Evaluation of the level of physical, physiological, or mental functioning in the older population group.
The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility.
Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.
Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.
The performance of the basic activities of self care, such as dressing, ambulation, or eating.
Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.
True-false questionnaire made up of items believed to indicate anxiety, in which the subject answers verbally the statement that describes him.
The use of multiple drugs administered to the same patient, most commonly seen in elderly patients. It includes also the administration of excessive medication. Since in the United States most drugs are dispensed as single-agent formulations, polypharmacy, though using many drugs administered to the same patient, must be differentiated from DRUG COMBINATIONS, single preparations containing two or more drugs as a fixed dose, and from DRUG THERAPY, COMBINATION, two or more drugs administered separately for a combined effect. (From Segen, Dictionary of Modern Medicine, 1992)
The branch of dentistry concerned with the dental problems of older people.
Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.
Restoration of human functions to the maximum degree possible in a person or persons suffering from disease or injury.
A subspecialty of internal medicine concerned with the study of neoplasms.
A performance measure for rating the ability of a person to perform usual activities, evaluating a patient's progress after a therapeutic procedure, and determining a patient's suitability for therapy. It is used most commonly in the prognosis of cancer therapy, usually after chemotherapy and customarily administered before and after therapy. It was named for Dr. David A. Karnofsky, an American specialist in cancer chemotherapy.
The caring for individuals in institutions and their adaptation to routines characteristic of the institutional environment, and/or their loss of adaptation to life outside the institution.
A subspecialty of psychiatry concerned with the mental health of the aged.
Evaluation and measurement of nutritional variables in order to assess the level of nutrition or the NUTRITIONAL STATUS of the individual. NUTRITION SURVEYS may be used in making the assessment.
Falls due to slipping or tripping which may result in injury.
Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.
New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.
The confinement of a patient in a hospital.
The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.
Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.
The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.
The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.
Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.
Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.
Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.
Assessment of psychological variables by the application of mathematical procedures.
Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.
Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.
A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.
Intellectual or mental process whereby an organism obtains knowledge.
Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.
Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)
The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)
Elements of limited time intervals, contributing to particular results or situations.
The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.
Institutional health care of patients during the day. The patients return home at night.
The giving of attention to the special dental needs of the elderly for proper maintenance or treatment. The dental care may include the services provided by dental specialists.
Hospitals which provide care for a single category of illness with facilities and staff directed toward a specific service.
Evaluation of the nature and extent of nursing problems presented by a patient for the purpose of patient care planning.
Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.
Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).
Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.
Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.
A disorder characterized by CONFUSION; inattentiveness; disorientation; ILLUSIONS; HALLUCINATIONS; agitation; and in some instances autonomic nervous system overactivity. It may result from toxic/metabolic conditions or structural brain lesions. (From Adams et al., Principles of Neurology, 6th ed, pp411-2)
Disturbances in mental processes related to learning, thinking, reasoning, and judgment.
Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.
To move about or walk on foot with the use of aids.

Association between serum fructosamine and mortality in elderly women: the study of osteoporotic fractures. (1/2563)

Serum fructosamine levels can be used to estimate long-term serum glucose values and can be measured in frozen serum. The authors examined whether fructosamine levels were associated with mortality in a cohort of 9,704 white women (> or = 65 years of age) recruited from September 1986 to October 1988 at four clinical centers in the United States. A random sample of women who had died during a mean of 6 years of follow-up (n = 55) was compared with randomly selected controls (n = 276, 54 of whom had died). Fructosamine assays were performed blinded to vital status. Hazard ratios with 95% confidence intervals were adjusted for age, clinical center, smoking, hypertension, and serum albumin and cholesterol levels. Each standard deviation (46 micromol) increase in fructosamine level was associated with a 1.3-fold (95% confidence interval (CI) 1.0-1.6, p = 0.04) increased rate of all-cause mortality, including a 1.5-fold (95% CI 1.0-2.1, p = 0.03) increase in cardiovascular disease mortality. Elevated fructosamine levels (>285 micromol/liter) were associated with a 4.3-fold (95% CI 1.6-12, p = 0.004) increased rate of cardiovascular mortality; in women without a history of diabetes, the hazard ratio was 4.6 (95% CI 1.3-16, p = 0.02). Fructosamine level, or another indicator of glycemia, should be included when the risk of cardiovascular disease among older patients is evaluated.  (+info)

Characteristics of discrepancies between self-reported visual function and measured reading speed. Salisbury Eye Evaluation Project Team. (2/2563)

PURPOSE: Visual impairment is a risk factor for morbidity in the elderly and is often screened for by self-report. This study evaluates whether there are subsets for whom there is a discrepancy between self-reported and measured function. METHODS: The prevalence of a discrepancy between self-reported difficulty reading a newspaper and measured reading speed was determined in 2520 community-based men and women, aged 65 to 84 years, and the discrepant group characterized by polychotomous regression. RESULTS: Of subjects who reported minimal difficulty reading a newspaper, 10.8% (227/2107) read newsprint-sized text (0.21 degrees) more slowly than 80 words/min, a level previously shown to be necessary for sustained reading. Poor visual acuity, presence of psychiatric symptoms, and less satisfaction with vision were associated with being in the group that read slowly and reported difficulty with reading. Better cognition, better visual acuity, more years of education, white race, and fewer psychiatric symptoms were associated with being in the group that read more quickly and reported minimal difficulty. When reading the text size at which subjects read their fastest, only 2.6% of those with minimal difficulty remained discrepant. These individuals were more likely to have less education, be male, be African American, and have poorer cognitive status than those who did not remain discrepant. CONCLUSIONS: A subset of the elderly population have a substantial discrepancy between self-reported reading difficulty and measured reading speed. In some, this discrepancy may be based on underlying expectations and experiences, and in others it may represent a transition from no visual impairment to visual impairment.  (+info)

Outcomes of routine testing of liver enzymes in institutionalized geriatric patients. (3/2563)

This study sought to identify any benefit of routine liver function tests (LFTs) in chronically ill, geriatric patients and to assess which patients require evaluation for abnormal LFT levels. A retrospective chart review was carried out on 268 consecutive patients (M:F = 1.2, mean age 77 years, range 61-98 years) presenting for acute care from a long-term care facility. All were without jaundice, right upper quadrant pain, pruritus, bruising, or signs of chronic liver disease. The degree of LFT abnormality (aspartate aminotransferase, alanine aminotransferase, total bilirubin, or alkaline phosphatase) during admission was compared to the clinical diagnosis at the time of discharge. The most common diagnoses were pneumonia, urinary tract infection, and peripheral or coronary disease in 186 (60%). Thirty-seven patients (14%) had elevated LFT levels on admission. The levels normalized within 2 days in 26 of these patients, 25 of whom had a history of vascular disease (96%). Of the 11 remaining patients, 4 had coexistent vascular disease (36%), and 5 had LFT levels twice normal (none with vascular disease) and underwent abdominal ultrasound. One patient had a common bile duct stone successfully extracted. Enzyme abnormalities were due to hepatitis B or medication use in 10 of 11 patients. No patient had liver biopsy. All but one of the 268 patients were discharged without further evaluation. Over one year of follow up, no patient returned for a liver-related problem. Based on these findings, only those patients with LFT levels that are twice normal and which do not normalize within 2 days warrant further evaluation. Transient LFT abnormalities may be due to decreased liver perfusion.  (+info)

Outcome measures for routine use in dementia services: some practical considerations. (4/2563)

OBJECTIVES: To work with specialist community teams to assess the practicality and acceptability of identified outcome measures for routine use in dementia services. SETTING: Seven specialist dementia services: four multidisciplinary teams, a specialist service for carers, a community psychiatric nurse team, and a day hospital. SUBJECTS: 20 members of staff from the specialist dementia services including psychiatry, community psychiatric nursing, social work, occupational therapy, Admiral nursing, ward management, geriatric nursing. MAIN MEASURE: A questionnaire designed to assess staff views on the use of six outcome measures in routine practice in terms of practicality, relevance, acceptability, and use in improving care. RESULTS: Each of the outcome measures took 15 to 30 minutes to administer. All were rated as easy to use and as relevant to dementia services and to carers. Staff commented that the measures could be useful in routine practice for structured assessment and service evaluation, but highlighted the need for sensitive use of measures with carers. CONCLUSIONS: These measures consider the main domains of functioning for people with dementia and their carers. The measures are suitable for use in routine practice in dementia services and are acceptable to staff and carers. The project underlined the need for management support, staff ownership of measures, and training in using outcome measures. Staff concerns about service evaluation need to be acknowledged.  (+info)

Strategies to improve the quality of oral health care for frail and dependent older people. (5/2563)

The dental profile of the population of most industrialised countries is changing. For the first time in at least a century most elderly people in the United Kingdom will soon have some of their own natural teeth. This could be beneficial for the frail and dependent elderly, as natural teeth are associated with greater dietary freedom of choice and good nutrition. There may also be problems including high levels of dental disease associated with poor hygiene and diet. New data from a national oral health survey in Great Britain is presented. The few dentate elderly people in institutions at the moment have poor hygiene and high levels of dental decay. If these problems persist as dentate younger generations get older, the burden of care will be substantial. Many dental problems in elderly people are preventable or would benefit from early intervention. Strategies to approach these problems are presented.  (+info)

Staff and patient feedback in mental health services for older people. (6/2563)

OBJECTIVES: To compare the views of patients and staff on the quality of care provided on a psychogeriatric assessment ward over a five year period. To describe the quality improvements which were made as a result of their respective comments. DESIGN: Structured interviews were conducted with both patients and staff to obtain qualitative feedback and suggestions for improvement. An analysis of the percentage of positive and negative comments made by both patients and staff was used to compare the levels of satisfaction on a variety of aspects of the service provided. SETTING: Psychogeriatric inpatient assessment ward. SUBJECTS: 75 patients and 85 staff interviews were conducted. MAIN MEASURES: Structured interviews covering various aspects of service quality. RESULTS: Staff and patients picked up on different aspects of service quality as important. Quality improvements which arose from the interviews were clearly different. Generally patients were more positive about the physical environment and standards of professional care than staff, but less positive about issues of privacy, social interaction, and empowerment. CONCLUSIONS: The perspectives of patients and staff in this area are not interchangeable. Both series of interviews led to several positive changes in the quality of care. Interviews with staff seem to have been valuable in a low morale situation. A structured interview format provided patients with an opportunity to feedback openly and led to changes in service quality which would not otherwise have occurred.  (+info)

Identification and assessment of high-risk seniors. HMO Workgroup on Care Management. (7/2563)

CONTEXT: Many older adults with chronic illnesses and multidimensional needs are at high risk of adverse health outcomes, poor quality of life, and heavy use of health-related services. Modern proactive care of older populations includes identification of such high-risk individuals, assessment of their health-related needs, and interventions designed both to meet those needs and to prevent undesirable outcomes. OBJECTIVE: This paper outlines an approach to the tasks of identifying and assessing high-risk seniors. Intervention identification of high-risk seniors (also called case finding) is accomplished through a combination of periodic screening, recognition of high-risk seniors by clinicians, and analysis of administrative databases. Once identified, potentially high-risk individuals undergo on initial assessment in eight domains: cognition, medical conditions, medications, access to care, functional status, social situation, nutrition, and emotional status. The initial assessment is accomplished in a 30- to 45-minute interview conducted by a skilled professional--usually one with a background in nursing. The data are used to link some high-risk persons with appropriate services and to identify others who require more detailed assessments. Detailed assessment is often performed by interdisciplinary teams of various compositions and methods of operation, depending on local circumstances. CONCLUSION: The rapid growth in Medicare managed care is presenting many opportunities for developing more effective strategies for the proactive care for older populations. Identification and assessment of high-risk individuals are important initial steps in this process, paving the way for testing of interventions designed to reduce adverse health consequences and to improve the quality of life.  (+info)

A population-based study of environmental hazards in the homes of older persons. (8/2563)

OBJECTIVES: This study sought to estimate the population-based prevalence of environmental hazards in the homes of older persons and to determine whether the prevalence of these hazards differs by housing type or by level of disability in terms of activities of daily living (ADLs). METHODS: An environmental assessment was completed in the homes of 1000 persons 72 years and older. Weighted prevalence rates were calculated for each of the potential hazards and subsequently compared among subgroups of participants characterized by housing type and level of ADL disability. RESULTS: Overall, the prevalence of most environmental hazards was high. Two or more hazards were found in 59% of bathrooms and in 23% to 42% of the other rooms. Nearly all homes had at least 2 potential hazards. Although age-restricted housing was less hazardous than community housing, older persons who were disabled were no less likely to be exposed to environmental hazards than older persons who were nondisabled. CONCLUSIONS: Environmental hazards are common in the homes of community-living older persons.  (+info)

