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Geriatric incontinence

Natalie Vethanayagam, Alison Orrell, Lena Dahlberg, Kevin J McKee, Susan Orme, Stuart G Parker, Mary Gilhooly
The prevalence of urinary incontinence (UI) increases with age and can negatively affect quality of life. However, relatively few older people with UI seek treatment. The aim of this study was to explore the views of older people with UI on the process of seeking help. Older people with UI were recruited to the study from three continence services in the north of England: a geriatrician-led hospital outpatient clinic (n = 18), a community-based nurse-led service (n = 22) and a consultant gynaecologist-led service specialising in surgical treatment (n = 10)...
November 16, 2016: Health & Social Care in the Community
Gaetano Luglio, Rachele Tarquini, Mariano Cesare Giglio, Viviana Sollazzo, Roberto Peltrini, Michele Sacco, Giovanni Spiezio, Bruno Amato, Giovanni Domenico De Palma, Luigi Bucci
AIMS: Anterior mesh rectopexy is a novel surgical technique for the treatment of complete rectal prolapse, a common disorder in female elderly patients. Aim of the study was to evaluate functional outcomes after ventral mesh rectopexy and conventional suture rectopexy. PATIENTS AND METHODS: Forty patients have been enrolled in this prospective study. Patients were divided into two groups: 20 patients (group A) had a conventional suture rectopexy with a standard technique and 20 patients (group B) underwent an anterior mesh rectopexy...
November 11, 2016: Aging Clinical and Experimental Research
Karolina Piotrowicz, Agnieszka Pac, Anna Barbara Skalska, Jerzy Chudek, Alicja Klich-Rączka, Aleksandra Szybalska, Jean-Pierre Michel, Tomasz Grodzicki
The majority of old people suffer from various clinical conditions that affect health, functioning and quality of life. This research is a part of a cross-sectional, nationwide PolSenior Study that provides a comprehensive assessment of eight geriatric impairments and their co-occurrence in a representative sample (3471 participant aged 65-104 years, mean age 78.3 years) of the old adults living in the community in Poland. The participants were recruited randomly from all administrative regions of Poland by a three-stage, proportional, stratified-by-age group selection process...
October 27, 2016: Aging
Javier Jerez-Roig, Nayara Priscila Dantas de Oliveira, Bartolomeu Fagundes de Lima Filho, Maria Amanda de Farias Bezerra, Monayane Grazielly Leite Matias, Lidiane Macedo Ferreira, Fabienne Louise Juvêncio Dos Santos Amaral, Dyego Leandro Bezerra Souza, Kenio Costa Lima
: Background/Study Context: Depression is a common psychiatric disorder in the elderly that leads to a decrease in quality of life and functional impairment, among other health problems. The study of depressive symptoms in institutionalized elderly is scarce in Latin America and can contribute to plan prevention and treatment actions in order to improve health conditions for the residents as well as quality of life. Therefore, the aim of this study is to determine the prevalence of depressive symptoms and identify its associated factors in institutionalized elderly...
October 2016: Experimental Aging Research
Dorien De Meyer, Nele Van Damme, Karen Van den Bussche, Ann Van Hecke, Sofie Verhaeghe, Dimitri Beeckman
AIM: The aims of this trial were as follows: (1) to compare the (cost-) effectiveness of a turning and repositioning system and an algorithm for a tailored repositioning vs. usual care to improve reposition frequency in patients at risk; and (2) to compare the (cost-) effectiveness of standardized incontinence care vs. usual care. BACKGROUND: Pressure ulcers are a serious and common problem for hospitalized patients. In many countries, pressure ulcers are recognized as a national health issue and governments designate pressure ulcers as one of the most important sentinel events for health care...
September 28, 2016: Journal of Advanced Nursing
Chih-Jen Wang, Cheng-Hao Hung, Ting-Ching Tang, Liang-Yu Chen, Li-Ning Peng, Fei-Yuan Hsiao, Liang-Kung Chen
AIMS: To evaluate the prevalence of urinary incontinence (UI) and its association with frailty among men aged 80 years and older in Taiwan METHODS: Residents living in four veterans retirement communities were invited for study and 440 men aged 80 years and older weer enrolled. Comprehensive geriatric assessment was performed for them, including using the following measurements: Clinical Frailty Scale, Northern Health and Social Care Trust (HSC)-Continence Assessment Form, Charlson's Comorbidity Index (CCI), Barthel Index (BI), Instrumental Activities of Daily Living (IADL), Mini-Mental State Examination (MMSE), Geriatric Depression Scale-5 (GDS-5), Mini-Nutritional Assessment-Short Form (MNA-SF)...
