with the challenges of an aging population, it has so far been viewed as a foreign concept in relation to the oldest old, especially those living in residential aged care (RAC) facilities. Although there is an acknowledgement that HP should be integrated into routine nursing, there has been little research on how professionals working with RAC interpret and implement HP...
September 30, 2016: Health Promotion International
https://www.readbyqxmd.com/read/27682420/understanding-implementation-of-comprehensive-geriatric-care-programs-a-multiple-perspective-approach-is-preferred
#9
Annemarie de Vos, Jane-Murray Cramm, Jeroen D H van Wijngaarden, Ton J E M Bakker, Johan P Mackenbach, Anna P Nieboer
BACKGROUND: The Prevention and Reactivation Care Program (PReCaP) provides a novel approach targeting hospital-related functional decline among elderly patients. Despite the high expectations, the PReCaP was not effective in preventing functional decline (ADL and iADL) among older patients. Although elderly PReCaP patients demonstrated slightly better cognitive functioning (Mini Mental State Examination; 0.4 [95% confidence interval (CI) 0.2-0.6]), lower depression (Geriatric Depression Scale 15; -0...
September 29, 2016: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/27302543/control-preferences-in-treatment-decisions-among-older-adults-results-of-a-large-population-based-study
#10
Sabine Lechner, Wolfgang Herzog, Friederike Boehlen, Imad Maatouk, Kai-Uwe Saum, Hermann Brenner, Beate Wild
OBJECTIVE: Older adults appear to be a specifically vulnerable group that could benefit considerably from the assessment of their decision-making preferences. The aim of this study was to estimate prevalence rates and to explore characteristics of control preferences in a population-based sample of older adults. METHODS: Data was derived from the 8-year follow-up of the ESTHER study - a German epidemiological study in the elderly population. n=3124 participants ages 57 to 84 were visited at home by trained medical doctors for a comprehensive assessment regarding various aspects of their life...
July 2016: Journal of Psychosomatic Research
https://www.readbyqxmd.com/read/27217729/fried-frailty-phenotype-assessment-components-as-applied-to-geriatric-inpatients
#11
Joanna Bieniek, Krzysztof Wilczyński, Jan Szewieczek
BACKGROUND: Management of geriatric patients would be simplified if a universally accepted definition of frailty for clinical use was defined. Among definitions of frailty, Fried frailty phenotype criteria constitute a common reference frame for many geriatric studies. However, this reference frame has been tested primarily in elderly patients presenting with relatively good health status. OBJECTIVE: The aim of this article was to assess the usefulness and limitations of Fried frailty phenotype criteria in geriatric inpatients, characterized by comorbidity and functional impairments, and to estimate the frailty phenotype prevalence in this group...
2016: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/27210901/narrative-medicine-and-the-personalisation-of-treatment-for-elderly-patients
#12
REVIEW
C Cenci
Healthcare organisations, medical knowledge and clinical practice are among the contexts that have most strongly felt the impact of the over 75 population. This is a population of multimorbidity and polypharmacy patients. They are often seen as a conglomeration of juxtaposed guidelines resulting in the intake of more than 10 drugs a day, with absolutely no certainty of their efficacy. The scientific community is increasingly calling into question the current disease-focused approach. Narrative medicine can provide the tools for a treatment plan which is instead more patient-centred...
July 2016: European Journal of Internal Medicine
https://www.readbyqxmd.com/read/27165453/-spondylodiscitis-in-the-elderly
#13
Marlies E Kerkenaar, Rob J van Marum, Tom Sprong, J E M Janet Bootsma
The incidence of spondylodiscitis is highest among the elderly. Because of the ageing population the incidence of spondylodiscitis is rising. In this article, we illustrate dilemmas which may occur when treating older patients with spondylodiscitis by presenting two cases. The first patient is a 74-year-old man in whom there was uncertainty about the diagnosis on the basis of imaging results. The second patient is an 82-year-old man with dementia in whom longstanding intravenous treatment was too burdensome and treatment with oral antibiotics was started...