BACKGROUND: Hip fractures in older people are associated with high morbidity, mortality, disability and reduction in quality of life. Traditionally people with hip fracture are cared for in orthopaedic departments without additional geriatric assessment. However, studies of postoperative rehabilitation indicate improved efficiency of multidisciplinary geriatric rehabilitation as compared to traditional care. This randomized controlled trial (RCT) aims to investigate whether an additional comprehensive geriatric assessment of hip fracture patients in a special orthogeriatric unit during the acute in-hospital phase may improve outcomes as compared to treatment as usual in an orthopaedic unit. METHODS/DESIGN: The intervention of interest, a comprehensive geriatric assessment is compared with traditional care in an orthopaedic ward. The study includes 401 home-dwelling older persons |70 years of age, previously able to walk 10 meters and now treated for hip fracture at St. Olav Hospital, Trondheim, Norway.
Background Hip fractures in older people are associated with high morbidity, mortality, disability and reduction in quality of life. Traditionally people with hip fracture are cared for in orthopaedic departments without additional geriatric assessment. However, studies of postoperative rehabilitation indicate improved efficiency of multidisciplinary geriatric rehabilitation as compared to traditional care. This randomized controlled trial (RCT) aims to investigate whether an additional comprehensive geriatric assessment of hip fracture patients in a special orthogeriatric unit during the acute in-hospital phase may improve outcomes as compared to treatment as usual in an orthopaedic unit. Methods/design The intervention of interest, a comprehensive geriatric assessment is compared with traditional care in an orthopaedic ward. The study includes 401 home-dwelling older persons ,70 years of age, previously able to walk 10 meters and now treated for hip fracture at St. Olav Hospital, Trondheim, ...
Severe symptomatic aortic stenosis is a serious condition of elderly, mostly geriatric patients with a poor prognosis if the valve is not replaced. Since geriatricians are able to provide major expertise in the prognostic assessment as well in the clinical management of these patients, they need to be more closely involved in the decision making process. For this reason the European Union Geriatric Medicine Society (EUGMS) represented by the authors phrased three propositions: (1) geriatricians need to be aware of the impact of severe aortic stenosis on patients outcomes and should be encouraged to take an active role in aortic stenosis management; (2) they need to be aware of treatment options and are required to support multidisciplinary teams with their expertise in assessing geriatric patients; (3) they should routinely perform a comprehensive geriatric assessment in patients with severe aortic stenosis scheduled to undergo surgical or transcatheter aortic valve replacement and during ...
Multidisciplinary approach reduced readmissions in patients with CHF. The optimal management of elderly persons after hospital discharge as well as those living independently in the community has generated intense interest. The extensive literature on this subject is complemented by these 2 well-designed studies: 1 tested the hypothesis that intensive follow-up after hospital discharge in patients with CHF will reduce costs and hospitalizations; the other tested the hypothesis that in-home comprehensive geriatric assessments will help prevent disability among elderly persons. Several points made by the 2 studies invite comment. In both studies, the intervention increased quality of life and functional outcomes, which were primary outcomes of the study by Stuck and colleagues. In this study, however, the rates of admission to acute care hospitals and short-stay nursing homes were not reduced. In addition, organizing a full-scale geriatric outreach program with geriatrician-supervised, specially ...
Effectiveness of comprehensive geriatric assessment in elderly patients with coronary heart disease, Aiping Liu, Ping Kang, Jing Liu, Dongmei Li, Limei Zhang
Older patients are at high risk for poor outcomes after acute hospital admission. The mortality rate in these patients is approximately 20%, whereas 30% of the survivors decline in their level of activities of daily living (ADL) functioning three months after hospital discharge. Most diseases and geriatric conditions that contribute to poor outcomes could be subject to pro-active intervention; not only during hospitalization, but also after discharge. This paper presents the design of a randomised controlled clinical trial concerning the effect of a pro-active, multi-component, nurse-led transitional care program following patients for six months after hospital admission. Three hospitals in the Netherlands will participate in the multi-centre, double-blind, randomised clinical trial comparing a pro-active multi-component nurse-led transitional care program to usual care after discharge. All patients acutely admitted to the Department of Internal Medicine who are 65 years and older, hospitalised ...
Many of the most common conditions cared for by geriatricians, including delirium, falls, frailty, dizziness, and syncope (loss of consciousness caused by low blood pressure), are classified as geriatric syndromes. Nevertheless, the concept of the geriatric syndrome remains poorly defined. Vision impairment can often be attributed to specific disease: presbyopia, glaucoma, retinopathy, cataracts, and age-related macular degeneration. Presbycusis is the disease name for most hearing loss, and it affects over 30 percent of people past age 65 (and over 40 percent of people past age 75). While heterogeneous, geriatric syndromes share many common features. They are highly prevalent in older adults, especially the frail elderly. Their impact on quality of life and disability is substantial. Multiple underlying factors, often involving several organ systems, contribute to and define geriatric syndromes. A comprehensive geriatric assessment is a method doctors employ to characterize a persons aging and ...
Methods and Results-This is a prospective study of 487 patients aged ≥75 years admitted for decompensated heart failure. At discharge, a CGA score (range, 0-10) was calculated based on limitation in activities of daily living, mobility limitation, comorbidity, cognitive decline, and previous medication use. The analysis of the association between the CGA score and 2-year subsequent mortality was performed with Cox regression and adjusted for the main confounders. A 1-point increase in the CGA score was associated with a 19% higher mortality (hazard ratio, 1.19; 95% confidence interval, 1.11-1.27). Results were similar regardless of age, sex, left ventricular ejection fraction, and the coexistence of atrial fibrillation, ischemic heart disease, or hypertensive cardiopathy. All components of the CGA score showed a consistent association with higher death risk: the hazard ratio (95% confidence interval) of mortality was 1.78 (1.25-2.54) with ≥3 versus 0 limitations in activities of daily ...
Methods and Results-This is a prospective study of 487 patients aged ≥75 years admitted for decompensated heart failure. At discharge, a CGA score (range, 0-10) was calculated based on limitation in activities of daily living, mobility limitation, comorbidity, cognitive decline, and previous medication use. The analysis of the association between the CGA score and 2-year subsequent mortality was performed with Cox regression and adjusted for the main confounders. A 1-point increase in the CGA score was associated with a 19% higher mortality (hazard ratio, 1.19; 95% confidence interval, 1.11-1.27). Results were similar regardless of age, sex, left ventricular ejection fraction, and the coexistence of atrial fibrillation, ischemic heart disease, or hypertensive cardiopathy. All components of the CGA score showed a consistent association with higher death risk: the hazard ratio (95% confidence interval) of mortality was 1.78 (1.25-2.54) with ≥3 versus 0 limitations in activities of daily ...
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies. ...
Anxiety and depression are the two most prevalent illnesses among patients, and in the general population. Because these two mood disorders are frequently co-morbid they can have especially problematic outcomes. The nature of these mood disorders can make filling out long questionnaires difficult if patients are suffering from fatigue or loss of concentration. Furthermore, time is at a premium in any clinical practice. Therefore, the Patient Health Questionnaire-4 (PHQ-4) was developed and validated by Kroenke, Spitzer, Williams, & Lowe, (2009) in order to address these needs ...
LIDSEN series of journals are published by LIDSEN Publishing Inc, a non-profit scholarly Open Access publisher focused on biological, biomedical and medical studies. We aim to select ground-breaking research based on novelty, timeliness, scientific significance, potential audience interests, etc. We strive to provide an easily and freely accessible platform to researchers and practitioners in support of their novel and valuable ideas.
For older patients hospitalized with heart failure, a comprehensive geriatric assessment (CGA) score is associated with mortality over two years.
In the group of elderly patients (≥70 years) with metastatic pancreatic ductal adenocarcinoma (mPDAC), it is not known who benefits from intensive 1st line nab-paclitaxel/gemcitabine (nab-p/gem) combination chemotherapy or who would rather suffer from increased toxicity. We aim to determine whether treatment individualization by comprehensive geriatric assessments (CGAs) improves functional outcome of the patients. GrantPax is a multicenter, open label phase 4 interventional trial. We use a CGA to stratify elderly patients into three parallel treatment groups (n = 45 per arm): 1) GOGO (nab-p/gem), 2) SLOWGO (gem mono) or 3) FRAIL (best supportive care). After the 1st cycle of chemotherapy (or 4 weeks in FRAIL group) another CGA and safety assessment is performed. CGA-stratified patients may not decline in their CGA performance in response to the first cycle of chemotherapy (primary objective), measured as a loss of 5 points or less in Barthels activities of daily living. Based on the second CGA,
Patients ≥ 75 years who have undergone surgery for colon cancer stage III, are eligible for inclusion in the study. Non-eligibility includes patients with obvious impaired cognitive or physical function or patients living in nursing homes. After signing informed consent, the patients first undergo geriatric assessment. Patients that are classified as having fit or intermediate function, and with no significant cardiovascular disease, are randomized with a 2:1 randomization process to either chemotherapy (Arm A: Capecitabine 1000 mg/m2 bid day 1-14 q3 weeks, 8 cycles) or no chemotherapy (Arm B: observation).. The purpose of this study is to examine the tolerability of chemotherapy in elderly (, 75 years) patients operated on for colon cancer stage III. There is little evidence of benefit and tolerability of this therapy in the elderly; it is recommended individual consideration in elderly. In the study, a comprehensive geriatric a comprehensive geriatric assessment is performed first, to ...
Joyce Hamelin, MSW, RSW, has been practicing in the Ottawa area for 30 years. She has worked in a variety of social work positions with individuals and families across the lifespan. Presently, and for the past 13 years, Joyce holds a full-time position as a Geriatric Assessor with the Regional Geriatric Program of Eastern Ontario. As such, she has developed skills in completing in-home, geriatric assessments; and providing supportive interventions to her older adult clients and their caregivers, as a member of a multidisciplinary Geriatric Outreach Assessment team. Joyce has been pursuing her interest in teaching/public speaking for the past 15 years. She has been a Professor at Algonquin College in Ottawa, teaching a variety of subjects in the Department of Social Sciences, both in the classroom and now with online virtual classrooms. Currently, Joyce is an online facilitator, teaching Psychology and Communication and Interpersonal Skills with Dementia Care Clients. The focus of intervention is ...
Survival outcomes support the benefits of a geriatric assessment for patients age 70 and older with blood cancers who are candidates for hematopoietic stem cell transplants (HSCT).
General approach to care of the elderly: Essential principles in the care of the elderly / William Reichel, Chrine Arenson, and Jan Busby-Whitehead; The biology of aging / Allyson K. Palmer and James L. Kirkland; Comprehensive geriatric assessment / Rachel Mason and John D. Gazewood; Prevention and screening / James T. Birch, Jr., and Shelley Bhattacharya; Appropriate use of medications in the elderly / Emily R. Hajjar, Amber E. King, and Lauren R. Hersh; Healthy aging : exercise and nutrition as medicine for older adults / Diane Villanyi, Maria A. Fiatarone Singh, and B. Lynn Beattie; Geriatric syndromes: Frailty / Mindy J. Fain and M. Jane Mohler ; Gait impairment and falls / Daina L. Sturnieks and Catherine Sherrington; Evaluation and management of dizziness / Samuel C. Durso and David Newman-Toker; Evaluation and management of dementia / Lauren Collins, Barry W. Rovner, and Kadesha Collins-Fletcher; Recognition, management and prevention of delirium / Lindsay A. Wilson and Margaret ...
Limited data are available on the treatment of older adults with cancer. Comorbidities may preclude the administration of effective therapies, particularly in the extreme elderly. Comprehensive geriatric assessment can identify specific weaknesses of the patient and predict unexpected toxicities, thus enabling an optimized treatment strategy in this population. We report a case of the successful management of a 99-year-old female lymphoma patient with a strong wish for active treatment to improve quality of life and prolong survival past her 100th birthday ...
Our mission at the Senior Health Clinic is to promote healthy aging by keeping older adults well, active and independent for as long as possible. Because our clinic is devoted exclusively to the service of older adults, our staff and services are uniquely sensitive to their needs and abilities. We are able to distinguish between the normal changes caused by aging and changes caused by disease. Illnesses that linger are an unfortunate accompaniment of old age, but sometimes older people with multiple chronic health problems assume they have to cope with continued symptoms and disability. A comprehensive geriatric assessment can determine what conditions are present and determine if increased or different care could help patients improve. With this approach, the best care can be identified ...
Background:. In patients with COPD, a preserved BMI may improve survival. However, the implications for function and health status have not been fully established. We hypothesised that obese patients would have reduced physical capacity and more impairments than non-obese patients with COPD and comparator subjects.. Method:. As part of a longitudinal study of co-morbidities in COPD (ARCADE), 400 patients (COPD confirmed with spirometry) and 100 comparator subjects (past or current smokers) free from respiratory disease were assessed. In all subjects, spirometry, BMI, six minute walk distance (6MWD), the Timed Up and Go (TUG) and physical, medical, functional and psychosocial impairments using the Comprehensive Geriatric Assessment (CGA) were determined. Patients also completed the St Georges Respiratory Questionnaire (SGRQ) and were categorised by BMI.. Results:. Patients and comparators were similar in gender and BMI COPD 28.0(5.5) comparators 28.5(4.6) kg/m2, and had similar proportions ...
Comprehensive Geriatric Assessment and Transitional Care in Acutely Hospitalized Patients: The Transitional Care Bridge Randomized Clinical Trial. In a double-blind, randomised 5-cell cross-over 4-day plaque regrowth study, 19 volunteers rinsed 2 x a day with 15 ml of each of the ...
Mercys geriatric evaluation and management (GEM) assessment provides a comprehensive plan for managing elderly loved ones condition & care. Click here to learn more.
Fingerprint Explore the research topics touched on by this project. These labels are generated based on the underlying awards/grants. Together they form a unique fingerprint. ...
Positive and Negative Predictive Values incorporate sensitivity and specificity and are more useful to clinicians because they also consider the population being tested. Ideally, a screening test should be highly sensitive and highly specific and have both positive predictive value and negative predictive value.. The tool should also be reliable or give the same result every time it is used, and it should have high inter-rater reliability when more than one person gives the test ...
Dr. Cohens research program includes clinical research relating to aspects of the pathways to functional decline with aging, geriatric assessment, and cancer in the elderly. Pathways to functional decline are being explored through the NIA funded Claude Pepper Older Americans Independence Center, and includes studies of the contributions of age related physiologic change, in particular changes in inflammatory parameters, comorbid diseases and conditions, environment, genetics, and the interactionas among them.
Dr. Cohens research program includes clinical research relating to aspects of the pathways to functional decline and reilience with aging, geriatric assessment, and cancer and anemia in the elderly.
Find 2 local Geriatric Doctors practicing in Roswell, GA. Read ratings and reviews to help find the best Geriatric Doctor in your area.
Find 6 local Geriatric Doctors practicing in Morgantown, WV. Read ratings and reviews to help find the best Geriatric Doctor in your area.
Affinity Health Care provides in-home companion care services in Toronto, ON for your senior and elders. Our caregiver will ensure the care is professionally and properly managed. Call 1-800-565-2273
Elderly senior adult patient (older person) having geriatric doctor consulting and diagnostic examining on aging and mental health care in medical clinic office or hospital examination ...
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A geriatric care manager is someone who can be hired to assess an older persons social and medical needs, arrange services and monitor care.
About the ACS Geriatric Surgery Verification Program, which uses surgical standards designed to improve surgical care and outcomes for the aging adult.
The Invacare® 3-Position Deluxe Geriatric Recliner recliner offers a contoured seat and back with lumbar support for all day comfort. Suitable for home or clinical use - EnableYourLife.com
MODEL RELEASED. Geriatric care. Nurse putting a plaster on an older mans arm after giving him an injection. - Stock Image C007/3988
Find Geriatric Authority-milford N in Milford, MA 01757-1253 on Yellowbook. Get contact details or leave a review about this business.
This topic contains 37 study abstracts on Elderly: Age Specific Diseases indicating that the following substances may be helpful: Omega-3 Fatty Acids, Vitamin D, and Cholesterol
After the Celine Dion thread, as well as a few others on elderly mothers recently, it started me thinking on what is too young and too old to have a ... (Page 3)
Beefy and I are totally turning into old people. We got up at 6 am (on a Saturday!) to grocery shop and then headed out to look for birds. Next thing you know, well be lunching at Golden Corral and talking about how easy young folks have it these days ...