September 21, 2016: Rejuvenation Research
Violetta Kijowska, Michał Wilga, Katarzyna Szczerbińska
UNLABELLED: In Poland long-term care services are provided by skilled care and treatment facilities (ZOL) and nursing and care facilities (ZPO) both functioning within the health sector as well as by non-skilled nursing homes (DPS) situated in social care sector. Determinants of medical and nursing care provided by both sectors vary considerably in terms of organization (availability) and economic issues (costs of care). AIM: The aim of the study is to compare characteristics of residents in two types of long term care facilities (LTCFs) in Poland with a special focus on geriatric issues...
August 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Violetta Kijowska, Michał Wilga, Katarzyna Szczerbińska
UNLABELLED: In Poland long-term care services are provided by skilled care and treatment facilities (ZOL) and nursing and care facilities (ZPO) both functioning within the health sector as well as by non-skilled nursing homes (DPS) situated in social care sector. Determinants of medical and nursing care provided by both sectors vary considerably in terms of organization (availability) and economic issues (costs of care). AIM: The aim of the study is to compare characteristics of residents in two types of long term care facilities (LTCFs) in Poland with a special focus on geriatric issues...
July 2016: Polski Merkuriusz Lekarski: Organ Polskiego Towarzystwa Lekarskiego
Sandra F Simmons, Susan Bell, Avantika A Saraf, Chris S Coelho, Emily A Long, J M L Jacobsen, John F Schnelle, Eduard E Vasilevskis
OBJECTIVES: To assess multiple geriatric syndromes in a sample of older hospitalized adults discharged to skilled nursing facilities (SNFs) and subsequently to home to determine the prevalence and stability of each geriatric syndrome at the point of these care transitions. DESIGN: Descriptive, prospective study. SETTING: One large university-affiliated hospital and four area SNFs. PARTICIPANTS: Fifty-eight hospitalized Medicare beneficiaries discharged to SNFs (N = 58)...
October 2016: Journal of the American Geriatrics Society
Jarosław Pinkas, Mariusz Gujski, Ewa Humeniuk, Dorota Raczkiewicz, Przemysław Bejga, Alfred Owoc, Iwona Bojar
BACKGROUND Evaluation of the state of health, quality of life, and relationship between the level of the quality of life and health status in a group of women at advanced age (90 and more years) in Poland. MATERIAL AND METHODS The study was conducted in 2014 in an all-Polish sample of 870 women aged 90 and over. The research instruments were: the author's questionnaire, and standardized tests: Katz index of independence in Activities of Daily Living (ADL), Abbreviated Mental Test Score (AMTS), The World Health Organization Quality of Life (WHOQOL) - BREF...
2016: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
Fergus P M Cooper, Cameron Edwin Alexander, Sanjay Sinha, Muhammad Imran Omar
BACKGROUND: Long-term indwelling catheters are used commonly in people with lower urinary tract problems in home, hospital and specialised health-care settings. There are many potential complications and adverse effects associated with long-term catheter use. The effect of health-care policies related to the replacement of long-term urinary catheters on patient outcomes is unclear. OBJECTIVES: To determine the effectiveness of different policies for replacing long-term indwelling urinary catheters in adults...
July 26, 2016: Cochrane Database of Systematic Reviews
Gregor John, Claire Bardini, Christophe Combescure, Patrick Dällenbach
BACKGROUND: The association between urinary incontinence (UI) and increased mortality remains controversial. The objective of our study was to evaluate if this association exists. METHODS: We performed a systematic review and meta-analysis of observational studies comparing death rates among patients suffering from UI to those without incontinence. We searched in Medline, Embase and the Cochrane library using specific keywords. Studies exploring the post-stroke period were excluded...
2016: PloS One
David Oliver
No abstract text is available yet for this article.
2016: BMJ: British Medical Journal
Avantika A Saraf, Alec W Petersen, Sandra F Simmons, John F Schnelle, Susan P Bell, Sunil Kripalani, Amy P Myers, Amanda S Mixon, Emily A Long, J Mary Lou Jacobsen, Eduard E Vasilevskis
BACKGROUND: More than half of the hospitalized older adults discharged to skilled nursing facilities (SNFs) have more than 3 geriatric syndromes. Pharmacotherapy may be contributing to geriatric syndromes in this population. OBJECTIVES: Develop a list of medications associated with geriatric syndromes and describe their prevalence in patients discharged from acute care to SNFs. DESIGN: Literature review and multidisciplinary expert panel discussion, followed by cross-sectional analysis...
