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Geriatric fall risk psychiatric

Charlène Cool, Philippe Cestac, Cécile McCambridge, Laure Rouch, Philipe de Souto Barreto, Yves Rolland, Maryse Lapeyre-Mestre
BACKGROUND: Potentially inappropriate drug prescribing (PIDP) is frequent in nursing home (NH) residents. We aimed to investigate whether a geriatric intervention on quality of care reduced PIDP. METHODS: We performed an ancillary study within a multicentric individually-tailored controlled trial (IQUARE trial). All NH received a baseline and 18-month audit regarding drug prescriptions and other quality of care indicators. After the initial audit, NHs of the intervention group benefited of an in-site intervention (geriatric education for NH staff) provided by a geriatrician from the closest hospital...
April 1, 2018: British Journal of Clinical Pharmacology
Young Mi Jeong, Eunsook Lee, Kwang-Il Kim, Jee Eun Chung, Hae In Park, Byung Koo Lee, Hye Sun Gwak
BACKGROUND: Older patients undergoing surgery tend to have a higher frequency of delirium. Delirium is strongly associated with poor surgical outcomes. This study evaluated the association between pre-operative medication use and post-operative delirium (POD) in surgical oncology patients receiving comprehensive geriatric assessment (CGA). METHODS: A total of 475 patients who were scheduled for cancer surgery and received CGA from January 2014 to June 2015 were included...
July 7, 2016: BMC Geriatrics
Masaaki Yamamoto, Makoto Yamasaki, Ken Sugimoto, Yoshihiro Maekawa, Yasuhiro Miyazaki, Tomoki Makino, Tsuyoshi Takahashi, Yukinori Kurokawa, Kiyokazu Nakajima, Shuji Takiguchi, Hiromi Rakugi, Masaki Mori, Yuichiro Doki
BACKGROUND: The number of geriatric patients with esophageal cancer is increasing in step with the aging of the population. Geriatric patients have a higher risk of postoperative complications, including delirium that can cause a fall or impact survival. Therefore, it is very important that we evaluate risks of postoperative complications before surgery. The aim of this study was to predict postoperative delirium in elderly patients. METHODS: We retrospectively reviewed the medical records of 91 patients aged 75 years and over who underwent esophagectomy between January 2006 and December 2014...
November 2016: World Journal of Surgery
Eduardo Kronfly Rubiano, Daniel Rivilla Frias, Isabel Ortega Abarca, Montserrat Villanueva Villanueva, Eva Beltrán Martínez, Montserrat Comellas Villalba, Jesús Almeda Ortega, Jordi Casals Fransi, Yolanda Rico García, Sonia Martínez Carmona, Rosa Carrasco Coria, Montserrat Bonfill Gavaldà, Belén Calderón Loren, Mercedes Fernández Fernández, Laura Barranco Oliver
OBJECTIVES: To determine the prevalence of the risk of depression, major defining characteristics and factors associated with. DESIGN: Sub-study of comprehensive geriatric assessment cross-study. SETTING: Primary health center. PARTICIPANTS: For an estimated 14% prevalence we need a sample of 288 people. From 3854, 290 people ≥75 years were selected. Excluding terminals, chemotherapy, recent surgery, temporary residence, mental retardation, serious psychiatric illness, or under home care...
December 2015: Atencion Primaria
Pietro Pasquetti, Lorenzo Apicella, Giuseppe Mangone
Falls in the elderly are a public health problem. Consequences of falls are increased risk of hospitalization, which results in an increase in health care costs. It is estimated that 33% of individuals older than 65 years undergoes falls. Causes of falls can be distinguished in intrinsic and extrinsic predisposing conditions. The intrinsic causes can be divided into age-related physiological changes and pathological predisposing conditions. The age-related physiological changes are sight disorders, hearing disorders, alterations in the Central Nervous System, balance deficits, musculoskeletal alterations...
September 2014: Clinical Cases in Mineral and Bone Metabolism
Mary E Dozier, Catherine R Ayers
BACKGROUND: The Clutter Image Rating (CIR) was created to meet a gap in the research on compulsive hoarding: how to ascertain clutter level in an individual's home without a home visit, as not all clinicians have the ability to conduct a home visit. The CIR has proven itself to be both reliable and valid for use in adults with compulsive hoarding symptoms. However, there is currently a dearth of information on performance of the CIR in older adults diagnosed with hoarding disorder (HD)...