Find the training resources you need for all your activities. Studyres contains millions of educational documents, questions and answers, notes about the course, tutoring questions, cards and course recommendations that will help you learn and learn.
GAL COSTA. You get the feeling that the tropicalia subversives were really trying to make a hit with this one, and its all the better for it. Beck would have to become a scientologist to make this...er...wait a minute.... ...
With a growing population of people ,65 years of age, there is an increasing focus on identifying and evaluating interventions that maintain elderly people in their own homes for as long as possible. This study examined whether an in-hospital, comprehensive geriatric assessment alone or combined with an interdisciplinary home intervention after discharge would affect mortality, functional status, rehospitalisation, nursing home placement, and direct costs.. The results of this study support the work done in the Program for All-inclusive Care of the Elderly (PACE), begun in San Francisco.1 By using a comprehensive assessment that addresses both functional and medical concerns, care can be coordinated and provided to meet the needs of older people. However, of note in the study by Nikolaus et al is the finding that comprehensive geriatric assessment alone did not improve outcomes. The addition of a home intervention team accounted for improvement in outcomes. These findings can help gerontological ...
To the best of our knowledge, this was the first study to estimate the frequency of renal insufficiency in elderly cancer patients in Brazil. The prevalence of abnormal renal function among our cohort was high. As suspected, the absolute creatinine level does underestimate renal function impairment …
Cancer researchers warned Monday that the number of elderly cancer patients would likely double from 2000 to 2030, creating huge challenges to healthcare systems worldwide.
The purpose of this study was to compare the validity of the 15-item Geriatric Depression Scale (GDS-15) in nonelderly (,65 years), young-elderly (age, 65-75), and old-elderly (,75 years) patients with Parkinsons disease (PD). 57 nonelderly, 88 young-elderly, and 81 old-elderly PD patients were administered the GDS-15 and the Structured Clinical Interview for DSM-IV depression module. Receiver-operating characteristic (ROC) curves were plotted for GDS-15 scores against a DSM-IV diagnosis of major or minor depression. The discriminant validity of the GDS-15 was high for nonelderly, young-elderly, and old-elderly subjects (ROC area under curve = 0.92, 0.91, and 0.95, respectively), with optimal dichotomization at a cut-off of 4/5 (85% sensitivity and 84% specificity in nonelderly; 89% sensitivity and 82% specificity in young-elderly) and 5/6 (90% sensitivity and 90% specificity in old-elderly). In conclusion, the GDS-15 has comparable validity in younger and older PD patients, suggesting its ...
© 2015, Springer-Verlag Berlin Heidelberg. Background: Anemia and hypoalbuminemia (HA) are acknowledged independent risk factors for morbidity and mortality in geriatric patients and are associated with nutritional status and frailty. Data exist regarding the association between albumin and frailty, anemia and frailty as well as frailty and nutritional status; however, there is a lack of information on the association between HA, anemia and nutritional status in older people. Patients and methods: This study retrospectively analyzed 626 patients admitted to a German geriatrics department (average age 81.1 years, 68.2 % female and 31.8 % male) for anemia and HA. Data from the comprehensive geriatric assessment (CGA) and from the mini-nutritional assessment (MNA) were available in all patients. Results: Patients with anemia suffered significantly more often from HA (p | 0.001) than patients without anemia, with an odds ratio (OR) of 1.99 (95 % confidence interval CI: 1.2-3.2) and of 5.41 (CI 95 %: 2.3-12
TY - JOUR. T1 - A study of associations between daily-social activity of elderly people living at home and symptoms of forgetfulness. Screening for dementia risk. AU - Teraoka, Sawa. AU - Konishi, Michiko. AU - Kamata, Keiko. PY - 2005/10. Y1 - 2005/10. N2 - PURPOSE: Functional decrease in brain activity as a factor inducing dementia is due not only to aging but also to decrease in social exchange, loss of something to live for, and decrease in physical activity with indoor confinement. It might therefore be possible to use these parameters to screen for risk of dementia in community care programs. In the present study we evaluated the association between decreased daily-social activity and symptoms of forgetfulness. METHODS: The subjects were 6,486 people aged , or = 65 years living in 3 municipalities in Yamanashi Prefecture. A survey table concerning daily-social activity and symptoms of forgetfulness was produced, and a whole-sample survey was performed by mail. Cluster analysis of items ...
Geriatric Care at the Riverside Geriatric Assessment Center focuses on the needs of patients who are age 50 and older while addressing the multiple problems that may occur with aging.
(HealthDay)-A quality improvement intervention can improve documentation of geriatric assessments during transitions of care, according to a study published online Dec. 18 in the Journal of the American Geriatrics Society.
Once a person has been identified as frail, a holistic review by a GP will allow for optimisation of the persons health and for considered forward care planning. It may involve onward referral for a more Comprehensive Geriatric Assessment by an interdisciplinary team. An appropriate period of time should be put aside to allow for this holistic review (it is likely to take at least 45 - 60 minutes - depending on how well the individual is known to the GP or specialist nurse doing the assessment). It may be appropriate to invite relatives and carers to be present at the assessment as well as any care workers involved with the individual. The setting of the review can be agreed with the patient; however the physical examination needed as part of this assessment will limit choice.. Underlying diagnoses and reversible causes for these problems must be considered and addressed as part of the assessment.. In looking for cognitive impairment, it is helpful to use a standardised cognitive assessment ...
Executive Summary Comprehensive geriatric assessment (CGA) is a multidimensional and usually interdisciplinary diagnostic process designed to determine a frail older persons medical conditions, mental health, functional capacity and social
Kim SW, Han HS, Jung HW, et al.. JAMA Surg 2014;149:633-40. Publication date: July 1, 2014. Summary. The number of older patients who undergo surgery is increasing, and these patients often have comorbid conditions that may lead to postoperative mortality and morbidity. Therefore, it is important to identify at-risk patients. Yet, there are insufficient tools to predict postoperative outcomes in older patients.. The authors performed a single-center prospective cohort study aimed to develop a scoring model to predict unfavorable outcomes and prolonged hospital stays quantitatively after surgery. A comprehensive geriatric assessment (CGA) was performed in 275 consecutive patients aged 65 years or older undergoing intermediate- or high-risk elective operations at the Seoul National University Bundang Hospital, South Korea. The primary outcome measure was 1-year all-cause mortality. Secondary outcomes were postoperative complications, length of hospital stay, and discharge to a nursing ...
The CALS service operates in the emergency zone, Level 0, Brunel building. It consists of consultant geriatricians (Dr Neubauer, Dr McCracken and Dr Richards), Advanced Nurse Practitioners, OTs, Physiotherapists, social workers and case managers. The team has developed strong links with the community to promote seamless care for the patient between primary and secondary services.. These patients will have a comprehensive geriatric assessment (CGA) which will address not only their initial medical presentation, but their co-morbidities, rehabilitation, psychological and social needs.. The team aims to improve the identification of patients with frailty syndromes such as, delirium, dementia, falls and incontinence and enable these problems to be addressed, improve sign posting to appropriate services, improve patient quality of life and ensure more patient centred and timely discharge planning.. The CALS team also cover some ward beds on Level 1, Brunel building for specific patients identified by ...
TY - JOUR. T1 - Analysis of activities of daily living in elderly people living alone. T2 - Single-subject feasibility study. AU - Suzuki, Ryoji. AU - Ogawa, Mitsuhiro. AU - Otake, Sakuto. AU - Izutsu, Takeshi. AU - Tobimatsu, Yoshiko. AU - Izumi, Shin Ichi. AU - Iwaya, Tsutomu. PY - 2004/6/1. Y1 - 2004/6/1. N2 - We have developed an automatic remote system for use in monitoring the health of independent elderly people living in conventional homes. In this study, a monitoring system was installed and evaluated in the house of one subject to test the feasibility of determining activities from sensor outputs. Over a period of 6 months, it was found that total counts from all sensor outputs matched the concurrently acquired data on physical activity obtained from a pedometer. Performance of each basic activity of daily living could be confirmed from the sensor output records.. AB - We have developed an automatic remote system for use in monitoring the health of independent elderly people living in ...
Boris Punchik MD, Avital Shapovalov MD, Tzvi Dwolatzky MD, Yan Press MD.. Comprehensive Geriatric Assessment Unit, Clalit Health Care Services, and Center for Multidisciplinary Research in Aging, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel. Abstract Cognitive decline associated with advancing age is one of the most important challenges currently facing health care providers. The spectrum of neurocognitive decline from subjective cognitive complaints to mild cognitive impairment (MCI) and ultimately to a progressive dementia syndrome places the primary care physician at the forefront in providing care for a growing number of cognitively impaired older patients. MCI is a clinical syndrome that is prevalent in the older population, with some 15% of those older than 65 years having this condition, with a range of 3%-42% reported in community-based studies. Approximately 10% of patients with MCI will progress to dementia annually.. In a previous studies it was ...
Comprehensive Geriatric Assessment - Each newly admitted resident is seen by Dr. Elizabeth Baum, MD, CMD, and/or Abbey Baum-Beigie, ANP-BC, FGNLA within 24 hours of admission to develop a team approach to medical treatment and nursing care. Residents are followed closely by nursing staff and medical providers throughout admission to Bethany. These assessments are focused on treating all parts of the resident and are updated quarterly by the Bethany interdisciplinary team. ​. Bethany accepts Medicare A, Aultcares Primetime Plan, some Aetna Managed Care Plans, the Health Plan/Hometown, United Health Care, and Caresource. If a patient is ineligible for a skilled rehab stay they can also pay privately for a room and receive therapy benefits under their Medicare Part B benefits. ​. ...
TY - JOUR. T1 - Definition of a Geriatric Depression Scale cutoff based upon quality of life: a population-based study. AU - Marzetti, Emanuele. AU - Pozzi, Gino. AU - Padua, Luca. AU - Bernabei, Roberto. AU - Zuccala, Giuseppe. AU - Laudisio, Alice. AU - Antonelli Incalzi, Raffaele. AU - Gemma, Antonella. PY - 2018. Y1 - 2018. N2 - The cutoff scores for the Geriatric Depression Scale (GDS) commonly adopted in clinical and research settings are based upon other neuropsychological tests. However, any intervention for depression should aim at improving subjective quality of life (QoL). We searched for a GDS cutoff level that might identify a decrease in perceived QoL using a scale that also allows formal cost-effectiveness calculations. METHODS: Quality of life was assessed by the Health Utilities Index, Mark 3 in all 344 residents of Tuscania (Italy) aged 75 years and above. Mood was assessed by both the 30-item GDS and the derived 15-item GDS. The association of GDS with low QoL was analyzed by ...
TY - JOUR. T1 - Plasma protein biomarkers of the geriatric syndrome of frailty. AU - Darvin, Kayla. AU - Randolph, Amanda. AU - Ovalles, Symphony. AU - Halade, Dipti. AU - Breeding, Leah. AU - Richardson, Arlan. AU - Espinoza, Sara E.. PY - 2014/3/17. Y1 - 2014/3/17. N2 - Frailty is a geriatric syndrome associated with physical decline with aging. Using a proteomics-based screening method to screen plasma for potential biomarkers, we previously found infammatory glycoproteins to be increased with frailty. The purpose of this study was to confrm if plasma levels of these glycoproteins, as well as of interleukin-6, are increased with frailty in a larger sample (n = 65) of community-dwelling older adults. Plasma levels of transferrin, fbrinogen, haptoglobin, and interleukin-6 were determined with enzyme-linked immunosorbent assay. Differences in protein concentrations by frailty status were determined using analysis of variance. Higher levels of transferrin (p ,.001), fbrinogen (p ,.0001), and ...
Direct observation of physical function has the advantage of providing an objective, quantifiable measure of functional capabilities. We have developed the Physical Performance Test (PPT), which assesses multiple domains of physical function using observed performance of tasks that simulate activiti …
Weve shown that an aged immune system can combat cancer just as well as a young one if you remove the impediments to successful immunity, which are different that those in younger hosts, Dr. Curiel said. Weve shown that if you test all your immune therapy just in young mice and young people, youll never learn how it works in older patients - the ones most at risk for cancer. You might conclude that drugs dont work in aged hosts, when they do. But they have to be combined with some help.. After discovering this in melanoma, the researchers then looked at whether the same action held true in colon cancer, a major cancer killer in the elderly.. The details were different in colon cancer. The bad immune cells that increased in the aged mice and how they were knocked down by the drugs were different than in melanoma, Dr. Curiel said. But the result was the same - we identified a drug combination that was highly effective in the aged mice.. That means that not only must this strategy be ...
Recently, the International Society of Geriatric Oncology released a position paper where the obligatory integration of a comparable form of geriatric assessment is strongly recommended in future studies (Wildiers, 2013). The Multidimensional Prognostic Index (MPI) has been developed from a complete CGA and, differently from it, MPI may be administered and scored in a consistent manner. In order to answer this prioritary issue of geriatric oncology, the second project of this doctoral research program has been devoted to validate the MPI in patients with advanced cancer (Pilotto, 2008) to predict the 6 and 12-months overall mortality risk. In addition to estimate the tumor-independent survival, a CGA is essential when planning a cancer treatment as it uncovers medical conditions that may worsen the chemotherapy toxicity reported in clinical trials involving younger patients (Balducci, 2007). Despite there is strong evidence that any treatment decision in elderly cancer patients should be ...
Background- Ageing has not only social but also economic, political and health-related implications. Globally, prevalence of depression in geriatric population varies from 10% to 20%, while in India; it is even higher varying from 13% to 25%.1Aims and objective- To assess the level of depression of among old age peoples and to associate the level of depression with selected demographic variables. Material and Methods- A cross sectional survey approach with descriptive research design was used. 200 old age peoples residing in valam, Kherava, Unava and Bhandu villages were selected by using purposive sampling technique. A 30 items Geriatric Depression Scale (GDS) questionnaire was used. Result- 37% participants were belong to 60-65 years of age, 52% were male, 45% participant educated up to primary level, 97% were hindu, 76.5% participants not having any occupation, 48% had semi pakka type of house, 59% were belong to joint family, 36% had monthly income between 5001-10000. 97% were having medical
According to the results of this meta-analysis, new studies could be planned to state the role of SPPB as a marker for tailoring the best management for elderly patients with cardiovascular disorders needing invasive procedure.. The frailty in elderly patients receiving cardiac interventional procedures (FRASER) program (NCT02386124) is an on-going multicentre prospective trial enrolling patients aged ,70 years and admitted to hospital for acute coronary syndromes. One of the aims of this study is to investigate the prognostic role of SPPB score in this particular cardiologic population with a composite primary outcome of one-year all-cause mortality and hospital readmission for any cause.. Results of this trial will better clarify: i) if frailty could be considered a new cardiac risk factor useful also to discriminate patients who really benefit from an invasive strategy and, ii) if SPPB would be a suitable tool to assess frailty also in the hand of Cardiologists.. In the future Cardiologists ...
Nutritional status is relevant to functional recovery in patients after an acute process requiring rehabilitation. Nevertheless, little is known about the impact of malnutrition on geriatric rehabilitation. This study aimed to determine the association between nutritional status at admission and the evolution of functional and physical outcomes, as well as the capability of nutritional status to identify fallers among patients admitted to geriatric rehabilitation for different reasons. This was a retrospective cohort study of 375 patients. Data collected included age, gender, diagnosis at admission, comorbidities, cognitive and nutritional status, functional and physical measurements, length of stay, mortality and falls. Orthogeriatric patients with worse nutritional status according to the Mini Nutritional Assessment-Short Form (MNA-SF) had a significantly lower Barthel Index at admission and discharge with worse functional gain and poorer outcomes in the Short Physical Performance Battery (SPPB).
The U-M Geriatrics Center offers a full array of patient care services and programs as part of our mission to provide comprehensive health care to our aging community. Our goal is to help adults over the age of 60 lead healthier and more satisfying lives. With this aim, the Geriatrics Center offers primary care, specialty care, transitional and sub-acute care as well as geriatric assessment and consultation. In fact, the Geriatrics Center is a national leader in the development and implementation of novel and effective treatments and therapies in the provision of care for older individuals.. We are pleased that we have long been recognized as one of the countrys best geriatrics programs by U.S. News and World Report. Geriatrics Center physicians are among the most accomplished clinicians, researchers and educators in the field of geriatrics and aging. Geriatric Medicine physicians are highly-trained specialists who provide both primary care and consultative services. In addition, Geriatrics ...
