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https://www.readbyqxmd.com/read/29143437/profiles-of-needs-satisfaction-and-thwarting-in-older-people-living-at-home-relationships-with-well-being-and-ill-being-indicators
#1
Charlotte Vanhove-Meriaux, Guillaume Martinent, Claude Ferrand
AIM: To examine the profiles of basic psychological needs satisfaction (BPNS) and thwarting (BPNT) in older people living at home, their relationship with well-being and ill-being indicators, and how BPNS and BPNT needs were related to these indicators using regression analyses. METHODS: Participants (n = 182; mean age 73.33 years; SD 7.07 years) completed the measures of BPNS, BPNT, purpose in life, personal growth, subjective vitality, self-esteem, positive and negative affective states, and depressive feelings...
November 15, 2017: Geriatrics & Gerontology International
https://www.readbyqxmd.com/read/29119129/aging-partners-managing-chronic-illness-together-introducing-the-content-collection
#2
Alexandra C H Nowakowski, J E Sumerau
Prior literature on illness management within intimate relationships demonstrates a variety of benefits from supportive partnership. Indeed, much of the earliest research in this field engaged older adults with and without chronic conditions. However, this pioneering literature gave little consideration to relationships in which multiple partners were coping with chronic illness. By contrast, the majority of published manuscripts presented a "sick partner/well partner" model in which caregiving flowed only in one direction...
January 2017: Gerontology & Geriatric Medicine
https://www.readbyqxmd.com/read/29097857/like-the-eye-of-the-tiger-inpatient-psychiatric-facility-exclusionary-criteria-and-its-knockout-of-the-emergency-psychiatric-patient
#3
Veronica Tucci, John Liu, Anu Matorin, Asim Shah, Nidal Moukaddam
Context: Over 6% of all emergency department (ED) visits in the United States involve primary mental health or behavioral issues. The patients are stabilized in the ED but frequently require admission to an inpatient psychiatric unit or institution for longer term treatment and management. To facilitate this process, an emergency physician (EP) must first "medically clear" the patient as stable for transfer. At present, there is no interdisciplinary consensus regarding the necessary elements of the medical clearance or stability assessment process...
October 2017: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/29077479/illness-and-intelligence-are-comparatively-strong-predictors-of-individual-differences-in-depressive-symptoms-following-middle-age
#4
Stephen Aichele, Patrick Rabbitt, Paolo Ghisletta
OBJECTIVE: We compared the importance of socio-demographic, lifestyle, health, and multiple cognitive measures for predicting individual differences in depressive symptoms in later adulthood. METHOD: Data came from 6203 community-dwelling older adults (age 41-93 years at study entry) from the United Kingdom. Predictors (36 in total) were assessed up to four times across a period of approximately 12 years. Depressive symptoms were measured with the Geriatric Depression Scale...
October 27, 2017: Aging & Mental Health
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
#5
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/29055624/geriatric-assessment-and-biomarkers-in-patients-with-metastatic-breast-cancer-receiving-first-line-mono-chemotherapy-results-from-the-randomized-phase-iii-pelican-trial
#6
Friedemann Honecker, Nadia Harbeck, Claudia Schnabel, Ulrich Wedding, Dirk Waldenmaier, Steffen Saupe, Elke Jäger, Marcus Schmidt, Rolf Kreienberg, Lothar Müller, Burkhard Otremba, Julia Dorn, Mathias Warm, Salah-Eddin Al-Batran, Maike de Wit
OBJECTIVES: To determine predictive/prognostic factors for patients with metastatic breast cancer (MBC) receiving first-line monochemotherapy using biomarker analysis and geriatric assessment (GA). MATERIALS AND METHODS: Karnofsky Performance Status (KPS) and GA as clinical parameters, and prognostic inflammatory and nutritional index (PINI), and Glasgow prognostic score (GPS) as biomarkers were analyzed for association with clinical outcome within the randomized phase III PEg-LIposomal Doxorubicin vs...
October 18, 2017: Journal of Geriatric Oncology
https://www.readbyqxmd.com/read/29022362/narratives-of-health-and-illness-arts-based-research-capturing-the-lived-experience-of-dementia
#7
Hilary Moss, Desmond O'Neill
Introduction This paper presents three artists' residencies in a geriatric medicine unit in a teaching hospital. The aim of the residencies was creation of new work of high artistic quality reflecting the lived experience of the person with dementia and greater understanding of service user experience of living with dementia. This paper also explores arts-based research methodologies in a medical setting. Method Arts-based research and narrative enquiry were the method used in this study. Artists had extensive access to service users with dementia, family carers and clinical team...