May 2015: International Psychogeriatrics
Carlos Martinez, Caroline Richardson, MeiLan Han, Christine Cigolle
COPD Diagnosis and Evaluation Posters IISESSION TYPE: Original Investigation PosterPRESENTED ON: Wednesday, October 29, 2014 at 01:30 PM - 02:30 PMPURPOSE: Chronic obstructive pulmonary disease (COPD) is a disease of aging adults. Models investigating health status (HS) and health-related quality of life (QOL) in COPD have included the roles of sociodemographics, lung function, smoking status, and comorbid diseases. However, key geriatric conditions have been overlooked: geriatric syndromes (GS) and dependency in activities of daily living (ADL-dep)...
October 1, 2014: Chest
Dieter Hofer, Franziska Wenger, Markus Kohler, Markus Badertscher
Addictive disorders are of high prevalence and often associated with other psychiatric and somatic diseases. Diagnostic procedures must be targeted to this topic and should also cover the exclusion of comorbidities, such as OCD, psychotic, mood disorders and ADHD. Severe cases, often complicated by multiple dependencies of substances and advanced stages of the disease can require the involvement of a variety of caregivers, who are requested to sufficiently cooperate and interact to guarantee an optimal outcome of treatment...
October 2014: Therapeutische Umschau. Revue Thérapeutique
Liang En Wee, Yan Zhen Yong, Michelle Wan Xing Chng, Shi Hao Chew, Lenard Cheng, Qi Han Aaron Chua, Jacklyn Jia Lin Yek, Linus Jian Fa Lau, Pravin Anand, Joshua Tian Ming Hoe, Han Ming Shen, Gerald Choon-Huat Koh
OBJECTIVES: Neighborhood socioeconomic status (SES) can be associated with depression. We aimed to assess prevalence of depression amongst community-dwelling elderly in a multiethnic, urban, low-SES, Asian neighborhood, comparing against a higher SES neighborhood. METHOD: The study population involved all residents aged ≥60 years in two Singaporean housing estates comprising owner-occupied public housing (higher SES) and public rental housing (low SES) in 2012...
July 2014: Aging & Mental Health
Mélany Hars, Francois R Herrmann, Gabriel Gold, René Rizzoli, Andrea Trombetti
BACKGROUND: in a secondary analysis of a randomised controlled trial, we investigated whether 6 months of music-based multitask training had beneficial effects on cognitive functioning and mood in older adults. METHODS: 134 community-dwellers aged ≥65 years at increased risk for falling were randomly assigned to either an intervention group (n = 66) who attended once weekly 1-h supervised group classes of multitask exercises, executed to the rhythm of piano music, or a control group with delayed intervention (n = 68) who maintained usual lifestyle habits, for 6 months...
March 2014: Age and Ageing
Stephen B Billick, Amir Garakani
In the aging process, people are at increasing risk of visual abnormalities such as cataracts, glaucoma, age-related macular degeneration, and other retinal defects. This holds true for geriatric psychiatric patients as well. These ophthalmic problems may increase risk of falls or increase the comorbidity from dementing processes and depression. Geriatric patients presenting for psychiatric treatment may also be misdiagnosed or under-diagnosed as a result of these visual problems. This quality assurance review of 25 consecutive geriatric psychiatric inpatients demonstrated discrepancies between chart documentation and actual ophthalmologic pathology present in the patients...
March 2014: Psychiatric Quarterly
Catherine R Ayers, Yasmeen Iqbal, Katrina Strickland
UNLABELLED: Hoarding disorder (HD) in late life is associated with increased risk for fire, falling, poor sanitary conditions, disability, and health risks. However, research on the health status of individuals with HD is limited. Hoarding symptoms and the resulting clutter may exacerbate health conditions and lead to improper management of medical illnesses. OBJECTIVE: The purpose of this study is to characterize the health status of older adults with hoarding...
March 2014: Aging & Mental Health
Marian A E van Bokhorst-de van der Schueren, Sabine Lonterman-Monasch, Oscar J de Vries, Sven A Danner, Mark H H Kramer, Majon Muller
BACKGROUND & AIMS: Few data is available on the nutritional status of geriatric outpatients. The aim of this study is to describe the nutritional status and its clinical correlates of independently living geriatric older individuals visiting a geriatric outpatient department. METHODS: From 2005 to 2010, all consecutive patients visiting a geriatric outpatient department in the Netherlands were screened for malnutrition. Nutritional status was assessed by the Mini Nutritional Assessment (MNA)...