Results: Among 288 patients included, 140 (49%) were frail and 148 (51%) non-frail. Frail patients consistently reported poorer scores on all functioning and symptom scales. Independent of age, gender and major cancer-related factors, frail patients had significantly poorer physical functioning and global quality of life during follow-up, and opposed to non-frail patients they had both a clinically and statistically significant decline in physical functioning from baseline until 12 months ...
Two focus group sessions last week launched the public portion of a review of community geriatric care on the Saanich Peninsula and Gulf Islands.. Island Health is currently in the process of assessing the regions need for local geriatric care in the face of new funding models.. Dr. Marilyn Bater, a physician specializing in geriatric care for 23 years, is the lead physician on Island Healths committee looking to redesign community geriatric care.. Island Health is in the middle of re-organizing and we are facing budget changes, she said. We have known for a while that we are going to have to look at how we deliver geriatric care in any case.. Thats due to the changing demographic, she explained, meaning people are living longer and many are facing complex health conditions, some with variety of issues that become more pronounced as they get older.. Island Health currently provides community geriatric care on the Saanich Peninsula and Gulf Islands. Operating out the Peninsula Health Unit ...
Background: Different scales are being used to measure frailty. This study examined the convergent validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS). Method: The cross-sectional study recruited patients from three regional community nursing teams in the South East of England. The CFS was rated at recruitment, and the eFI was extracted from electronic health records (EHRs). A McNemar test of paired data was used to compare discordant pairs between the eFI and the CFS, and an exact McNemar Odds Ratio (OR) was calculated. Findings: Of 265 eligible patients consented, 150 (57%) were female, with a mean age of 85.6 years (SD = 7.8), and 78% were 80 years and older. Using the CFS, 68% were estimated to be moderate to severely frail, compared to 91% using the eFI. The eFI recorded a greater degree of frailty than the CFS (OR = 5.43, 95%CI 3.05 to 10.40; p , 0.001). This increased to 7.8 times more likely in men, and 9.5 times in those aged over 80 years. Conclusions: ...
Instrumental activities of daily living (IADLs) are things you do every day to take care of yourself and your home. They are one way to measure how well you can live on your own. While activities of daily living (ADLs) are basic self-care tasks like bathing, IADLs require more complex planning and thinking.. Sometimes aging and health problems make it hard to do these tasks. You might not even notice that you cant do them as well as you used to. Often, the first sign that someone needs a little extra help is when that person cant do IADLs.. Your doctor uses IADLs to measure how much help you need. Knowing what you can and cant do for yourself is an important first step to getting help. And when you have the help you need, you can stay as independent as possible.. Your doctor will want to know if you are able to do tasks such as:. ...
Subjective health and quality of life among elderly people living with chronic multimorbidity and difficulty in activities of daily living in rural South Africa
Findings published in the March 31 issue of NEJM suggests that a combination of weight loss and exercise provides greater improvement in physical function than either intervention alone in older adults who are obese.. In this 1-year, randomized controlled trial, researchers evaluated the independent and combined effects of weight loss and exercise in 107 adults who were 65 years of age or older and obese. Participants were randomly assigned to a control group, a weight-management (diet) group, an exercise group, or a weight-management-plus-exercise (diet-exercise) group. The primary outcome was the change in score on the modified Physical Performance Test. Secondary outcomes included other measures of frailty, body composition, bone mineral density, specific physical functions, and quality of life.. A total of 93 participants (87%) completed the study. In the intention-to-treat analysis, the score on the Physical Performance Test, in which higher scores indicate better physical status, increased ...
Findings published in the March 31 issue of NEJM suggests that a combination of weight loss and exercise provides greater improvement in physical function than either intervention alone in older adults who are obese.. In this 1-year, randomized controlled trial, researchers evaluated the independent and combined effects of weight loss and exercise in 107 adults who were 65 years of age or older and obese. Participants were randomly assigned to a control group, a weight-management (diet) group, an exercise group, or a weight-management-plus-exercise (diet-exercise) group. The primary outcome was the change in score on the modified Physical Performance Test. Secondary outcomes included other measures of frailty, body composition, bone mineral density, specific physical functions, and quality of life.. A total of 93 participants (87%) completed the study. In the intention-to-treat analysis, the score on the Physical Performance Test, in which higher scores indicate better physical status, increased ...
What Community Geriatric Resources Are Available In Your County? In the fall of 2014, Center for Healthy Aging staff conducted focus groups with primary care physicians throughout Western North Carolina about their experience providing care to older adults - what they liked, what challenges arose, and what they wanted more training in. See results here.. Several physicians said they wanted to know what community-based services were available to help older adults continue living independently. In response, we have compiled the following county-specific lists of geriatric resources available - helping older adults live independently and addressing common geriatric syndromes such as dementia, depression, and fall risk. Many thanks to consultant Rebecca Chaplin for compiling these lists. Please share these lists with patients and send updated information to [email protected] Let us know how you use the lists and what you think of them!. ...
Instrumental Activities of Daily Living (IADL) Activities that Allow You to Live Independently Instrumental activities of daily living are those
Learn from the most trusted educators in Geriatric Massage the teaching of safe, appropriate, and life-enhancing techniques for use in elderly massage. We offer valuable hands-on learning with geriatric clients-the number one fastest-growing population in the U.S. Our number one priority is to administer appropriate care to this vital generation. Adding Geriatric Massage to your skill set is also a way for you to rapidly increase your client base and expand your income potential-all while fulfilling your need for continuing education! (18 CE hours) Fri (6:30-9:30), Sat (9-5), Sun (9-5). ...
Learn from the most trusted educators in geriatric massage the teaching of safe, appropriate and life-enhancing techniques for use in elderly massage. We offer valuable hands-on learning with geriatric clients-the number one fastest-growing population in the U.S. Our number one priority is to administer appropriate care to this vital generation. Adding geriatric massage to your skill set is also a way for you to rapidly increase your client base and expand your income potential-all while fulfilling your need for continuing education! (18 CE hours) Fri (6:30-9:30), Sat (9-5), Sun (9-5). ...
Dr. Extermanns work seeks to understand how general health of the older patient interacts with cancer behavior, and conduct and outcomes of their cancer treatment. She works on designing models that intertwine geriatric assessment and oncology decision tools. She has designed a model for estimating the benefit from adjuvant therapy in older breast cancer patients, adjusting for comorbidity. She has also devised an index that allows assessing the individual risk of severe toxicity from chemotherapy: the Chemotherapy Risk Assessment Scale for High-age patients (CRASH) score. She is conducting studies to explore the interaction of comorbidity with cancer behavior and treatment.. ...
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Affinity Health Care provides in-home companion care services in Newmarket, ON for your senior and elders. Our caregiver will ensure the care is professionally and properly managed. Call 1-800-565-2273
Cops forced open the door of a Brooklyn apartment to rescue an elderly woman from a home invader who beat her with a vase and a mirror ...
Vaccines really do help save lives, which is why weve answered some of the most frequently asked questions about elderly vaccines.
Convenient, comprehensive care for older adults *Practical, current information on the best care for older adults *Essential, quick lookup answers from a top ranked geriatrics team *The choice of geriatricians, internists, and family physicians *Ideal for residents and studentsThis essential resource provides up-to-date, expert, and accessible diagnostic and treatment information on the most common health problems among the rapidly growing population of the elderly.CURRENT Geriatric Diagnosis & Treatmentis the best quick reference for busy practitioners who provide care for older adults.CURRENT Geriatric Diagnosis & Treatmentfeatures: *A convenient one-stop source of answers on all disorders commonly encountered among older adults, for specialists and nonspecialists alike *Forty-six clinically-focused chapters offering concise, practical guidance on health issues of the elderly, particularly frail older adults *Easy-access organization by common disorders, special situations, and environments of ...
GCMs will evaluate an older persons situation, identify solutions, and work with the family to design a plan for maximizing an elders independence and well being. Geriatric care management involves an in-depth assessment, developing a care plan, arranging for services, and following up or monitoring care. A GCM can also assist in the medical management of a client and suggest potential alternatives not considered, and they assure a loved one receives the best possible personalized care and all the benefits to which they are entitled.. ...
We are knowledgeable in a wide range of elder care services. Below you will find just some of the things we do to make the life of your elder loved one more complete and your life just a little simpler. If you are not sure what exactly you need, please dont hesitate to contact our Geriatric Care Management team.. ...
Geriatric Health Clinic in Thane: Get complete information about Geriatric Health Clinic in Thane and its doctors list by speciality with complete address, appointment phone numbers, reviews, services and Website Detail | Sehat
Assessment of geriatric frailty[edit]. The syndrome of geriatric frailty is hypothesized to reflect impairments in the ... A popular approach to the assessment of geriatric frailty encompasses the assessment of five dimensions that are hypothesized ... 3 Assessment of geriatric frailty *3.1 Linda Fried / Johns Hopkins Frailty Criteria ... Another notable approach to the assessment of geriatric frailty (if not also to some degree its conceptualization) is that of ...
"power+plate"+vibration Advanced fitness assessment and exercise prescription. Human Kinetics. p. 159. ISBN 978-0-7360-5732-5. ... "BMC Geriatrics. 5: 17. doi:10.1186/1471-2318-5-17. PMC 1368976. PMID 16372905.. ...
Kolcaba, K., & Wykle, M. (1994). Assessment of health promotion in long‑term care. Geriatric Nursing, 15, 266-269. Kolcaba, K ... Geriatric Nursing, 27(2), 85-91. Kolcaba, K., Tilton, C., & Drouin, C. (2006). Comfort theory: A unifying framework to enhance ... Geriatric Nursing, 25(5), 301-306. Dowd, T., Kolcaba, K., & Steiner, R. (2003). The addition of coaching to cognitive ... Kolcaba, K., Panno, J., & Holder, C. (2000). Acute care for elders (ACE): A holistic model for geriatric orthopaedic nursing ...
Fulmer, Terry; Chernof, Bruce (2018). Handbook of Geriatric Assessment (5th ed.). Burlington, Massachusetts: Jones and Bartlet ... Gallo, Joseph; Bogner, Hillary; Fulmer, Terry; Paveza, Gregory (2006). Handbook of Geriatric Assessment (4th ed.). Gaithersburg ... She is known for her extensive research in geriatrics and elder abuse. She has received funding from the National Institute on ... As a leading expert in geriatrics, Dr. Fulmer has been nationally and internationally recognized for her work, especially the ...
Without careful assessment and history, delirium can easily be confused with a number of psychiatric disorders or chronic ... Although multicomponent care and comprehensive geriatric care are more specialized for a person experiencing delirium, several ... The two most widely used are the Confusion Assessment Method for the ICU (CAM-ICU) and the Intensive Care Delirium Screening ... A diagnosis of delirium cannot be made without a previous assessment of the patient's baseline level of cognitive function. In ...
American Geriatrics Society 2012 Beers Criteria Update Expert Panel (2012). "American Geriatrics Society Updated Beers Criteria ... Barbera, J.; Shapiro, C. (2005). "Benefit-risk assessment of zaleplon in the treatment of insomnia". Drug Saf. 28 (4): 301-18. ... American Geriatrics Society. Retrieved August 1, 2013., which cites Finkle, W. D.; Der, J. S.; Greenland, S.; Adams, J. L.; ... American Geriatrics Society. "Five Things Physicians and Patients Should Question". Choosing Wisely: an initiative of the ABIM ...
ADL evaluations are used increasingly in epidemiological studies as an assessment of health in later-life that does not ... Geriatrics, Second Edition. New York, NY: McGraw-Hill. pp. 3-4. ISBN 978-0-07-179208-0. Morris, John M. (2013). ""Scaling ... Among them, some measures like the Functional Independence Measure are designed for assessment across a wide range of ... functional status within the interRAI suite of assessment instruments" John". BMC Geriatrics. 13: 128. doi:10.1186/1471-2318-13 ...
Anthropometric Assessment". In Ronni Chernoff (ed.). Geriatric nutrition: the health professional's handbook (3rd ed.). Jones ... Babette Zemel (2007). "Assessment of Growth and Nutritional Status in Pediatric Inflammatory Bowel Disease". In Petar Mamula; ... Mid-upper arm circumference (MUAC) measurement, if conducted by well-trained staff, can give a quick assessment of new arrivals ... However, for children and adolescents the skinfold and circumference measurements provide a fair assessment of total body fat ...
A new behavioral assessment scale for geriatric out- and in-patients: the NOSGER (Nurses' Observation Scale for Geriatric ... Direct Assessment of Functional Status[17] Demenz NOSGER 1991 Nurses' Observational Scale for Geriatric Patients[18] ... Disability Assessment for Dementia[22] Demenz, Alzheimer W-ADL 2013 Waisman Activities of Daily Living Scale[23] ... Functional Assessment Measure[16] Rehabilitation bei Hirnverletzungen BADLS 1996 Bristol Activities of Daily Living Scale[20] ...
M.D, Mark E. Williams (2009). Geriatric Physical Diagnosis: A Guide to Observation and Assessment. McFarland. p. 56. ISBN ...
The peripheral vascular examination". Geriatric physical diagnosis: a guide to observation and assessment. McFarland & Company ... ISBN 978-0-7864-3009-3. Assessment of the Elderly Patient: The Peripheral Vascular Examination: Venous Examinations at Medscape ...
Geriatric Physical Diagnosis: A Guide to Observation and Assessment. McFarland. ISBN 978-0-7864-5160-9. Retrieved 27 February ...
Mohile on Implementing Geriatric Assessment into Cancer Care". OncLive. Retrieved September 2, 2020. "A Cancer Care Approach ... Supriya Gupta Mohile is an American geriatric oncologist specialized in clinical trials and genitourinary and gastrointestinal ...
M.D, Mark E. Williams (2009). Geriatric Physical Diagnosis: A Guide to Observation and Assessment. McFarland. p. 185. ISBN ...
Edwards, Mark E. (2008). Geriatric physical diagnosis: a guide to observation and assessment. McFarland & Company. p. 96. ...
Geriatric Physical Diagnosis: A Guide to Observation and Assessment. McFarland. pp. 189-. ISBN 978-0-7864-5160-9. Colt, G. H. ( ...
Limbus sign is caused by dystrophic calcification at the corneal limbus, and can be confused with AS in geriatric populations. ... A Guide to Observation and Assessment. McFarland. p. 96. ISBN 978-0-7864-5160-9. Duker JS, Yanof M (2013-12-16). Ophthalmology ... Xanthelasma Limbus sign Limbal ring Williams ME (2010-06-21). Geriatric Physical Diagnosis: ...
Two programs located are located Westwood; the Geriatric Assessment Program and The Home Health Agency. HUMC also maintains an ... the Geriatric Assessment Program, the Hospice Program, and HUMC's Home Health Agency; a block away at 25 Salem Street is HUMC's ... The Community Health Center located in Hasbrouck Heights and a branch of the HUMC's Geriatrics Clinic. The Dave Winfield ... Cutaneous Malignancy Program Gastrointestinal Oncology Division Geriatric Oncology Division Head and Neck Oncology Division ...
... has established a Community Geriatric Assessment Team, Community Psychiatric Team and Psycho-geriatric Outreach ... CS1 maint: discouraged parameter (link) "Community Geriatric Assessment Team". Medical Services. The Hong Kong Society for the ... The hospital is also equipped with a sleep assessment unit. In line with the Hospital Authority's corporate direction of ... Shatin Hospital comprises 591 beds, 144 psychiatric day places, 398 geriatric day places and 49 hospice and palliative day ...
The General Practitioner Assessment Of Cognition combines both a patient assessment and an informant interview. It was ... American Geriatrics Society 2012 Beers Criteria Update Expert Panel (April 2012). "American Geriatrics Society updated Beers ... The MMSE is a useful tool for helping to diagnose dementia if the results are interpreted along with an assessment of a ... American Geriatrics Society. "Five Things Physicians and Patients Should Question". Choosing Wisely: An Initiative of the ABIM ...
... is a Canadian neurologist notable for creating the Montreal Cognitive Assessment (MoCA). He is a Lebanese ... Journal of the American Geriatrics Society. 53 (4): 695-699. doi:10.1111/j.1532-5415.2005.53221.x. ISSN 0002-8614. PMID ... he decided to adapt his comprehensive screen and create a much quicker comprehensive assessment that is adapted to first line ... "The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment". ...
"The Financial Professional's Role in Comprehensive Geriatric Assessment" (March 2005). And where every Financial Gerontology ... Why Does a Financial Planner Need to Know About Geriatric Care?]" (July 1994); "The Financial Services Advisor as a Geriatric ... Why Does a Financial Planner Need to Know About Geriatric Care?]" (July 1994); "Geriatric Assisted Living: When Mom and Dad ... Several of the columns illustrate how the financial professional can at times act as a kind of geriatric consultant to their ...
Heyward VH (2006). "power+plate"+vibration&pg=PA159 Advanced fitness assessment and exercise prescription. Human Kinetics. p. ... BMC Geriatrics. 5 (17): 17. doi:10.1186/1471-2318-5-17. PMC 1368976. PMID 16372905. Retrieved 1 December 2020. Hitt, Emma (27 ...
These include: mental health services, community care, geriatric assessment and rehabilitation. Some of the buildings on the ... In the late 1980s a new two storey masonry complex to accommodate the geriatric services divisions was erected to the west of ... interwar and World War II timber wards and ancillary buildings and a recent masonry complex for geriatric patients. The site is ...