January 1, 2017: Dementia
https://www.readbyqxmd.com/read/29017663/-research-progress-of-frailty-syndrome-in-critically-ill-elderly-patients
#8
Jiahui Dong, Jie Sun, An Zeng, Zhenhui Guo
Frailty syndrome is the core of the comprehensive geriatric assessment of the elderly, which affects the prognosis of elderly critical illness patients and becomes the hotspot of the current geriatric medical research of elderly patients. In critically ill elderly patients, the incidence rate of frailty syndrome is 21%-59%. Frailty syndrome is an independent risk factor in elderly patients with complications, short-term and long-term mortality. Moreover frailty is always accompanied by poor state and affects the health quality of these patients...
October 2017: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
https://www.readbyqxmd.com/read/28987981/medical-comorbidity-in-complicated-grief-results-from-the-heal-collaborative-trial
#9
Gregg Robbins-Welty, Sarah Stahl, Jun Zhang, Stewart Anderson, Yael Schenker, M Katherine Shear, Naomi M Simon, Sidney Zisook, Natalia Skritskaya, Christina Mauro, Barry D Lebowitz, Charles F Reynolds
OBJECTIVE: To describe medical comorbidity in persons with Complicated Grief (CG) and to test whether medical comorbidity in individuals with CG is associated with the severity and duration of CG, after adjusting for age, sex, race, and current depressive symptoms. METHODS: In exploratory analyses, we compared data from participants in an NIMH-sponsored multisite clinical trial of CG ("HEAL": "Healing Emotions After Loss") to archival data from participants matched on age, gender, and race/ethnicity, stratified by the presence or absence of current major depression...
September 20, 2017: Journal of Psychiatric Research
https://www.readbyqxmd.com/read/28987642/handgrip-strength-shows-no-improvements-in-geriatric-patients-with-persistent-inflammation-during-hospitalization
#10
Kristoffer Larsen Norheim, Ivan Bautmans, Michael Kjaer
PURPOSE: Hospital-associated deconditioning due to a combination of illness and inactivity is a serious problem for elderly adults. Here we investigate whether persistence in inflammatory status affects changes in physical function during short-term hospitalization. METHODS: This was a prospective observational study in elderly medical patients at a geriatric department. Measurements were obtained at admission and one week after admission and included de Morton Mobility Index (DEMMI) test, 30-second chair stand test (30-s CST), 4-m gait speed (4-m GST) test, handgrip strength, activity levels determined with ActivPALs, and concentrations of circulating C-reactive protein (CRP) from blood samples...
December 1, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28983385/can-geriatric-psychiatry-patients-complete-symptoms-self-reports-using-tablets-a-randomized-study
#11
Ghizlane Moussaoui, Ching Yu, Vincent Laliberté, Dominique Elie, Artin A Mahdanian, Benjamin Dawson, Marilyn Segal, Karl J Looper, Rej Soham
BACKGROUND: With our aging population and limited number of geriatric psychiatrists, innovations must be made in order to meet the growing demands for geriatric psychiatry services. Emerging technologies could greatly improve access to care and systematic data collection. METHODS: This randomized study compared completion rates and time to completion (primary outcomes) when using iPad technology vs. traditional paper forms to complete self-report psychiatric symptoms...
September 2017: Canadian Geriatrics Journal: CGJ
https://www.readbyqxmd.com/read/28982608/all-cause-mortality-and-multimorbidity-in-older-adults-the-role-of-social-support-and-loneliness
#12
Beatriz Olaya, Joan Domènech-Abella, Maria Victoria Moneta, Elvira Lara, Francisco Félix Caballero, Laura Alejandra Rico-Uribe, Josep Maria Haro
OBJECTIVES: To determine whether the effect of multimorbidity on time to mortality is modified by level of social support and loneliness in a representative sample of 2113 participants aged 60+. METHODS: Vital status was ascertained through national registers or by asking participants' relatives. Baseline variables included number of illnesses, self-perceived social support (Oslo social support scale) and loneliness (UCLA loneliness scale). Kaplan-Meier survival curves were used to estimate the time to death by multimorbidity, social support and loneliness...
December 1, 2017: Experimental Gerontology
https://www.readbyqxmd.com/read/28979077/developing-an-integrated-treatment-pathway-for-a-post-coronary-artery-bypass-grating-cabg-geriatric-patient-with-comorbid-hypertension-and-type-1-diabetes-mellitus-for-treating-acute-hypoglycemia-and-electrolyte-imbalance
#13
Atta Abbas Naqvi, Amna Shah, Rizwan Ahmad, Niyaz Ahmad
INTRODUCTION: The ailments afflicting the elderly population is a well-defined specialty of medicine. It calls for an immaculately designed health-care plan to treat diseases in geriatrics. For chronic illnesses such as diabetes mellitus (DM), coronary heart disease, and hypertension (HTN), they require proper management throughout the rest of patient's life. An integrated treatment pathway helps in treatment decision-making and improving standards of health care for the patient. CASE PRESENTATION: This case describes an exclusive clinical pharmacist-driven designing of an integrated treatment pathway for a post-coronary artery bypass grafting (CABG) geriatric male patient with DM type I and HTN for the treatment of hypoglycemia and electrolyte imbalance...