December 2013: Clinical Nutrition: Official Journal of the European Society of Parenteral and Enteral Nutrition
Julie Whitney, Jacqueline C T Close, Stephen R Lord, Stephen H D Jackson
PURPOSE: To develop a simple screen based on easily collectable measures to identify older people living in residential care facilities at high risk of falls. METHODS: This prospective study was conducted in seven residential care facilities in the U.K. Residents aged>60 years who were not bedbound or terminally ill participated. Demographics, medical history, medication use, cognition (mini mental state examination (MMSE)), function (Barthel, balance and sit-to-stand ability) and behavior (neuro-psychiatric inventory (NPI) and impulsivity) were recorded at baseline...
November 2012: Archives of Gerontology and Geriatrics
Daniel Paulson, Peter A Lichtenberg
OBJECTIVES: Frailty is a common geriatric disorder associated with activities of daily living (ADL) impairment, hospitalization, and death. Phenomenological evidence suggests that late-life depression (Katz, 2004 ), particularly vascular depression, may be a risk factor for frailty. This study tests that hypothesis. METHODS: We identified a sample of stroke-free women over the age of 80 from the Health and Retirement Survey. The sample included 984 respondents in 2000 (incidence sample)...
2013: Aging & Mental Health
Senyeong Kao, Yun-Chang Wang, Ya-Mei Tzeng, Chang-Kuo Liang, Fu-Gong Lin
BACKGROUND: It is well documented that fall risk among elderly people is associated with poor health and depression. In this study, we set out to examine the combined effects of medical condition and depression status on fall incidents among community-dwelling elderly people. METHODS: A cross-sectional study was carried out to investigate the fall history of community-dwelling elders involving 360 participants. Those who had experienced at least two falls over the previous year, or one injurious fall, were defined as "fallers...
September 2012: International Psychogeriatrics
Yun-Chang Wang, Fu-Gong Lin, Cheng-Ping Yu, Ya-Mei Tzeng, Chang-Kuo Liang, Yaw-Wen Chang, Chih-Chieh Chou, Wu-Chien Chien, Senyeong Kao
OBJECTIVE: In this study, we set out to examine the combined effects of medical condition and depression status on fall incidents amongst institutionalized elderly people. METHODS: A cross-sectional study was carried out to investigate the fall history of institutionalized elders involving 286 subjects. Experiences of falls over the previous year were recorded, with at least two falls during the prior one-year period, or one injurious fall defined as 'fallers'. The Geriatric Depression Scale-15 was used as a screening instrument for depression status...
2012: Aging & Mental Health
Andrew Clegg, Sally Barber, John Young, Anne Forster, Steve Iliffe
BACKGROUND: Frailty is common in older age, and is associated with important adverse health outcomes including increased risk of disability and admission to hospital or long-term care. Exercise interventions for frail older people have the potential to reduce the risk of these adverse outcomes by increasing muscle strength and improving mobility. METHODS/DESIGN: The Home-Based Older People's Exercise (HOPE) trial is a two arm, assessor blind pilot randomised controlled trial (RCT) to assess the effectiveness of a 12 week exercise intervention (the HOPE programme) designed to improve the mobility and functional abilities of frail older people living at home, compared with usual care...
June 8, 2011: Trials
Afshin A Divani, Shahram Majidi, Anna M Barrett, Siamak Noorbaloochi, Andreas R Luft
BACKGROUND AND PURPOSE: Stroke survivors are at risk of developing comorbidities that further reduce their quality of life. The purpose of this study was to determine the risk of developing a secondary health problem after stroke. METHODS: We performed a case-control analysis using 6 biennial interview waves (1998 to 2008) of the Health and Retirement Study. We compared 631 noninstitutionalized individuals who had a single stroke with 631 control subjects matched for age, gender, and interview wave...
July 2011: Stroke; a Journal of Cerebral Circulation
Louise Forsetlund, Morten C Eike, Elisabeth Gjerberg, Gunn E Vist
BACKGROUND: Studies have shown that residents in nursing homes often are exposed to inappropriate medication. Particular concern has been raised about the consumption of psychoactive drugs, which are commonly prescribed for nursing home residents suffering from dementia. This review is an update of a Norwegian systematic review commissioned by the Norwegian Directorate of Health. The purpose of the review was to identify and summarise the effect of interventions aimed at reducing potentially inappropriate use or prescribing of drugs in nursing homes...
2011: BMC Geriatrics
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