The Cardiovascular System". Geriatric physical diagnosis: a guide to observation and assessment (illustrated ed.). McFarland. p ...
"Pulse oximetry as a fifth vital sign in emergency geriatric assessment". Acad Emerg Med. 5 (9): 858-65. doi:10.1111/j.1553- ... The definition of vital signs may also vary with the setting of the assessment. Emergency medical technicians (EMTs), in ... standardising the assessment of acute-illness severity in the NHS. London: Royal College of Physicians. ISBN 978-1-86016-471-2 ...
Chung, M (2009 Aug). "Vitamin D and calcium: a systematic review of health outcomes". Evidence report/technology assessment ( ... Manya, H.; Akasaka-Manya, K.; Endo, T. (2010). "Klotho protein deficiency and aging". Geriatrics & Gerontology International. ... Chung, M (2009 Aug). "Vitamin D and calcium: a systematic review of health outcomes". Evidence report/technology assessment ( ... Chung, M (2009 Aug). "Vitamin D and calcium: a systematic review of health outcomes". Evidence report/technology assessment ( ...
Using assessments she developed (see assessment section), Cohen-Mansfield was the first to identify the distinctive syndromes ... Jiska Cohen-Mansfield (born 1951) is the Igor Orenstein Chair for the Study of Geriatrics at Tel Aviv University Medical School ... Cohen-Mansfield, J.; Lipson, S. (2008). "The Utility of Pain Assessment for Analgesic Use in Persons with Dementia". Pain. 134 ... I. A conceptual review". Journal of the American Geriatrics Society. 34: 711-721. doi:10.1111/j.1532-5415.1986.tb04302.x. ...
Sergi G, De Rui M, Sarti S, Manzato E (July 2011). "Polypharmacy in the elderly: can comprehensive geriatric assessment reduce ... Campanelli, Christine M. (2012). "American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication ... Clinics in Geriatric Medicine. 30 (1): 67-78. doi:10.1016/j.cger.2013.10.007. ISSN 0749-0690. PMID 24267603. Maher, Robert L.; ... BMC Geriatrics. 17 (1): 230. doi:10.1186/s12877-017-0621-2. ISSN 1471-2318. PMC 5635569. PMID 29017448. Khezrian, Mina; McNeil ...
Dementia and other Geriatric Cognitive Disorders. 2013 Oct 12;3(1):376-85. doi: 10.1159/000355123. Harciarek M, Cosentino S. ... Bertoux M, Volle E, Funkiewiez A, de Souza LC, Leclercq D, Dubois B. Social Cognition and Emotional Assessment (SEA) is a ... Developed by Maxime Bertoux in 2012, the mini-SEA has been preferentially designed for the assessment, follow-up and diagnosis ... The mini-SEA (mini-Social cognition & Emotional Assessment) is a neuropsychological battery aiming to evaluate the impairment ...
However, it failed safety assessments because of its toxicity.[11] Seeing that the research on their drug was heading in the ...
The question of whether geriatrics (patients over 65) react the same as patients under 65 has not been sufficiently examined. ... "Hematopoietic cell transplantation (HCT)-specific comorbidity index: a new tool for risk assessment before allogeneic HCT" ...
... generally in that order although auscultation occurs prior to percussion and palpation for abdominal assessments.[13] ...
Examination of the urine (urinalysis) allows a direct assessment for possible kidney problems, which may be suggested by ... The physical examination typically includes an assessment of volume state, blood pressure, heart, lungs, peripheral arteries, ...
Mohs surgery focuses on the excision of skin cancers using a tissue-sparing technique that allows intraoperative assessment of ...
Assessment. Clinical prediction rules. *Revised Trauma Score. *Injury Severity Score. *Abbreviated Injury Scale ...
Geriatric care practitioners[edit]. Main articles: Geriatrics and Geriatric care management. A geriatric care practitioner ... https://www.cdc.gov/tb/topic/infectioncontrol/pdf/healthCareSettings-assessment.pdf *^ https://www.cdc.gov/tb/topic/basics/ ... geriatric clinical pharmacists, geriatric nurses, geriatric care managers, geriatric aides, Nursing aides, Caregivers and ... they are followed by geriatric units (20%) and the emergency department (10%). Workplace violence can also cause psychological ...
Thomas Perls和David J. Handelsman在2015年《美国老年病学会期刊(英语:Journal of the American Geriatrics Society)》的社論中認為,因為診斷本身不容易定義、藥廠推廣睾固酮和人类生长 ... EMAS clinical guide: Assessment of the endometrium in peri and postmenopausal women. Maturitas. 2013, 75 (2): 181-90. PMID ... Journal of the American Geriatrics Society. April 2015, 63 (4): 809-
Journal of the American Geriatrics Society. 2001;49(12):1700-7. doi:10.1046/j.1532-5415.2001.49282.x. PMID 11844006. ... "Dementia diagnosis and assessment". http://pathways.nice.org.uk/pathways/dementia/dementia-diagnosis-and-assessment.pdf. ... International journal of geriatric psychiatry 28 (11): 1109-24. PMID 23526458. doi:10.1002/gps.3946. ... Journal of the American Geriatrics Society. 1995;43(1):10-6. PMID 7806732. ...
"COPD Assessment Test (CAT)". American Thoracic Society. Archived from the original on December 3, 2013. Retrieved November 29, ... Torres M, Moayedi S (May 2007). "Evaluation of the acutely dyspneic elderly patient". Clinics in Geriatric Medicine. 23 (2): ... Des Jardins T (2013). Clinical Manifestations & Assessment of Respiratory Disease (6th ed.). Elsevier Health Sciences. p. 176. ... Miller MS, Tilley LP, Smith FW (January 1989). "Cardiopulmonary disease in the geriatric dog and cat". The Veterinary Clinics ...
Damasio formulated the somatic marker hypothesis,[5] a theory about how emotions and their biological underpinnings are involved in decision-making (both positively and negatively, and often non-consciously). Emotions provide the scaffolding for the construction of social cognition and are required for the self processes which undergird consciousness.[citation needed] "Damasio provides a contemporary scientific validation of the linkage between feelings and the body by highlighting the connection between mind and nerve cells ... this personalized embodiment of mind."[6] The somatic marker hypothesis has inspired many neuroscience experiments carried out in laboratories in the U.S. and Europe, and has had a major impact in contemporary science and philosophy.[7] Damasio has been named by the Institute for Scientific Information as one of the most highly cited researchers in the past decade. Current work on the biology of moral decisions, neuro-economics, social communication, and drug-addiction, ...
American Geriatrics Society, "Five Things Physicians and Patients Should Question", Choosing Wisely: an initiative of the ABIM ... "Assessment and management of lower urinary tract infection in adults" (PDF). Australian Prescriber. 37 (1): 7-9. doi:10.18773/ ... Foundation, American Geriatrics Society, archived from the original on 1 September 2013, retrieved 1 August 2013. ...
... report of the Therapeutics and Technology Assessment Subcommittee and Quality Standards Subcommittee of the American Academy of ... geriatric, pediatric and racial groups.[39] ...
Dementia and Geriatric Cognitive Disorders. 17 (4): 282-6. doi:10.1159/000077155. PMID 15178937.. ... Assessment of these square-wave jerks and diminished vertical saccades is especially useful for diagnosing progressive ...
"Geriatrics - definition of geriatrics by The Free Dictionary". Thefreedictionary.com. Retrieved 2016-04-04.. ... Frailty is a common condition in later old age but different definitions of frailty produce diverse assessments of prevalence. ... "Multimorbidity , Johns Hopkins Geriatric Medicine and Gerontology". Hopkinsmedicine.org. 2011-06-24. Retrieved 2016-04-04.. ... "Journal of the American Geriatrics Society. 40 (1): 19-22. doi:10.1111/j.1532-5415.1992.tb01823.x. PMID 1727842.. ...
Evidence-based assessment principles, including a multimethod assessment approach, form the foundation of PTSD assessment.[123] ... Assessment and Management of Conditions Specifically Related to Stress (PDF). Geneva: World Health Organization. 2013. ISBN 978 ... Weathers, Frank W., Terence M. Keane, and Edna B. Foa, "Assessment and Diagnosis of Adults", in Effective Treatments for PTSD: ... An Assessment of the Evidence. Washington, D.C.: National Academies Press. 2008. ISBN 978-0-309-10926-0. .. [page needed] ...
Independent external assessment of quality is one of the most powerful ways to assess this aspect of health care, and hospital ... Types of specialised hospitals include rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, long- ... Specialized hospitals include trauma centers, rehabilitation hospitals, children's hospitals, seniors' (geriatric) hospitals, ...
No significant differences between geriatric patients and younger patients regarding bleeding events in the drotrecogin group ... and a careful risk/benefit assessment should be made prior to initiating therapy. ...
S.11 Assessments. ● Seg9 Assessments/Exams ● S.12 Encounters/episodes notes. ● Seg14C Progress Notes/Clinical Course, Seg14D ... "BMC Geriatrics. 8: 28. doi:10.1186/1471-2318-8-28. PMC 2588599. PMID 18992135.. ... "Standardizing data exchange for clinical research protocols and case report forms: An assessment of the suitability of the ...
Physiological Basis of Aging and Geriatrics, Fourth Edition, Paola S. Timiras, CRC Press, 2013, page 161 ... In 2008, the IUCN (International Union for Conservation of Nature) changed its assessment of the killer whale's conservation ... Such a designation would mean that each new species becomes subject to separate conservation assessments.[49] ... Population structure and genetic variability in northeastern Pacific killer whales: Towards an assessment of population ...
NIH Toolbox assessments are based, where possible, on Item Response Theory and adapted for testing by computer.[citation needed ... Levindale Hebrew Geriatric Center and Hospital. *Mt. Washington Pediatric Hospital. *VA Baltimore ... In September 2006, the NIH Blueprint for Neuroscience Research started a contract for the NIH Toolbox for the Assessment of ...
"Ontario health technology assessment series 12 (7): 1-64. பப்மெட்:23074435. *↑ Bradley JM, O'Neill B (2005). Bradley, Judy M. ... Miller MS, Tilley LP, Smith FW (January 1989). "Cardiopulmonary disease in the geriatric dog and cat". Vet. Clin. North Am. ... Des Jardins, Terry (2013). Clinical Manifestations & Assessment of Respiratory Disease (6th ). Elsevier Health Sciences. பக். ... "COPD Assessment Test (CAT)". American Thoracic Society. பார்த்த நாள் November 29, 2013. ...
Genetic counselors are non-physician members of the medical genetics team who specialize in family risk assessment and ...
Assessment of treatment should be done after 24 hours of treatment and continued to do so every 3-6 months until signs and ... Their scope of practice in this area includes oral health assessment, diagnosis, treatment and maintenance and referral where ... "Assessment of Risk for Periodontal Disease. I. Risk Indicators for Attachment Loss". Journal of Periodontology. 65 (3): 260-267 ...
Scale for the Assessment and Rating of Ataxia (SARA)[51]. *tapping tests - The person must quickly and repeatedly tap their arm ... Perlman SL (November 2006). "Ataxias". Clinics in Geriatric Medicine. 22 (4): 859-77, vii. doi:10.1016/j.cger.2006.06.011. PMID ... There are several assessment tools available to therapists and health care professionals working with patients with ataxia. The ... June 2006). "Scale for the assessment and rating of ataxia: development of a new clinical scale". Neurology. 66 (11): 1717-20. ...
Romero, J; Cao, JJ; Garcia, MJ; Taub, CC (August 2014). "Cardiac imaging for assessment of left atrial appendage stasis and ... Journal of the American Geriatrics Society. 61 (1): 143-50. doi:10.1111/jgs.12042. PMID 23252345. S2CID 34366717.. ...
It involves the assessment of the nutritional status of the client and the actual treatment, which includes nutrition therapy, ...
Garcia-Ptacek S, Kramberger MG (September 2016). "Parkinson Disease and Dementia". Journal of Geriatric Psychiatry and ... While most physicians may readily notice bradykinesia, formal assessment requires a patient to do repetitive movements with ... accurate at initial assessment and 83.9% accurate after they have refined their diagnosis at a follow-up examination. When ... based on periodical nutritional assessments, is recommended and should be designed to avoid weight loss or gain and minimize ...
The assessment process for certification may be more comprehensive than that of licensure, though sometimes the assessment ... The Commission for Certification in Geriatric Pharmacy certifies pharmacists that are knowledgeable about principles of ... Delivering an assessment based on industry knowledge that is independent from training courses or course providers ... Of course, this generalization increases the cost of such a program; the process to establish a legally defensible assessment ...
Survival outcomes support the benefits of a geriatric assessment for patients age 70 and older with blood cancers who are ... "One thing thats being looked at in the field of geriatric assessments is whether there are ways to narrow down the assessment ... "Geriatric assessment has been shown to identify deficits in older autologous transplant candidates, and we and others have ... The idea behind the geriatric assessment is to identify and "really work on risks that we know will translate into an inferior ...
The geriatric assessment aids in the diagnosis of medical conditions; development of treatment and follow-up plans; ... The geriatric assessment differs from a standard medical evaluation by including nonmedical domains; by emphasizing functional ... Because of the demands of a busy clinical practice, most geriatric assessments tend to be less comprehensive and more problem- ... and cognition are an important part of the geriatric assessment. ... The geriatric assessment begins with a review of the two key ...
Abolfotouh, M.A., Daffallah, A.A., Khan, M.Y., Khattab, M.S. & Abdulmoneim, I. (‎2001)‎. Psychosocial assessment of geriatric ... Psychosocial assessment of geriatric subjects was carried out through a home-based survey of people aged 65 years and over [‎n ... All the participants had a structured interview and were given a short version of the geriatric depression scale. Depression ... Depression is a problem among the geriatric population in the region, especially women. Periodic home psychosocial screening of ...
At least half of all neuropsychological assessments are performed on elderly persons, but the information clinicians need to ... "An Assessment Guide to Geriatric Neuropsychology is going to be a valuable resource for clinicians and researchers working with ... It contains a very comprehensive description of the major neuropsychological instruments available for geriatric assessment, ... The Role of the Caregiver in Neuropsychological Assessment. Ethics in the Assessment of Elderly Persons. ...
CT that specializes in Geriatric Medicine and Internal Medicine. ... Adler Geriatrics Assessment Ctr is a medical group practice ... Adler Geriatrics Assessment Ctr is a medical group practice located in New Haven, CT that specializes in Geriatric Medicine and ... Adler Geriatrics Assessment Ctr. .... Does this practice offer virtual visits or other telehealth services? ... Does Adler Geriatrics Assessment Ctr offer virtual visits or other telehealth services? ...
Hospital-Wide Comprehensive Geriatric Assessment (British Geriatrics Society) Conducting A comprehensive geriatric assessment ... Comprehensive Geriatric Assessment: Evidence, & 17 - Comprehensive Geriatric Assessment: The Specific Assessment Technology of ... Multidimensional Geriatric Assessment, & 38 - Measuring Outcomes of Multidimensional Geriatric Assessment Programs) [3] Busby- ... "Practice Guideline: Comprehensive Geriatric Assessment (CGA) in oncological patients" (PDF). International Society of Geriatric ...
The Paperback of the An Assessment Guide To Geriatric Neuropsychology by Holly Tuokko, Thomas Hadjistavropoulos , at Barnes & ... An Assessment Guide to Geriatric Neuropsychology fills the gap.. The neuropsychological assessment of elderly persons involves ... An Assessment Guide To Geriatric Neuropsychology. by Holly Tuokko, Thomas HadjistavropoulosHolly Tuokko ... An Assessment Guide To Geriatric Neuropsychology by Holly Tuokko, Thomas Hadjistavropoulos. At least half of all ...
... geriatric assessments can help doctors gauge the patients physical, mental and functional capacity, and choose an appropriate ... Mohile, who uses geriatric assessments before treating patients, says "the geriatric assessment is a tool anyone can print out ... Mohile, who uses geriatric assessments before treating patients, says "the geriatric assessment is a tool anyone can print out ... Geriatric assessment includes an evaluation by a physical therapist, a psychological assessment, a cognitive exam and a ...
Responsible for the screening of patients and families for comprehensive geriatric assessment. Part of a team which includes RN ...
Geriatric Care at the Riverside Geriatric Assessment Center focuses on the needs of patients who are age 50 and older while ... Geriatric Assessment Center Geriatric Care at the Riverside Geriatric Assessment Center focuses on the needs of patients who ... Geriatric Assessment. The Geriatric Assessment begins by interviewing the patient and his/ her family and caregivers. The ... Riverside Geriatric Assessment Center. Riverside Bradley Atrium. Bradley, IL 60915. (815) 933-0007 ...
... assessment provides a comprehensive plan for managing elderly loved ones condition & care. Click here to learn more. ... you might want to talk with your doctor about a geriatric assessment. This type of assessment evaluates how well you function ... After reviewing your geriatric assessment, your doctor will develop a plan specific to your needs. The Mercy team approach ...
Comprehensive geriatric assessment: a meta-analysis of controlled trials.. Stuck AE1, Siu AL, Wieland GD, Adams J, Rubenstein ... There is disagreement on the usefulness of comprehensive geriatric assessment (CGA) due to conflicting results from individual ... for hospital-home assessment services, and 1.20 (1.05-1.37) for home assessment services. Covariate analysis showed that ... Combined odds ratio (95% confidence interval) of living at home at follow-up was 1.68 (1.17-2.41) for geriatric evaluation and ...
"Geriatric Assessment" by people in Harvard Catalyst Profiles by year, and whether "Geriatric Assessment" was a major or minor ... "Geriatric Assessment" is a descriptor in the National Library of Medicines controlled vocabulary thesaurus, MeSH (Medical ... Below are the most recent publications written about "Geriatric Assessment" by people in Profiles. ... Below are MeSH descriptors whose meaning is more general than "Geriatric Assessment". ...
Scientific societies recommend the implementation of a comprehensive geriatric assessment (CGA) in cancer patients aged 70 and ... Comprehensive geriatric assessment (CGA) in elderly with cancer: For whom?] Rev Med Interne. 2016 Jul;37(7):480-8. doi: 10.1016 ... Scientific societies recommend the implementation of a comprehensive geriatric assessment (CGA) in cancer patients aged 70 and ... is currently the simplest tool to routinely identify older cancer patients who should have a complete assessment in geriatric ...
A good way of doing this is to incorporate gait assessment with kinesiology tape. ... Gait assessment and kinesiology tape can help your geriatric patients. Courtney Conley March 5, 2018. ... A good way of doing this is to incorporate gait assessment with kinesiology taping. ...