2016: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/27160080/economic-burden-of-multimorbidity-among-older-adults-impact-on-healthcare-and-societal-costs
#14
Louisa Picco, Evanthia Achilla, Edimansyah Abdin, Siow Ann Chong, Janhavi Ajit Vaingankar, Paul McCrone, Hong Choon Chua, Derrick Heng, Harish Magadi, Li Ling Ng, Martin Prince, Mythily Subramaniam
BACKGROUND: Multimorbidity is not uncommon and the associated impact it places on healthcare utilisation and societal costs is of increased concern. The aim of the current study was to estimate the economic burden of multimorbidity among older adults in Singapore by investigating its association with the healthcare and societal resource use and cost. METHODS: The Well-being of the Singapore Elderly (WiSE) study was a single phase, cross sectional survey among a nationally representative sample of Singapore residents (N = 2565) aged 60 years and above...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27074709/overutilization-of-ambulatory-medical-care-in-the-elderly-german-population-an-empirical-study-based-on-national-insurance-claims-data-and-a-review-of-foreign-studies
#15
Hendrik van den Bussche, Hanna Kaduszkiewicz, Ingmar Schäfer, Daniela Koller, Heike Hansen, Martin Scherer, Gerhard Schön
BACKGROUND: By definition, high utilizers receive a large proportion of medical services and produce relatively high costs. The authors report the results of a study on the utilization of ambulatory medical care by the elderly population in Germany in comparison to other OECD countries. Evidence points to an excessive utilization in Germany. It is important to document these utilization figures and compare them to those in other countries since the healthcare system in Germany stopped recording ambulatory healthcare utilization figures in 2008...
2016: BMC Health Services Research
https://www.readbyqxmd.com/read/27008337/-geriatric-pharmacotherapy-in-urology-an-introduction-from-a-geriatric-pharmacist-s-perspective
#16
F Hanke, M Plum, A Wiedemann
In Germany, too, adverse drug events (ADEs) have been identified as a central problem in the care of geriatric patients. Especially in elderly patients with multimorbidity and increasing frailty, ADEs are among the most frequent and cost-intensive causes of illness in healthcare. In most cases, they are due to drug-related diseases, which necessitate enhanced risk awareness and improved cooperation between physicians, medical specialists, geriatric nurses and pharmacists. In this context, the use of urologic medication for geriatric patients requires particular attention by the consultant...
February 2016: Aktuelle Urologie
https://www.readbyqxmd.com/read/26966371/home-care-assistants-perspectives-on-detecting-mental-health-problems-and-promoting-mental-health-among-community-dwelling-seniors-with-multimorbidity
#17
Åke Grundberg, Anna Hansson, Dorota Religa, Pernilla Hillerås
INTRODUCTION: Elderly people with multiple chronic conditions, or multimorbidity, are at risk of developing poor mental health. These seniors often remain in their homes with support from home care assistants (HCAs). Mental health promotion by HCAs needs to be studied further because they may be among the first to observe changes in clients' mental health status. AIM: To describe HCAs' perspectives on detecting mental health problems and promoting mental health among homebound seniors with multimorbidity...
2016: Journal of Multidisciplinary Healthcare
https://www.readbyqxmd.com/read/26886709/-pharmacotherapy-of-urinary-incontinence-in-the-elderly
#18
K F Becher
The prevalence and the incidence of Urinary Incontinence is growing. Women suffer predominantly from stress and mixed urinary incontinence and men from urge incontinence. In elderly people, the pathophysiological and the physiological change in the lower urinary tract system must be considered as well as an underlying multimorbidity. Stress urinary incontinence is among others caused by an insufficient urethral closure mechanism and urge incontinence is followed by unhibited detrusor contractions. Medical treatment is beside other important conservative options only one part of the treatment strategy in incontinence...
April 2016: Der Internist
https://www.readbyqxmd.com/read/26761692/prevalence-and-characteristics-of-lesions-in-elderly-people-living-in-the-community
#19
Etienne Duim, Felipe Henrique Cardoso de Sá, Yeda Aparecida de Oliveira Duarte, Rita de Cassia Burgos de Oliveira, Maria Lucia Lebrão
Objective To describe the profile and the characteristics of elderly people with mobility restrictions who are residents in the community and have skin lesions. Method This was an exploratory and descriptive study that was part of the Health, Welfare and Ageing (SABE) study which assessed the presence of skin lesions in a probabilistic sample of elderly people living in the city of São Paulo in relation to factors such as socio-demographic issues, blood biomarkers, health conditions and the use of services...
February 2015: Revista da Escola de Enfermagem da U S P
https://www.readbyqxmd.com/read/26702910/medication-in-the-elderly-considerations-and-therapy-prescription-guidelines
#20
REVIEW
Davorka Vrdoljak, Josip Anđelo Borovac
UNLABELLED: The aim of this study was to integrate and present pertinent findings from the literature dealing with the treatment of the elderly within a primary care setting. Medical care for the elderly is an integral part of a general practitioner's (GPs) everyday work and is challenging for many reasons. Older people often experience multiple chronic diseases concurrently (comorbidity, multimorbidity) and they often have deteriorated organ function and decreased physiological reserves due to the natural aging process...
2015: Acta Medica Academica
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