Geriatrics
Geriatric Nursing
Health Services for the Aged
Dental Care for Aged
Geriatric Assessment
Frail Elderly
Education, Medical, Continuing
Clinical Competence
Attitude of Health Personnel
Internship and Residency
Clinical Clerkship
Education, Medical, Undergraduate
Health Services Needs and Demand
Students, Medical
United States
Aging
Encyclopedias as Topic
Involving consumers in assessing service quality: benefits of using a qualitative approach. (1/634)
Although important to users, practice standards rarely incorporate users' views of care provided. These views are a valuable source of information, even though there are limits to their value. To improve the standards of care in a 20 bed hospital elderly care unit caring for acute medical conditions a qualitative approach was used. Patients' and carers' perceptions of care and problems with the process of care in the unit were elicited with a specially designed semistructured interview schedule in 83 separate tape recorded interviews with a research nurse in patients' homes. In all, 50 patients and 35 carers were interviewed between 6 June 1991 and 28 May 1992. Of the 50 patients, 33 were female; seven patients were aged less than 80 years, 16, 80-85; 21, 86-90; and six over 90. A total of 16 patients lived with spouses or other carers, two with non-carers, and 32 lived alone, 18 of whom received informal care. Content analysis of the interviews disclosed patients' and carers' general satisfaction with individualised professional care and planning of follow up services on discharge but dissatisfaction in the lack of information about and involvement in treatment and care and about specific staff notes. These findings have prompted remedial changes in clinical practice in the unit; they have also formed the structure of a criterion based survey of practice. The authors conclude that the qualitative approach suited elderly users and also provided the basis for the findings to be incorporated into a continuous audit cycle through a process of feedback and standard setting. (+info)Goal attainment scaling in a geriatric day hospital. Team and program benefits. (2/634)
PROBLEM BEING ADDRESSED: The Geriatric Day Program (GDP) of the Capital Health Region in Victoria, BC, is concerned with effective team processes, accountability for health service outcomes, and improving the quality of programs. The GDP identified a need to improve its interdisciplinary processes and generate useful patient outcome data. OBJECTIVE OF PROGRAM: To determine whether Goal Attainment Scaling (GAS) could be introduced to facilitate interdisciplinary processes and to generate useful health outcome data. MAIN COMPONENTS OF PROGRAM: The GAS procedures were incorporated into clinical routines based on published guidelines. The authors determined GAS outcome scores for patients who completed the program and developed outcome scores for specific geriatric problem areas requiring intervention. Outcome scores were made available to the clinical care team and to program managers for continuous quality improvement purposes. CONCLUSIONS: The GAS process was successfully implemented and was acceptable to clinicians and managers at the GDP. Team processes were thought to be improved by focusing on patient goals in a structured way. The GAS provided data on both patient outcomes and outcomes of interventions in specific problem areas. Accountability for patient care increased. Goal Attainment Scaling provided indicators of care for which clinicians could develop program quality improvements. (+info)How ready are health plans for Medicare? (3/634)
CONTEXT: The Medicare program is encouraging its beneficiaries to enroll in capitated health plans. OBJECTIVE: To determine how prepared these plans are to handle chronically ill and frail elderly persons. DESIGN: Telephone survey of 28 health plans that together serve about one fourth of all enrollees of the Medicare Risk program. MEASURES: The degree of readiness (high, intermediate, or low) of health plans in seven domains that experts believe are important to the management of an elderly population. RESULTS: None of the 28 health plans had high readiness scores for all seven domains. The two domains for which the plans were most prepared were risk assessment and member self-care. The plans were least prepared for the domains of cooperative team care and geriatric consultations. CONCLUSIONS: Many plans do not offer the programs that experts believe are important for Medicare enrollees. They may hesitate to adopt strategies that lack data on effectiveness. (+info)Square pegs in round holes: has psychometric testing a place in choosing a surgical career? A preliminary report of work in progress. (4/634)
Methods of selection of candidates for training in surgery has long been regarded as lacking explicit criteria and objectivity. Our purpose was to discover the aptitudes and personality types of applicants for surgical posts at the outset, in order to discover which were most likely to result in a satisfactory progression through training and which were associated with career difficulties. This longitudinal predictive validation study has been undertaken in a London Teaching Hospital since 1994. After short-listing, but immediately before interview, all candidates for senior house officer posts in basic surgical training and in geriatric medicine were asked to undertake psychometric tests of numerical (GMA) and spatial (SIT7) reasoning, personality type (MBTI), and self-rating of competency. There were no differences in ability scores between surgeons or geriatricians. Personality differences were revealed between the surgeons and the geriatricians, and between male and female surgeons. This study suggests that while there are no differences in ability between surgeons and geriatricians at the start of training, there are differences in personality. Long-term follow-up of the career development of this cohort of surgical SHOs is required to determine whether the psychometric measures described correlate with achievements of milestones in their surgical careers. (+info)The winter bed crisis--quantifying seasonal effects on hospital bed usage. (5/634)