Keywords: frail older adults, frailty phenotype, geriatric ward, multimorbidity, comprehensive geriatric assessment, geriatric ... Comprehensive geriatric assessment and Fried frailty phenotype component evaluation were performed in all patients. Results: ... Conclusion: Fried frailty phenotype criteria seem useful for geriatric inpatient assessment, despite diagnostic limitations. ... geriatric inpatients suggests that evaluation for frailty should be considered a part of the comprehensive geriatric assessment ...
... in the comprehensive geriatric assessment group.. Conclusions Comprehensive geriatric assessment increases patients likelihood ... One of the cornerstones of modern geriatric care is comprehensive geriatric assessment (CGA). This is defined as a " ... In this review of specialist organised geriatric care (normally referred to as comprehensive geriatric assessment or CGA) we ... comprehensive geriatric assessment teams are seen as a more expedient form of assessment as it does not require fixed beds. The ...
comprehensive geriatric assessment. Health Services for the Aged. Geriatric Assessment. Geriatrics. Aged. ... In-Hospital Comprehensive Geriatric Assessment in Aged Acute Medical Patients. The safety and scientific validity of this study ... and to examine the effects of comprehensive geriatric assessment in the geriatric setting compared with general medical care. ... Comprehensive geriatric assessment increases 30-day survival in the aged acute medical inpatients. Dan Med J. 2012 Jun;59(6): ...
Assessment of a Multidisciplinary Team Meeting (RCP) in Geriatric Oncology (EROG). The safety and scientific validity of this ... Other: Assessment of the follow-up of oncological and geriatric recommendations 4 months after the RCP After inclusion, ... Other: Assessment of the follow-up of oncological and geriatric recommendations 4 months after the RCP ... The main aim is to describe the feasibility of the assessment of the follow-up of onco-geriatric recommendations 4 months after ...
3 Ellis G, Whitehead MA, ONeill D, Langhorne P, Robinson D. Comprehensive geriatric assessment for older adults admitted to ... At these visits a geriatrician performs a Comprehensive Geriatric Assessment (CGA), a diagnostic process aiming to assess ... Physician implementation of and patient adherence to recommendations from comprehensive geriatric assessment. Am J Med. 1996 ... Optimal management of elderly cancer patients: usefulness of the Comprehensive Geriatric Assessment. Clinical Interventions in ...
18 in the Journal of the American Geriatrics Society. ... 18 in the Journal of the American Geriatrics Society. Ben A. ... HealthDay)-A quality improvement intervention can improve documentation of geriatric assessments during transitions of care, ... HealthDay)-A quality improvement intervention can improve documentation of geriatric assessments during transitions of care, ... "A quality improvement intervention using geriatric-specific note templates, house staff training, and reminders increased ...
Patients complete a geriatric assessment. Patients and physicians are provided with the geriatric assessment information and ... Patients complete a geriatric assessment. Patients and physicians are provided with the geriatric assessment information and ... Geriatric Assessment Intervention for Reducing Toxicity in Older Patients With Advanced Cancer. The safety and scientific ... and geriatric domains (as measured by geriatric assessment). ... Complete geriatric assessment. Other Name: geriatric assessment ...
Nutrition variables are a cardinal component of multidimensional assessment in the acute-care setting. Nutritional status ... Nutritional assessment: a primary component of multidimensional geriatric assessment in the acute care setting J Am Geriatr Soc ... Objective: To test the prognostic role of nutritional variables as a component of geriatric multidimensional assessment and to ... Design: Validation cohort study: multidimensional assessment on admission and at discharge and a weekly nutritional assessment ...
Module 3: Geriatric Assessment & Screening Tools. In module 3, social workers who work with older adults learned what is ... As such, she has developed skills in completing in-home, geriatric assessments; and providing supportive interventions to her ... Presently, and for the past 13 years, Joyce holds a full-time position as a Geriatric Assessor with the Regional Geriatric ... as a member of a multidisciplinary Geriatric Outreach Assessment team. Joyce has been pursuing her interest in teaching/public ...
Other: geriatric assessment and no call from nurse The geriatric assessment will be completed at four time points: 1) on the ... Behavioral: geriatric assessment and telephone call from nurse Other: geriatric assessment and no call from nurse ... Behavioral: geriatric assessment and telephone call from nurse The geriatric assessment will be completed at four time points: ... feasibility of a geriatric assessment (GA) [ Time Frame: 2 years ]. Geriatric Assessment Measures Selected Based on Reliability ...
Learn about Interdisciplinary Geriatric Assessment at a rural geriatric care site. *Participate in Interdisciplinary Team ... Geriatric Assessment Interdisciplinary Team (GAIT) is a project funded by the University System of Maryland (USM) Redeployment ... Geriatric Assessment Interdisciplinary Team (GAIT) Training Programs 2016-2017 on the Eastern Shore ▾ ... Geriatric Assessment Interdisciplinary Team (GAIT) Training Programs 2016-2017 in Western Maryland ▾ ...
... the Geriatric Mental State Schedule: I. Development and reliability - Volume 6 Issue 3 - J. R. M. Copeland, M. J. Kelleher, J. ... A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: ... A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: the Geriatric Mental ... A semi-structured clinical interview for the assessment of diagnosis and mental state in the elderly: the Geriatric Mental ...
A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community.. Stuck AE1, Aronow HU ... We conducted a three-year, randomized, controlled trial of the effect of annual in-home comprehensive geriatric assessment and ... A program of in-home comprehensive geriatric assessments can delay the development of disability and reduce permanent nursing ...
Geriatric assessment is superior to oncologists clinical judgement in identifying frailty. Kirkhus, Lene; Saltyte Benth, ... Systematic assessment of geriatric domains is needed to aid oncologists in identifying frail patients with poor survival. ... based on clinical judgement with a modified geriatric assessment (mGA), and investigated associations between frailty and ... Systematic assessments to identify frailty are seldom applied, and oncologists ability to identify frailty is scarcely ...
"A geriatric assessment is a way to understand a patients overall health and fitness for therapy. Geriatric assessment is just ... In other words, patients in the assessment-guided treatment group underwent a geriatric assessment, had intervention based on ... The study highlighted a need for a third geriatric assessment among oncology patients over the age of 85, Dotan said. ... Geriatric Assessment and More Inclusive Clinical Trials Needed for Older Adults with Lung Cancer. ...
  • At least half of all neuropsychological assessments are performed on elderly persons, but the information clinicians need to make appropriate judgment calls is widely scattered. (routledge.com)
  • The neuropsychological assessment of elderly persons involves not only the performance-based measurement of various capacities but heavy reliance on reports from caregivers (both formal and informal) about the day to day functioning of the affected person. (routledge.com)
  • It contains a very comprehensive description of the major neuropsychological instruments available for geriatric assessment, along with detailed norms for elderly adults when they are available. (routledge.com)
  • Ethics in the Assessment of Elderly Persons. (routledge.com)
  • Geriatric assessment is an approach that clinicians use to evaluate their elderly patients' overall health status and to help them choose treatment appropriate to their age and condition. (npr.org)
  • Comprehensive geriatric assessment (CGA) in elderly with cancer: For whom? (nih.gov)
  • Comprehensive geriatric assessment is a multidimensional interdisciplinary diagnostic process used to determine the medical, psychological, and functional capabilities of a frail elderly person to develop a coordinated and integrated plan for treatment and long term follow-up. (bmj.com)
  • The purpose of this study is to compare acute ill elderly medical patients in a geriatric department with general medical departments, and to examine the effects of comprehensive geriatric assessment in the geriatric setting compared with general medical care. (clinicaltrials.gov)
  • At these visits a geriatrician performs a Comprehensive Geriatric Assessment (CGA), a diagnostic process aiming to assess medical, psychological, and functional capabilities of elderly patients to establish an integrated treatment plan. (natap.org)
  • Early breast cancer in elderly women: The value of Comprehensive Geriatric Assessment (CGA). (natap.org)
  • Optimal management of elderly cancer patients: usefulness of the Comprehensive Geriatric Assessment. (natap.org)
  • Ben A. Blomberg, M.D., from the University of North Carolina at Chapel Hill, and colleagues assessed a continuous quality improvement intervention aimed at improving assessment and documentation of function , cognition, and advance care planning (ACP) in admission and discharge notes on an Acute Care of the Elderly unit at an academic tertiary hospital. (medicalxpress.com)
  • A trial of annual in-home comprehensive geriatric assessments for elderly people living in the community. (nih.gov)
  • A program of in-home comprehensive geriatric assessments can delay the development of disability and reduce permanent nursing home stays among elderly people living at home. (nih.gov)
  • This guideline describes recommendations for preoperative assessment of elderly surgical patients, including risk factors for postoperative delirium and pulmonary complications, to enhance safety and reduce readmissions . (ahrq.gov)
  • Neither the Karnofsky nor the ECOG performance status encompasses the effects of comorbid conditions and geriatric syndromes, which ultimately determine functional status in the elderly. (ascopost.com)
  • To evaluate the effectiveness of annual comprehensive geriatric assessments plus follow-up visits on the rate of disability in elderly persons living in the community. (acpjc.org)
  • Annual comprehensive geriatric assessments were more effective than usual care in delaying permanent nursing home admission and improving functional status in community-dwelling elderly persons. (acpjc.org)
  • the other tested the hypothesis that in-home comprehensive geriatric assessments will help prevent disability among elderly persons. (acpjc.org)
  • However, hospitalization is also thought to be a risk factor for delirium in hospitalized elderly patients The aim of this study is to assess the efficiency of Comprehensive Geriatric Assessment (CGA) nursing strategy for elderly patients with Coronary Heart Disease (CHD) during hospitalization. (alliedacademies.org)
  • A subgroups analysis of a population-based comparative study, the Geriatric Multidisciplinary Strategy for the Good Care of the Elderly (GeMS) was carried out in the city of Kuopio, Finland, from 2004 to 2007. (ovid.com)
  • Comprehensive geriatric assessment and care for frail elderly. (springermedizin.de)
  • Among elderly patients in hospital with acute illness, comprehensive geriatric assessment plus an interdisci-plinary home visit after discharge reduced the duration of subsequent hospital readmissions and improved functional status, but did not affect mortality, readmission rate, or nursing home placements when compared with comprehensive assessment alone or usual care. (bmj.com)
  • Earlier studies provide conflicting results on the benefits of geriatric assessment and treatment in rehabilitation hospitals for elderly patients with hip fractures. (bmj.com)
  • Demographic changes have led to an increase in the number of elderly frail persons and, consequently, systematic geriatric assessment is more important than ever. (biomedcentral.com)
  • Comprehensive geriatric assessment can predict postoperative morbidity and mortality in elderly patients undergoing elective surgery. (semanticscholar.org)
  • Our aim was to evaluate the significance of comprehensive geriatric assessment (CGA) in elderly patients undergoing elective surgery. (semanticscholar.org)
  • We studied 141 consecutive elderly patients (age: 78.0±6.5 years old, male: 41.1%) who were referred to our geriatric department for surgical risk evaluation. (semanticscholar.org)
  • If optometrists are to provide care to the elderly as they must, it is imperative that every optometrist receive formal training in geriatric optometry" (Verma, 1988). (aston.ac.uk)
  • However, the MPACT trial lacked a geriatric assessment to properly evaluate the health status and functional reserve of elderly pancreatic cancer patients. (biomedcentral.com)
  • This study is based on the hypothesis that personalized, geriatric assessment directed treatment algorithms can identify elderly patients, who benefit from nab-paclitaxel/gemcitabine combination therapy. (biomedcentral.com)
  • [email protected]#To evaluate the feasibility and potential value of comprehensive geriatric assessment (CGA) in elderly (≥60 years) patients with newly diagnosed acute myeloid leukemia (AML) in China . (bvsalud.org)
  • [email protected]#Of 83 newly diagnosed elderly AML patients , 81 patients (97.6%) completed all designated CGA assessment. (bvsalud.org)
  • This study will provide new knowledge regarding the effectiveness and feasibility of a comprehensive geriatric assessment, multifactorial interventions and nurse-led elderly care in general practice. (biomedcentral.com)
  • This class broadens a student's approach to health assessments of the elderly beyond just physical evaluations. (study.com)
  • Management of geriatric patients would be simplified if a universally accepted definition of frailty for clinical use was defined. (dovepress.com)
  • Among definitions of frailty, Fried frailty phenotype criteria constitute a common reference frame for many geriatric studies. (dovepress.com)
  • 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. (dovepress.com)
  • Comprehensive geriatric assessment and Fried frailty phenotype component evaluation were performed in all patients. (dovepress.com)
  • Fried frailty phenotype criteria seem useful for geriatric inpatient assessment, despite diagnostic limitations. (dovepress.com)
  • High prevalence of frailty among geriatric inpatients suggests that evaluation for frailty should be considered a part of the comprehensive geriatric assessment. (dovepress.com)
  • Systematic assessments to identify frailty are seldom applied, and oncologists' ability to identify frailty is scarcely investigated. (bibsys.no)
  • Methods: We compared oncologists' classification of frailty (onc-frail) based on clinical judgement with a modified geriatric assessment (mGA), and investigated associations between frailty and overall survival. (bibsys.no)
  • mGA-frailty was defined as impairment in at least one of the following: daily activities, comorbidity, polypharmacy, physical function or at least one geriatric syndrome (cognitive impairment, depression, malnutrition, falls). (bibsys.no)
  • The main outcome measures were the judgment on the following: 1) absence or presence of frailty and 2) the state (good-fair-poor) on 8 underlying domains (physical, medication, cognition, sensory, instrumental activities of daily living scale, mobility, mental, and social) according to family Physicians and geriatricians based on a Comprehensive Geriatric Assessment. (jabfm.org)
  • The primary objective of this study was to develop a frailty index from a cancer-specific geriatric assessment (GA) and evaluate its ability to predict all-cause mortality among older adults with cancer. (jnccn.org)
  • Frailty is a geriatric syndrome that identifies vulnerable older adults who are at increased risk for hospitalization, institutionalization, and death. (jnccn.org)
  • In the geriatric literature, there are 2 commonly accepted and validated clinical models of frailty. (jnccn.org)
  • The British Geriatrics Society (BGS) 'Fit for Frailty' guideline recommends that older people should be assessed for frailty at all healthcare encounters using gait speed, the timed up and go test (TUGT) or the PRISMA 7 questionnaire. (york.ac.uk)
  • Comprehensive geriatric assessment (CGA), the gold standard for the care of people with moderate to severe frailty, involves specialist, organised and co-ordinated geriatric care by a dedicated team. (york.ac.uk)
  • Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults . (wikipedia.org)
  • Frailty is a common geriatric syndrome. (wikipedia.org)
  • The syndrome of geriatric frailty is hypothesized to reflect impairments in the regulation of multiple physiologic systems, embodying a lack of resilience to physiologic challenges and thus elevated risk for a range of deleterious endpoints. (wikipedia.org)
  • Generally speaking, the empirical assessment of geriatric frailty in individuals seeks ultimately to capture this or related features, though distinct approaches to such assessment have been developed in the literature (see de Vries et al. (wikipedia.org)
  • A popular approach to the assessment of geriatric frailty encompasses the assessment of five dimensions that are hypothesized to reflect systems whose impaired regulation underlies the syndrome. (wikipedia.org)
  • Geriatric assessment tools can help identify frailty and resilience in older cancer patients and inform shared decision-making," ASCO Chief Medical Officer Richard L. Schilsky, M.D. said. (cityofhope.org)
  • Although studies are underway to improve its performance, the G8 is currently the simplest tool to routinely identify older cancer patients who should have a complete assessment in geriatric oncology. (nih.gov)
  • The specificity is the association of a real multidisciplinary geriatric oncology discussion. (clinicaltrials.gov)
  • The study highlighted a need for a third geriatric assessment among oncology patients over the age of 85, Dotan said. (curetoday.com)
  • Guidelines have also been released to show how to manage older patients from American Society of Clinical Oncology, National Comprehensive Cancer Network and the Society of Geriatric Oncology. (curetoday.com)
  • Previous research has shown that geriatric assessments are most widely used in major cancer centers with geriatric oncology programs, but not as often in other types of clinics. (cancer.net)
  • In this study, 31 community oncology practices were randomly assigned to 1 of 2 groups, either a geriatric assessment group or to a usual care group. (cancer.net)
  • The geriatric assessment can provide a roadmap to addressing these issues in the geriatric oncology patient. (ascopost.com)
  • Geriatrics for the Oncologist is guest edited by Stuart M. Lichtman, MD , and developed in collaboration with the International Society of Geriatric Oncology (SIOG). (ascopost.com)
  • For more information about geriatric oncology, visit www.siog.org and the ASCO Geriatric Oncology website (www.asco.org/practice-guidelines/cancer-care-initiatives/geriatric-oncology/geriatric-oncology-resources). (ascopost.com)
  • Visit SIOG.org for more on geriatric oncology. (ascopost.com)
  • The NCCN Guidelines for Older Adult Oncology recommend that, when possible, older adults with cancer undergo a geriatric assessment (GA) to provide a comprehensive health appraisal to guide interventions and appropriate treatment selection. (jnccn.org)