October 2016: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
Victoria C Hamelinck, Esther Bastiaannet, Arwen H Pieterse, Nienke A de Glas, Johanneke E A Portielje, Jos W S Merkus, Irma D M den Hoed, Cornelis J H van de Velde, Gerrit-Jan Liefers, Anne M Stiggelbout
BACKGROUND: It is unknown what minimal benefit in disease-free survival older patients with breast cancer require from adjuvant systemic therapy, and if this differs from that required by younger patients. We prospectively examined patients' preferences for adjuvant chemotherapy (aCT) and adjuvant hormonal therapy (aHT), factors related to minimally-required benefit, and patients' self-reported motivations. PATIENTS AND METHODS: Fifty-two younger (40-64 years) and 29 older (≥ 65 years) women with a first primary, invasive tumor were interviewed post-surgery, prior to receiving aCT/aHT recommendation...
April 21, 2016: Clinical Breast Cancer
A K Whittle, T Kalsi, G Babic-Illman, Y Wang, P Fields, P J Ross, N R Maisey, S Hughes, W Kwan, D Harari
Oncology services do not routinely assess broader needs of older people with cancer. This study evaluates a comprehensive geriatric assessment and comorbidity screening questionnaire (CGA-GOLD) covering evidence-based domains and quality of life (EORTC-QLQ-C30). Patients aged 65+ attending oncology services were recruited into (1) Observational cohort (completed CGA-GOLD, received standard oncology care), (2) Intervention cohort (responses categorised 'low-risk', 'high-risk', 'possible need' by geriatricians)...
May 1, 2016: European Journal of Cancer Care
Susan P Bell, Eduard E Vasilevskis, Avantika A Saraf, J M L Jacobsen, Sunil Kripalani, Amanda S Mixon, John F Schnelle, Sandra F Simmons
OBJECTIVES: To determine the prevalence, recognition, co-occurrence, and recent onset of geriatric syndromes in individuals transferred from the hospital to a skilled nursing facility (SNF). DESIGN: Quality improvement project. SETTING: Acute care academic medical center and 23 regional partner SNFs. PARTICIPANTS: Medicare beneficiaries hospitalized between January 2013 and April 2014 and referred to SNFs (N = 686). MEASUREMENTS: Project staff measured nine geriatric syndromes: weight loss, lack of appetite, incontinence, and pain (standardized interview); depression (Geriatric Depression Scale); delirium (Brief Confusion Assessment Method); cognitive impairment (Brief Interview for Mental Status); and falls and pressure ulcers (hospital medical record using hospital-implemented screening tools)...
April 2016: Journal of the American Geriatrics Society
Mustafa Kemal Kilic, Muhammet Cemal Kizilarslanoglu, Ozgur Kara, Gunes Arik, Hacer Dogan Varan, Mehmet Emin Kuyumcu, Yusuf Yesil, Burcu Balam Yavuz, Meltem Halil, Mustafa Cankurtaran
AIM OF THE STUDY: Urinary incontinence and vitamin D deficiency are common problems encountered in geriatric population. We aimed to investigate if there is a relationship between these conditions. SUBJECTS AND METHOD: Among 2281 patients who were admitted to our geriatric medicine outpatient clinic spanning the last three years, 705 patients with known vitamin D status, urinary incontinence and subtype, and calcium plus vitamin D therapy data were included in statistical analysis...
July 2016: Archives of Gerontology and Geriatrics
Fereshte Sheybani, Hamid Reza Naderi, Sareh Sajjadi
The elderly comprise less than 13 percent of world population. Nonetheless, they represent nearly half of all hospitalized adults. Acute change in mental status from baseline is commonly seen among the elderly even when the main process does not involve the central nervous system. The term "geriatric syndrome" is used to capture those clinical conditions in older people that do not fit into discrete disease categories, including delirium, falls, frailty, dizziness, syncope, and urinary incontinence. Despite the growing number of elderly population, especially those who require hospitalization and the high burden of common infections accompanied by encephalopathy among them, there are several unresolved questions regarding the optimal management they deserve...
2016: Interdisciplinary Perspectives on Infectious Diseases
Naomi Noguchi, Fiona M Blyth, Louise M Waite, Vasi Naganathan, Robert G Cumming, David J Handelsman, Markus J Seibel, David G Le Couteur
AIM: To describe the age at which the geriatric syndromes and frailty become common in community-dwelling men. METHODS: The Concord Health and Ageing in Men Project involves a population-based sample of 1705 community-dwelling men aged 70 and over from a defined geographic region in Sydney. Data were obtained by physical performance tests, clinical examinations, and questionnaire to determine the prevalence of the following conditions by five-year age group. RESULTS: Poor mobility, recurrent falls, urinary incontinence, dementia and frailty phenotype were all uncommon (less than 10%) in men in their 70s, but the prevalence of each of these conditions exceeded 10% in men aged 85-89...
March 11, 2016: Australasian Journal on Ageing
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