July 2017: Journal of Pharmacy & Bioallied Sciences
https://www.readbyqxmd.com/read/28972633/undergraduate-placements-in-geriatric-care-facilities-students-gaining-experience-with-challenging-responsive-behaviors
#14
Beverly O'Connell, Lorna Guse, Loreley Greenslade, Angela Osterreicher, Fiona Jensen
BACKGROUND: Undergraduate nursing students may experience challenging behaviors in residents during their clinical placement in geriatric long-term care (GLTC) facilities. METHOD: Bachelor of Nursing students participated in an anonymous online questionnaire (n = 116). RESULTS: The students witnessed a wide range of challenging behaviors, also referred to as responsive behaviors, in GLTC residents. The most frequent behaviors included agitation/restlessness, repetitive talk, and wandering...
October 1, 2017: Journal of Nursing Education
https://www.readbyqxmd.com/read/28970660/an-appraisal-of-mortality-in-intensive-care-unit-of-a-level-iii-military-hospital-of-bangladesh
#15
Md Rabiul Alam, Mainul Haque, Mozibul Haque
BACKGROUND: Mortalities in Intensive Care Units (ICUs) are high and widely variable. The unpredictability of death rates is attributable to age, sex, nature and severity of illness, comorbidity, well-timed medical attention, quality of the attending staffs, iatrogenic events, total management facilities, and overall grade of the ICU in general. MATERIALS AND METHODS: A total of seventy patients who died in the ICU of a Level III Combined Military Hospital within a period of 2 years were studied in retrospect to review the mortality pattern...
September 2017: Indian Journal of Critical Care Medicine
https://www.readbyqxmd.com/read/28938218/late-life-suicide-prevention-strategies-current-status-and-future-directions
#16
REVIEW
Kim Van Orden, Charlene Deming
Late life suicide prevention differs from suicide prevention for other age groups: first, the number of older adults worldwide is on the rise; second, late-life suicide receives much less attention in all societal spheres, from the media, to federal funding agencies, to healthcare initiatives. Recent findings indicate an association between internalized ageist stereotypes and reduced will to live. Recent research also addresses the role of cognitive control as a contributor to risk and as an intervention target (e...
September 8, 2017: Current Opinion in Psychology
https://www.readbyqxmd.com/read/28933175/-hiv-infection-a-new-disease-of-internal-medicine
#17
Svatava Snopková
Modern antiretroviral treatment belongs to the greatest success of current medicine. HIV infection has gone from a death sentence to a manageable chronic disease which develops several decades. Thanks to treatment advances, people with HIV can and do live long and full lives. In the last two decades, the incidence AIDS defining illnesses have been dramatically reduced especially opportunistic infections and malignancies, whereas the role of non-infection comorbidities has risen than age-matched HIV uninfected adults...
2017: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/28931449/frailty-and-depression-in-centenarians
#18
Oscar Ribeiro, Natália Duarte, Laetitia Teixeira, Constança Paúl
BACKGROUND: Physical frailty and depression are common comorbid conditions that have important impact on older adults. Few studies however have examined their co-occurrence in centenarians. This paper explores the relationship between the two conditions and the most characteristic depressive symptoms associated with the frailty syndrome. METHODS: Data come from two Portuguese Centenarian Studies. Frailty was measured using Fried's phenotype, which includes at least three clinical signs: exhaustion, weight loss, weakness, slowness, and low physical activity level; the Geriatric Depression Scale was used to assess depression...
September 21, 2017: International Psychogeriatrics
https://www.readbyqxmd.com/read/28920183/number-of-medications-or-number-of-diseases-what-influences-underprescribing
#19
Eva Cedilnik Gorup, Marija Petek Šter
PURPOSE: An increasing number of older adults suffer from multimorbidity and receive multiple medications. Despite that, underprescribing of potentially beneficial medications is widespread in this population. Our aim was to examine influence of polypharmacy and multimorbidity on the presence of prescribing omissions (PO) in general practice attenders. METHODS: We conducted a cross-sectional study of older adults attending general practices in Slovenia who were regularly prescribed at least one medication...
December 2017: European Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28919912/the-isfahan-comprehensive-elderly-study-objectives-research-design-methodology-and-preliminary-results
#20
Zahra Heidari, Awat Feizi
BACKGROUND: This paper presents the objectives, research design, methodology, and primary findings of the Isfahan Comprehensive Elderly Study (ICES). MATERIALS AND METHODS: In this cross-sectional study, 603 elderly persons (aged 60 and over) were selected by multistage cluster sampling method from Isfahan, Iran, in 2016 comprehensive questionnaires along with a detailed interview were used to collect information on personal, family, socioeconomic, health and social services characteristics, life styles, physical illnesses and chronic diseases, mental, emotional and cognition disorders, quality of life, disabilities, sleep quality, social supports, life satisfaction, self-efficacy, and of participants...
2017: Journal of Research in Medical Sciences: the Official Journal of Isfahan University of Medical Sciences
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