  • A geriatric assessment really is a fancy way of saying 'get to know your patients as a whole individual beyond their chronological age,'" said Hurria, the George Tsai Family Chair in Geriatric Oncology. (cityofhope.org)
  • A patient's chronological age matters less in "geriatric" oncology than the specialty's name implies. (oncnursingnews.com)
  • This study aimed to evaluate the relationship between Charlson comorbidity score and in-patient, 30-day, and 1-year mortality in Chinese geriatric patients who underwent surgery for hip fracture. (hkmj.org)
  • The Charlson comorbidity score provides a good preoperative indicator of 30-day and 1-year mortality in geriatric patients with hip fracture. (hkmj.org)
  • Charlson comorbidity score correlates well with the short-term and long-term mortality of Chinese geriatric patients with operated hip fracture. (hkmj.org)
  • All things that should be taken into consideration when making treatment decisions and so important that Hurria says the panel determined all patients over 65 planning to have chemotherapy should get this assessment, which would include tests to evaluate function, comorbidity, depression, cognition, falls, nutrition and even social activity and support. (cityofhope.org)
  • Shadman told Medscape Medical News that his center doesn't have a formal geriatric assessment clinic, but instead uses clinical trials to test interventions that may help to improve the likelihood of successful transplants for older, higher-risk patients. (medscape.com)
  • Because of the demands of a busy clinical practice, most geriatric assessments tend to be less comprehensive and more problem-directed. (aafp.org)
  • A series of one- or two-day rotations introduces students from USM degree programs to comprehensive geriatric assessment and the fundamentals of interprofessional collaboration through both didactic and clinical sessions. (umaryland.edu)
  • Gait speed has been shown to be an important measure in comprehensive geriatric assessment in all clinical settings for the purposes of developing risk profiles and care plans for geriatric patients. (thefreedictionary.com)
  • Results from a federally funded clinical trial found that using a geriatric assessment in the care of older adults with advanced cancer improves doctor-patient communication and patient satisfaction. (cancer.net)
  • A geriatric assessment is an evaluation of many concerns that are specific to older adults and that are not normally covered during a routine clinical visit. (cancer.net)
  • Incorporating these characteristics of geriatric cancer patients into one tool-the comprehensive geriatric assessment-enables clinicians to enhance decision-making in clinical practice. (ascopost.com)
  • They preferred the Cancer and Aging Research Group tool "for performing a brief geriatric assessment because its use is feasible in the clinical trial and community settings and because it can be used to predict chemotherapy-related toxicity. (ascopost.com)
  • In a pooled analysis of 869 patients enrolled in one of three clinical trials, Palumbo et al developed a tool to predict overall survival, incorporating the geriatric assessment domains of functional status and comorbidities. (ascopost.com)
  • The clinical outcome of geriatric patients with hip fracture depends on surgical management as well as other medical factors. (hkmj.org)
  • Some clinical scores and assessments-for example, the American Society of Anesthesiologists (ASA) classification, the Barthel index, the Goldman index, the POSSUM (Physiological and Operative Severity Score for the enumeration of Mortality and Morbidity) scoring system, the Charlson index and the visual analogue scale for risk scale, or the cumulated ambulation score-are reported to correlate with postoperative complications and mortality of hip fracture. (hkmj.org)
  • Boult C, Boult L, Morishita L, Dowd B, Kane R, Urdangarin C. A randomized clinical trial of outpatient geriatric evaluation and management. (springermedizin.de)
  • Clinical Assessment and Management of Older People: What's Different? (springer.com)
  • OBM Geriatrics is an Open Access journal published quarterly online by LIDSEN Publishing Inc. The journal takes the premise that innovative approaches - including gene therapy, cell therapy, and epigenetic modulation - will result in clinical interventions that alter the fundamental pathology and the clinical course of age-related human diseases. (lidsen.com)
  • Geriatric nursing programs commonly include residency and clinical components. (study.com)
  • Nursing schools offer master's degree programs with a specialization in geriatric nursing leading to positions as geriatric clinical nurse specialists or nurse practitioners. (study.com)
  • The CDR computerized assessment system (CDR system) is a computerized battery of cognitive tests designed in the late 1970s by Professor Keith Wesnes at the University of Reading in Berkshire, England, for repeated testing in clinical trials. (wikipedia.org)
  • on the behalf of OCEAN-TAVI investigators 2018, ' Importance of Geriatric Nutritional Risk Index assessment in patients undergoing transcatheter aortic valve replacement ', American heart journal , vol. 202, pp. 68-75. (elsevier.com)
  • It is also called "multidimensional geriatric assessment. (wikipedia.org)
  • multidimensional geriatric assessment: back to the future cost-effectiveness of a multidisciplinary intervention model for community-dwelling frail older people. (springermedizin.de)
  • Comprehensive geriatric assessment (CGA) is a process used by healthcare practitioners to assess the status of people who are frail and older in order to optimize their subsequent management. (wikipedia.org)
  • A concise, yet comprehensive summary of what we now know about those over 65--with an extensive bibliography-- An Assessment Guide to Geriatric Neuropsychology fills the gap. (routledge.com)
  • Responsible for the screening of patients and families for comprehensive geriatric assessment. (healthcaresource.com)
  • Comprehensive geriatric assessment: a meta-analysis of controlled trials. (nih.gov)
  • There is disagreement on the usefulness of comprehensive geriatric assessment (CGA) due to conflicting results from individual trials. (nih.gov)
  • Scientific societies recommend the implementation of a comprehensive geriatric assessment (CGA) in cancer patients aged 70 and older. (nih.gov)
  • Objective To evaluate the effectiveness of comprehensive geriatric assessment in hospital for older adults admitted as an emergency. (bmj.com)
  • Selection criteria Randomised controlled trials of comprehensive geriatric assessment (whether by mobile teams or in designated wards) compared with usual care. (bmj.com)
  • P=0.02) in the comprehensive geriatric assessment group. (bmj.com)
  • Conclusions Comprehensive geriatric assessment increases patients' likelihood of being alive and in their own homes after an emergency admission to hospital. (bmj.com)
  • This seems to be especially true for trials of wards designated for comprehensive geriatric assessment and is associated with a potential cost reduction compared with general medical care. (bmj.com)
  • One of the cornerstones of modern geriatric care is comprehensive geriatric assessment (CGA). (bmj.com)
  • Comprehensive geriatric assessment increases 30-day survival in the aged acute medical inpatients. (clinicaltrials.gov)
  • 1. Bitas C, Jones S, Singh HK, Ramirez M, Siegler E, Glesby M. Adherence to recommendations from comprehensive geriatric assessment in an HIV+ population. (natap.org)
  • 3 Ellis G, Whitehead MA, O'Neill D, Langhorne P, Robinson D. Comprehensive geriatric assessment for older adults admitted to hospital. (natap.org)
  • 4 Reuben DB, Maly RC, Hirsch SH, Frank JC, Oakes AM, Siu AL, Hays RD. Physician implementation of and patient adherence to recommendations from comprehensive geriatric assessment. (natap.org)
  • We conducted a three-year, randomized, controlled trial of the effect of annual in-home comprehensive geriatric assessment and follow-up for people living in the community who were 75 years of age or older. (nih.gov)
  • At the University of Arizona Health Sciences Center, an educational model for teaching comprehensive geriatric assessment to family practice residents was designed for second- and third-year residents who served as medical consultants on an interdisciplinary geriatric assessment team. (thefreedictionary.com)
  • A randomized trial of comprehensive geriatric assessment in the care of hospitalized patients. (thefreedictionary.com)
  • The use of comprehensive geriatric assessment techniques to predict discharge needs has been recommended by a number of authors (10)(11)(12). (thefreedictionary.com)
  • Rooting quality assurance in comprehensive geriatric assessment has other advantages. (thefreedictionary.com)
  • Comprehensive geriatric assessment (CGA) is a multidimensional and usually interdisciplinary diagnostic process designed to determine a frail older person's medical conditions, mental health, functional capacity and social circumstances. (bgs.org.uk)
  • Links between social and health care should be good enough for older people who need comprehensive assessment to receive it in a timely and efficient manner, and proportionate to their degree of need. (bgs.org.uk)
  • It is important to see comprehensive assessment in the context of an integrated approach to assessment which is now policy in health and social care services of all the countries in the United Kingdom. (bgs.org.uk)
  • To compare the outcomes of Comprehensive Geriatric Assessments by family physicians and geriatricians. (jabfm.org)
  • By contrast, a geriatric assessment can provide a much more comprehensive understanding of the functional and physiological age of an older person with cancer. (mayo.edu)
  • The comprehensive geriatric assessment provides an avenue for oncologists to discuss advance directives and the role of palliative care measures early in an ambulatory setting. (ascopost.com)
  • 2 With the comprehensive geriatric assessment, clinicians can establish objective criteria to identify interventions that could provide a more individualized treatment plan. (ascopost.com)
  • Background- In older adults hospitalized for heart failure, a poor score on a comprehensive geriatric assessment (CGA) is associated with worse prognosis during hospitalization and at 1 month after discharge. (ahajournals.org)
  • Recently, the assessment tool "Comprehensive Geriatric Assessment" (CGA) has been widely used for the planning of interventions and determination of outcomes and prognoses in many countries [ 15 ]. (alliedacademies.org)
  • To assess the effects of comprehensive geriatric assessment (CGA)-based individually targeted interventions on the ability to walk 400 m in pre-frail or frail and non-frail community-dwelling older people. (ovid.com)
  • The effect of comprehensive geriatric assessment (CGA), an intervention consisting of screening on the risk for adverse outcomes, a diagnostic assessment on the presence of geriatric conditions and tailor-made interventions provided by a multidisciplinary team has most often been studied, showing mixed results. (biomedcentral.com)
  • The aim of this study was to assess the cost-effectiveness of comprehensive geriatric assessment (CGA) at an ambulatory geriatric unit for people ≥75 years with multi-morbidity. (springermedizin.de)
  • Wieland D, Hirth V. Comprehensive geriatric assessment. (springermedizin.de)
  • Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. (springermedizin.de)
  • QUESTION: Is an in-hospital, comprehensive geriatric assessment alone or combined with an interdisciplinary home intervention after discharge more effective than usual care? (bmj.com)
  • 181 patients were allocated to comprehensive, geriatric assessment plus in-hospital and post-discharge treatment at home by an interdisciplinary team, which consisted of 3 nurses, a physiotherapist, an occupational therapist, and a social worker (home intervention group). (bmj.com)
  • 179 patients were allocated to comprehensive assessment alone, and 185 were allocated to usual care, which comprised an assessment of activities of daily living and cognition. (bmj.com)
  • This study examined whether an in-hospital, comprehensive geriatric assessment alone or combined with an interdisciplinary home intervention after discharge would affect mortality, functional status, rehospitalisation, nursing home placement, and direct costs. (bmj.com)
  • The nutritional status should be assessed using the Mini Nutritional Assessment combined with comprehensive geriatric assessment. (ru.nl)
  • Therefore, we have developed a new, more concise FI for rapid geriatric assessment (RGA)-the Frail-VIG index ("VIG" is the Spanish/Catalan abbreviation for Comprehensive Geriatric Assessment), which contains 22 simple questions that assess 25 different deficits. (biomedcentral.com)
  • We aim to determine whether treatment individualization by comprehensive geriatric assessments (CGAs) improves functional outcome of the patients. (biomedcentral.com)
  • Relationship of the pre-operative comprehensive geriatric assessment to length of stay in Korean older adults undergoing spinal surgery. (wroc.pl)
  • A comprehensive geriatric preoperative assessment of older adults requires expanding beyond an organ-based or disease-based assessment. (aafp.org)
  • This article summarizes the key components of a comprehensive geriatric preoperative assessment for primary care physicians based on 2012 guidelines. (aafp.org)
  • The site also includes a comprehensive calendar of educational workshops and conferences offered throughout Maryland that are sponsored by UMB's Geriatrics & Gerontology Education and Research ( GGEAR ) Program. (umaryland.edu)
  • The aim of this study is to investigate whether functional decline in community-dwelling older persons can be delayed or prevented by a comprehensive geriatric assessment, multifactorial interventions and nurse-led care coordination. (biomedcentral.com)
  • These older persons will receive a comprehensive geriatric assessment, an individually tailored care and treatment plan, consisting of multifactorial, evidence-based interventions and subsequent nurse-led care coordination. (biomedcentral.com)
  • Geriatric assessment has been shown to identify deficits in older autologous transplant candidates, and we and others have shown that this tracks with outcomes," said Benjamin A. Derman, MD, from the University of Chicago, Illinois. (medscape.com)
  • Geriatric assessment is just a general term that encompasses evaluation of multiple domains that can affect outcomes," Dotan said. (curetoday.com)
  • This study will evaluate whether a geriatric assessment can lead to better treatment outcomes in older patients (age 60+) with myelodysplastic syndromes, myeloproliferative neoplasms, or related blood disorders who are going to receive chemotherapy or another treatment to prepare the body for an allogeneic hematopoietic stem cell transplant (allo-HCT). (centerwatch.com)
  • While some studies reported positive outcomes using remote assessment technologies, such as web/smart phone-based self-reports and wearable sensors, the cancer research community is still lacking far behind. (springermedizin.de)
  • Conducting a geriatric preoperative assessment involves eliciting patients' goals and priorities in the context of their overall health and likely surgical outcomes, and considering whether the risks and benefits of surgery match these goals. (aafp.org)
  • Emergency surgery is an independent predictor of adverse postoperative outcomes in geriatric patients undergoing non-cardiac surgery. (oncologynurseadvisor.com)
  • The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. (springer.com)
  • HealthDay)-A quality improvement intervention can improve documentation of geriatric assessments during transitions of care, according to a study published online Dec. 18 in the Journal of the American Geriatrics Society . (medicalxpress.com)
  • A quality improvement intervention using geriatric-specific note templates, house staff training, and reminders increased documentation of function, cognition, and ACP for post-acute care," the authors write. (medicalxpress.com)
  • In other words, patients in the assessment-guided treatment group underwent a geriatric assessment, had intervention based on abnormalities detected and then were treated. (curetoday.com)
  • Patients in the intervention group received annual assessments in their homes from gerontologic nurse practitioners. (acpjc.org)
  • Cost-effectiveness of a specialist geriatric medical intervention for frail older people discharged from acute medical units: economic evaluation in a two-Centre randomised controlled trial (AMIGOS). (springermedizin.de)
  • The home intervention group did not differ from the assessment and usual care groups for number of hospital readmissions or admissions to nursing homes. (bmj.com)
  • After surgery patients in the intervention group (n=120) were referred to the geriatric ward whereas those in the control group were discharged to local hospitals. (bmj.com)
  • The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person's functional ability, physical health, cognition and mental health, and socioenvironmental circumstances. (aafp.org)
  • This type of assessment often yields a more complete and relevant list of medical problems, functional problems, and psychosocial issues. (aafp.org)
  • The assessment includes questionnaires and tests to gauge the patients' physical, mental and functional capacity, taking into account their social lives, daily activities and goals. (npr.org)
  • Others have several pathologies, geriatric syndromes (malnutrition, functional disorders, sensory deficits or psycho-cognitive diseases). (clinicaltrials.gov)
  • This includes independent predictors of morbidity and mortality such as a patient's functional status, comorbid medical conditions, cognitive function, psychological state, social support, nutritional status and geriatric syndrome (dementia, depression, falls, neglect and failure to thrive). (curetoday.com)
  • Functional versus chronological age: geriatric assessments to guide decision making in older patients with cancer. (mayo.edu)
  • An educational exercise with a Standardized Patient Instructor emphasizing functional status assessment and. (merlot.org)
  • Assessment should be made of the degree of functional reserve of specific, pertinent organ systems and the patient as a whole. (oncologynurseadvisor.com)
  • and providing supportive interventions to her older adult clients and their caregivers, as a member of a multidisciplinary Geriatric Outreach Assessment team. (oasw.org)
  • Geriatric assessment is the cornerstone for effectively measuring key domains associated with aging," the investigators noted, and "can identify major issues not usually found by oncologists, many with proven beneficial interventions," such as those taken to prevent falls. (ascopost.com)
  • So there's so much value that we can get from this assessment that might tell us about who this individual is, and also what are certain interventions that we can do to help them through their cancer therapy? (cityofhope.org)
  • Geriatric medicine is now entering a unique point in history, where the focus will no longer be on palliative, ameliorative, or social aspects of care for age-related disease, but will be capable of stopping, preventing, and reversing major disease constellations that have heretofore been entirely resistant to interventions based on "small molecular" pharmacological approaches. (lidsen.com)
