keyword
MENU ▼
Read by QxMD icon Read
search

multimorbidity among elderly

keyword
https://www.readbyqxmd.com/read/28570109/management-of-long-term-conditions-and-dementia-the-role-of-the-admiral-nurse
#1
Cathy Knight, Karen Harrison Dening
As life expectancy increases so people often develop a range of conditions and disabilities in the years before death. Multimorbidity represents the most common 'disease pattern' found among the elderly and is characterised by complex interactions of co-existing diseases where a medical approach focused on a single disease does not suffice. People with dementia who also have other comorbidities do not always have their comorbid conditions managed as those without dementia which often lead to a high number of hospital admissions with longer lengths of stay and greater treatment costs...
June 2, 2017: British Journal of Community Nursing
https://www.readbyqxmd.com/read/28566447/management-of-endocrine-disease-l-thyroxine-replacement-therapy-in-the-frail-elderly-a-challenge-in-clinical-practice
#2
Rosaria Maddalena Ruggeri, Francesco Trimarchi, Bernadette Biondi
The number of elderly people, mostly over 85 years (the "oldest old"), is increasing worldwide. As a consequence, accompanying morbidity and disability have been increasing, and frailty, defined as an age-related condition of decline of physiological reserves and vulnerability, represents an emerging problem. Caring for older frail people may represent a challenge, since the elderly differ significantly from younger adults in terms of comorbidity, polypharmacy, pharmacokinetics and greater vulnerability to adverse drug reactions...
May 31, 2017: European Journal of Endocrinology
https://www.readbyqxmd.com/read/28492761/hospitalization-in-older-adults-association-with-multimorbidity-primary-health-care-and-private-health-plan
#3
Bruno Pereira Nunes, Mariangela Uhlmann Soares, Louriele Soares Wachs, Pâmela Moraes Volz, Mirelle de Oliveira Saes, Suele Manjourany Silva Duro, Elaine Thumé, Luiz Augusto Facchini
OBJECTIVE: Evaluate the association of multimorbidity, primary health care model and possession of a private health plan with hospitalization. METHODS: A population-based cross-sectional study with 1,593 elderly individuals (60 years old or older) living in the urban area of the city of Bagé, State of Rio Grande do Sul, Brazil. The outcome was hospitalization in the year preceding the interview. The multimorbidity was evaluated through two cut-off points (≥ 2 and ≥ 3)...
May 4, 2017: Revista de Saúde Pública
https://www.readbyqxmd.com/read/28376838/associations-between-multimorbidity-and-additional-burden-for-working-age-adults-with-specific-forms-of-musculoskeletal-conditions-a-cross-sectional-study
#4
Dianne B Lowe, Michael J Taylor, Sophie J Hill
BACKGROUND: Multiple health conditions are increasingly a problem for adults with musculoskeletal conditions. However, multimorbidity research has focused primarily on the elderly and those with a limited subset of musculoskeletal disorders. We sought to determine whether associations between multimorbidity and additional burden differ with specific forms of musculoskeletal conditions among working-age adults. METHODS: Data were sourced from a nationally representative Australian survey...
April 4, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28332222/multinomial-additive-hazard-model-to-assess-the-disability-burden-using-cross-sectional-data
#5
Renata T C Yokota, Herman Van Oyen, Caspar W N Looman, Wilma J Nusselder, Martin Otava, Yimer Wasihun Kifle, Geert Molenberghs
Population aging is accompanied by the burden of chronic diseases and disability. Chronic diseases are among the main causes of disability, which is associated with poor quality of life and high health care costs in the elderly. The identification of which chronic diseases contribute most to the disability prevalence is important to reduce the burden. Although longitudinal studies can be considered the gold standard to assess the causes of disability, they are costly and often with restricted sample size. Thus, the use of cross-sectional data under certain assumptions has become a popular alternative...
March 23, 2017: Biometrical Journal. Biometrische Zeitschrift
https://www.readbyqxmd.com/read/28332012/-frequency-of-falls-among-clients-of-home-care-services-the-importance-of-care-related-and-social-risk-factors
#6
A Rommel, J Kottner, R Suhr, N Lahmann
BACKGROUND: Among the elderly falls frequently result in injuries, increase the need for long-term care and pose a challenge for the quality assurance in nursing care. We describe the frequency and risk factors of falls among care-dependent persons using home care services in Germany. METHODS: The participants of the study "Nursing-related health problems in home care" (n = 880) were recruited based on a list of the officially accredited nursing services. Data collection followed a standardized study protocol...
March 22, 2017: Zeitschrift Für Gerontologie und Geriatrie
https://www.readbyqxmd.com/read/28257087/risk-factors-for-chronic-diseases-and-multimorbidity-in-a-primary-care-context-of-central-argentina-a-web-based-interactive-and-cross-sectional-study
#7
David E V Olivares, Frank R V Chambi, Evelyn M M Chañi, Winston J Craig, Sandaly O S Pacheco, Fabio J Pacheco
Global health agencies estimate an increase of chronic diseases in South America. Nevertheless, few studies have investigated chronic diseases and their risk factors in the perspective of multimorbidity. This research aimed to identify these aspects in a primary health care setting of central Argentina. The Pan America version of the STEP wise approach surveillance (STEPS) instrument of the World Health Organization was applied to 1044 participants, 365 men and 679 women, with a mean age of 43 years. High prevalence of overweight (33...
March 2, 2017: International Journal of Environmental Research and Public Health
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
#8
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
#9
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
#10
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
#11
MULTICENTER STUDY
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
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
keyword
keyword
89747
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"