  • Students gain an understanding of various theories of aging and interventions, as well as examine past research that may be applicable to geriatric care and disease prevention. (study.com)
  • Department of Geriatrics and Rehabilitation, Bern, Switzerland. (nih.gov)
  • Derman described how the University of Chicago established a GA-MDC in which all patients 70 and older who are candidates for an autologous transplant are given cognitive and strength tests, and are then evaluated by a team including a transplant physician and nurse practitioner, a geriatric oncologist, infectious disease specialist, physical and occupational therapists, a nutritionist, and a social worker. (medscape.com)
  • Geriatric oncologist Supriya Gupta Mohile meets with patient Jim Mulcahy at Highland Hospital in Rochester, N.Y. "If I didn't do a geriatric assessment and just looked at a patient I wouldn't have the same information," she says. (npr.org)
  • Although the geriatric assessment is not 100% accurate, "it's better than the clinician eyeball test," says Supriya Gupta Mohile, a geriatric oncologist and professor of medicine at the University of Rochester. (npr.org)
  • The latter between medical specialist : geriatrician, oncologist, surgeon, radiotherapist, pharmacist, onco-geriatric nurse allows the development of an appropriate individualized therapeutic project for the patient. (clinicaltrials.gov)
  • City of Hope physicians Arti Hurria, M.D., a geriatric oncologist, and William Dale, M.D., Ph.D. , a geriatrician and palliative care physician, co-chaired the panel that developed the new guidelines. (cityofhope.org)
  • Conclusions: Systematic assessment of geriatric domains is needed to aid oncologists in identifying frail patients with poor survival. (bibsys.no)
  • A frail patient prior to surgery or experiencing two or more "geriatric syndromes" of falls, delirium, incontinence or immobility. (bgs.org.uk)
  • After the 1st cycle of chemotherapy (or 4 weeks in FRAIL group) another CGA and safety assessment is performed. (biomedcentral.com)
  • Additional tests to address specific geriatric syndromes may also be needed. (riversidehealthcare.org)
  • In the geriatric patient, additional complexities are present in the form of comorbid conditions, polypharmacy, and geriatric syndromes. (ascopost.com)
  • Another purpose of this study is to see whether use of the geriatric assessment improves participants' quality of life. (centerwatch.com)
  • The various members of the geriatric medicine multidisciplinary team (MDT) assess different domains. (wikipedia.org)
  • The onco-geriatric multidisciplinary team is implementing a descriptive study of the RCP for the management of patients above 70 with cancer. (clinicaltrials.gov)
  • An Assessment Guide to Geriatric Neuropsychology is going to be a valuable resource for clinicians and researchers working with adults over the age of 65. (routledge.com)
  • Yet many oncologists don't have geriatric training. (npr.org)
  • Mohile, who treated Griggs' father during his cancer relapse, explains that geriatric oncologists take a different approach than many other oncologists. (npr.org)
  • All of the patients received a geriatric assessment in this study, but only the oncologists at the practices in the geriatric assessment arm received a summary of the results of the assessment as well as recommendations for how to treat potential problems. (cancer.net)
  • In the usual care group, oncologists only received information if the geriatric assessment found that the older adult had serious cognition problems or depression. (cancer.net)
  • The thrust of this book is to make medical oncologists and other health professionals managing older patients with cancer aware of recent developments in geriatric assessment and in cancer management for the older adult. (springer.com)
  • The objective of this study was to evaluate the value of geriatric assessment of this population with respect to postoperative complications. (rug.nl)
  • Summative OSCE used to evaluate 3rd year medical students' knowledge of geriatric assessment. (pogoe.org)
  • The purpose of this study was to evaluate bone and muscle measurements of peripheral quantitative computed tomography (pQCT) in a geriatric cohort with osteoporosis. (galileo-training.com)
  • PurposeThe main aim of our research was to evaluate general health, functioning, and performance parameters, as well as care problems of Geriatric Clinic inpatients in relation to deficits in fulfilling needs. (cureus.com)
  • To evaluate the effect of intensive geriatric rehabilitation on demented patients with hip fracture. (bmj.com)
  • The secondary aims are : 1/ To describe the process of RCP: participants, patient's characteristics and conclusions with recommendations, 2/ To assess the implementation of oncological and geriatric recommendations 4 months after RCP 3/ To assess the survival, autonomy and quality of life of patients 4 months after RCP. (clinicaltrials.gov)
  • For example, a county may send an assessor to one's house to assess its value and base the property tax one owes on that assessment. (thefreedictionary.com)
  • In this Series paper, we discuss the use of a geriatric assessment-based approach to cancer care, and provide clinicians with tools to better assess the risks and benefits of treatment to engage in shared decision making and provide better personalised care for older people with cancer. (mayo.edu)
  • ORLANDO, Florida - Patients age 70 and older with hematologic malignancies who are candidates for autologous stem cell transplants should undergo a geriatric assessment at a multidisciplinary clinic, say experts. (medscape.com)
  • He reported a 1-year treatment-related mortality rate between 0 and 1% for a cohort of patients 70 and older with hematologic malignancies who were referred for transplant on the recommendation of a geriatric assessment-guided multidisciplinary clinic (GA-MDC). (medscape.com)
  • The HIV clinic at Weill Cornell/New York Presbyterian set up an HIV aging program in 2015 and each week offers geriatric consultations upon provider referral. (natap.org)
  • After pilot testing and appropriate changes, the Hindi version was administered to a group of 500 patients visiting the geriatric medicine clinic in All India Institute of Medical Sciences, New Delhi. (ovid.com)
  • During clinic visits within 4 weeks after the geriatric assessment, the researchers recorded and transcribed the communication during 1 clinic visit for each person in the study. (cancer.net)
  • Advances in remote monitoring and in its forefront in-home physical assessment technologies play a fundamental role in reducing the cost and improving the quality of care by complementing the traditional in-clinic healthcare. (springermedizin.de)
  • Methods A retrospective observational study that reviewed the case records of patients with impaired mobility at a geriatric assessment clinic. (smj.org.sg)
  • General Medicine and Geriatrics wards in an acute-care university hospital. (nih.gov)
  • Nutrition variables are a cardinal component of multidimensional assessment in the acute-care setting. (nih.gov)
  • The study participants were patients ( n = 590) admitted to the Acute Geriatric Unit at the at the University Hospital of Vic (Barcelona) during the year 2014. (biomedcentral.com)
  • It included a complete physical and medical history, an evaluation by a physical therapist, a psychological assessment and a cognitive exam. (npr.org)
  • Geriatric assessment includes an evaluation by a physical therapist, a psychological assessment, a cognitive exam and a complete physical and medical history. (npr.org)
  • Combined odds ratio (95% confidence interval) of living at home at follow-up was 1.68 (1.17-2.41) for geriatric evaluation and management units, 1.49 (1.12-1.98) for hospital-home assessment services, and 1.20 (1.05-1.37) for home assessment services. (nih.gov)
  • Our analysis suggests that CGA programmes linking geriatric evaluation with strong long-term management are effective for improving survival and function in older persons. (nih.gov)
  • An OSCE examination was developed that evaluates assessment and evaluation of a geriatric patient suffering from urinary incontinence. (pogoe.org)
  • Activities of daily living, instrumental activities of daily living, the Geriatric Depression Scale, Mini-Mental State Examination, nutrition assessment, polypharmacy evaluation, and screening for comorbid conditions all provide valuable information regarding how a geriatric patient will tolerate a treatment regimen. (ascopost.com)
  • Quantitative Variables From the Geriatric Evaluation and Mortality During Admission (n=456) (Mean±DE). (archbronconeumol.org)
  • A review of major studies and the current literature underscored the role of geriatric assessment in making treatment recommendations for patients aged 80 years and older with early and metastatic breast cancer. (ascopost.com)
  • In this review, we will discuss the role of geriatric assessment, alternative treatment modalities for older women with triple-negative breast cancer, and other special considerations for this patient population. (cancernetwork.com)
  • When the assessment is completed an individualized treatment plan is developed to suit the patient's needs. (riversidehealthcare.org)
  • A geriatric assessment is a way to understand a patient's overall health and fitness for therapy. (curetoday.com)
  • A few screening tools have now been implemented to help with these problems such as the G8 tool (helps identify a patient's risk for geriatric issues) and the chemotherapy prediction toxicity tool, both of which take a few minutes to complete. (curetoday.com)
  • Treatment decisions for these patients can best be made based on geriatric assessment, estimated life expectancy, whether the treatment goal is prolonged survival or palliation, the potential benefits and toxicities of a specific treatment, and the patient's personal goals for treatment. (cancernetwork.com)
  • The idea behind the geriatric assessment is to identify and "really work on risks that we know will translate into an inferior outcome later, and you can just try to deal with them before transplant," he said. (medscape.com)
  • The hypothesis is that onco-geriatric RCP's recommendations improve the outcome for the patient. (clinicaltrials.gov)
  • Navigating the nuances of this situation to achieve a satisfactory outcome makes the assessment and treatment of this population both complex and rewarding. (acc.org)
  • RESULTS: the panel reached consensus that malnutrition should be considered a geriatric syndrome. (ru.nl)
  • The New York team reviewed assessments of all HIV patients 50 or older with a CGA from June 2013 to June 2017. (natap.org)
  • However, there can be challenges to obtaining this information from members of the geriatric population. (acc.org)
  • For these reasons the assessment of older people and understanding their health needs requires much more than the traditional diagnostic efforts, and justifies an optimistic approach to being able to do something useful. (bgs.org.uk)
  • Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. (springer.com)
  • Geriatric depression is associated with reduced remission rates compared to younger depressed adults, which may be due to comorbid cognitive impairments with subjective memory decline and diminished executive functions ( 7 - 10 ). (frontiersin.org)
  • Sixteen patients (19.3%) showed no impairments according to the geriatric assessment scales implem ented by this study. (bvsalud.org)
  • All the participants had a structured interview and were given a short version of the geriatric depression scale. (who.int)
  • Tests include the Geriatric Depression Scale, the Instrumental Activities of Daily Living, Blessed Orientation-Memory-Concentration test and the Chemotherapy Risk Assessment Scale for High-Age Patients. (cityofhope.org)
  • These images are a random sampling from a Bing search on the term "Geriatric Depression Scale. (fpnotebook.com)
  • Geriatric assessments can help physicians better estimate who will likely develop chemotherapy toxicities and other serious potential complications of cancer treatment, including death. (npr.org)
  • The geriatric assessment will be completed at four time points: 1) on the day the patient receives a new chemotherapy regimen or within 30 days prior, 2) within 30 days of completion of the chemotherapy regimen (or at 12 months from study entry +/-30 days if the chemotherapy regimen is still being continued), 3) within 30 days prior to surgical debulking, and 4) 30 days after surgical debulking. (clinicaltrials.gov)
  • Both studies demonstrated a benefit for patients who received a geriatric assessment and a significantly improved rate of toxicities from chemotherapy. (curetoday.com)
  • Which patients should receive geriatric assessment before chemotherapy? (thefreedictionary.com)
  • ASCO recommends that people with cancer who are 65 or older and who are receiving chemotherapy should receive a geriatric assessment to identify any additional problems these people may have. (cancer.net)
  • Since all treatment modalities in older patients-especially chemotherapy-can affect physical and mental function, a geriatric assessment is key in selecting the most appropriate treatment strategy. (cancernetwork.com)
  • The assessment includes patient-reported surveys prior to the visit, and bedside testing on the day of the visit with a cognitive battery and handgrip testing, followed by visits with the aforementioned clinicians. (medscape.com)
  • 2 It is increasingly important for clinicians assessing patients with AS to familiarize themselves with special considerations needed to address the geriatric population while being mindful that older adults are a heterogeneous group possessing varying amounts and degrees of concomitant age-related medical and psychosocial concerns. (acc.org)
  • Among all these scores, the Nottingham Hip Fracture Score (NHFS) is one of the most well-known for the prediction of short- and long-term mortality in geriatric hip fracture patients, and has been validated in both western and Asian populations. (hkmj.org)
  • 4 - 12 However, selected cognitively impaired patients with hip fracture were as likely as mentally normal patients to return to the community in a specialised geriatric inpatient rehabilitation programme. (bmj.com)
  • 15 No randomised studies have been published on the impact of geriatric rehabilitation on demented patients with hip fracture. (bmj.com)
  • Hip fracture patients with mild or moderate dementia can often return to the community if they are provided with active geriatric rehabilitation. (bmj.com)
  • Dementia and Geriatric Cognitive Disorders. (wikipedia.org)
  • Validation cohort study: multidimensional assessment on admission and at discharge and a weekly nutritional assessment. (nih.gov)
  • Among the best known of these tools is the 18-question Mini Nutritional Assessment (MNA) and its even briefer sibling, the six-question Mini Nutritional Assessment Short-Form, (MNASF). (oncnursingnews.com)
  • Geriatric assessment is showing promise as a tool to predict which individuals are at greater risk for toxicity of therapy and to guide dose modifications based on an individual's vulnerability. (ascopost.com)
  • Calendar age correlates so imperfectly with individual decline that assessments are more informative than birth certificates. (oncnursingnews.com)
  • Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. (ahrq.gov)
  • Preoperative assessment of geriatric patients admitted with hip fracture can provide a reasonably accurate indication of mortality risk. (hkmj.org)
  • Adler Geriatrics Assessment Ctr is a medical group practice located in New Haven, CT that specializes in Geriatric Medicine and Internal Medicine. (healthgrades.com)
  • Assessment and treatment of malnutrition in Dutch geriatric practice: consensus through a modified Delphi study. (ru.nl)
  • Our aim was to develop a consensus statement for geriatric hospital practice concerning six elements: (i) definition of malnutrition, (ii) screening and assessment, (iii) treatment and monitoring, (iv) roles and responsibilities of involved health care professionals, (v) communication and coordination of care between hospital and community health care professionals, (vi) quality indicators for malnutrition management. (ru.nl)
  • Before his doctor devised a treatment plan, she ordered what's known as a geriatric assessment. (npr.org)
  • Older patients can benefit from supportive care and geriatric assessments before undergoing cancer treatment, especially as 60% of cancer incidence and 70% of cancer mortality occurs in patients over the age of 65, according to an expert at the CURE ® Educated Patient® Lung Cancer Summit. (curetoday.com)
  • In her presentation, Dotan highlighted results from two studies that compared patients who received usual care with those who received treatment guided by geriatric assessment. (curetoday.com)
  • The geriatric assessment includes looking at patients' cognitive function (thinking processes), physical function, mobility (ability to move the body), mood, nutrition, and current medications to help decide the type of treatment they'll receive. (centerwatch.com)
  • This assessment can help find individuals who might have health problems that are not related to cancer and who may have a higher risk of cancer treatment-related side effects. (cancer.net)
  • Without a more thorough means of evaluating the multifaceted components of the geriatric patient, decisions regarding treatment become more challenging. (ascopost.com)
  • For example, symptoms out of proportion to valve characteristics and hemodynamics should prompt an assessment for CAD and treatment of CAD alone may resolve symptoms. (acc.org)
  • The panel felt the assessment would help predict who might experience severe side effects from treatment, help the physician understand how risky a treatment is for a particular patient, and help determine prognosis based on general health. (cityofhope.org)
  • Even the largest of the specialty programs are executing a relatively simple idea: older patients undergo special assessments, and the results help to guide their treatment," said Arti Hurria, MD, director of the Cancer and Aging Research Program at City of Hope in Duarte, California. (oncnursingnews.com)
  • Increased life expectancy, safer anesthesia, and less invasive surgical procedures have made it possible for a greater number of geriatric patients to be considered for surgery. (oncologynurseadvisor.com)
  • This can help predict 30-day and 1-year mortality risk in geriatric patients admitted for hip fracture surgery. (hkmj.org)
  • But from a geriatric assessment perspective, knowing prognosis for all of the other conditions that someone has, all of those things identified by geriatric assessment can be used to accurately predict what people's other risks are and what their prognosis is from things separate from the cancer. (cityofhope.org)
  • A good way of doing this is to incorporate gait assessment with kinesiology taping . (chiroeco.com)
  • Geriatric Assessment Interdisciplinary Team (GAIT) is a project funded by the University System of Maryland (USM) Redeployment Grant System and is located in rural Maryland at AHEC West in Cumberland and the Eastern Shore Area Health Education Center in Cambridge. (umaryland.edu)
  • To examine whether the Frontal Assessment Battery is associated with the immediate effects of physical therapy on gait disturbance in patients with Parkinson's disease. (wiley.com)
  • We showed that the subtests of motor learning of the Frontal Assessment Battery might be associated with the immediate effects of physical therapy on gait disturbance in Parkinson's disease. (wiley.com)