Winter bed crises are a common feature in NHS hospitals, and have given rise to great concern. We set out to determine the relative contribution of seasonal effects and other factors to bed occupancy in a large teaching hospital over one year. There were 190,804 occupied bed-days, which we analysed by specialty groupings. There was considerable variability in bed occupancy in each specialty. A significant winter peak occurred for general medicine and orthopaedics together with a significant increase on 'take-in' days. Virtually all specialties showed a significant variation in occupancy between weekdays. Geriatric Medicine had a high and fairly constant occupancy, with some seasonal effect. We conclude that seasonal trends in bed occupancy occur in 'front door' specialties and are predictable. In these specialties, admission policies also make a contribution to bed usage and are amenable to modification. There is no surge in occupancy in the immediate post-Christmas period, except that attributable to the seasonal trend. In the 'elective' specialties, bed occupancy fluctuates widely, with reduced occupancy at weekends and at Christmas. These differences are entirely amenable to modification. More effective bed management would make a very significant contribution to avoiding winter bed crises. (+info)The attitudes of patients to integrated medical care. (6/634)
AIM: To establish the attitude of inpatients to integrated medical care. SETTING: A district general hospital which had recently adopted the model of integrated medical care. METHODS: 205 patients of all ages were interviewed and asked about their general views and their personal experience of integrated medical care and their preference had they been given a choice. Those patients who had previously been admitted before integration were asked if they felt the quality of care had changed. RESULTS: Integrated medical wards were preferred by most patients and this preference was greater in older patients. However, 30% identified patients on their wards who they felt should be segregated on account of confusion, frailty or youthfulness. Of the 69 who had been admitted before integration, 88% commented that the quality of care was either the same or better. CONCLUSION: Integrated medical care was the preferred model of care, especially by elderly patients. The special needs of some patients were, however, recognized. Perhaps the ideal model is a needs-related policy within a fully integrated system. (+info)High doses of vitamin E in the treatment of disorders of the central nervous system in the aged. (7/634)
Oxidative stress is a putative factor in the pathogenesis of many human disorders of the central nervous system. Therefore, antioxidants such as vitamin E have become attractive as therapeutic agents in the treatment of several diseases. In addition, vitamin E seems to play a specific role in the nervous system. As a result, vitamin E has been used in pharmacologic doses in the treatment of disorders such as Parkinson disease, Alzheimer disease, and tardive dyskinesia. One investigation showed that the use of 2000 IU all-rac-alpha-tocopheryl acetate is beneficial in the treatment of Alzheimer disease. Similar doses of vitamin E, however, were not beneficial for delaying the progression of Parkinson disease. In other studies, dosages >/=400 IU vitamin E/d were found to be beneficial in the treatment of tardive dyskinesia, although this finding was not confirmed in a larger cooperative study conducted by the Veterans Administration. Even though the efficacy of vitamin E in the management of cardiovascular disease has been shown, the potential role of vitamin E in the treatment of cerebrovascular disease remains essentially unknown. The experience from 2 large clinical trials involving the oral intake of 2000 IU vitamin E/d suggests that vitamin E is relatively safe at this dosage for periods <2 y. However, the safety and efficacy of supplemental vitamin E over periods of many years in the prevention of neurologic diseases has not been adequately explored. (+info)Management of acute myeloid leukemia in elderly patients. (8/634)
Acute myeloid leukemia (AML) at older age is associated with several biologic and clinical characteristics. Hence, it may arise from an early level of hematopoietic stem cells and has a high frequency of blast cells with multidrug resistance glycoprotein MDR1 expression and particularly a high incidence of poor prognostic karyotypes. These factors, rather than age per se, underlie the poorer outcome as compared with younger cases. Prospective randomized studies clearly demonstrate, however, that elderly patients benefit from more intensive induction therapy and particularly from full-dose application of anthracyclines and possibly also cytarabine. Hematopoietic growth factors accelerate the recovery from treatment-induced neutropenia and may improve the remission rate, remission duration, and even overall survival. New treatment strategies need to be developed, however, for poor-prognosis AML subtypes in order to further improve the therapeutic perspectives for elderly patients with AML. (+info)Geriatrics is a branch of medicine focused on the health care and well-being of older adults, typically defined as those aged 65 years and older. It deals with the physiological, psychological, social, and environmental aspects of aging and addresses the medical, functional, and cognitive issues that are common in this population. The goal of geriatric medicine is to promote health, independence, and quality of life for older adults by preventing and managing diseases and disabilities, coordinating care, and supporting optimal functioning in their daily lives.
Geriatricians, who specialize in geriatrics, receive additional training beyond medical school and residency to develop expertise in the unique needs and challenges of older adults. They often work as part of interdisciplinary teams that include nurses, social workers, physical therapists, occupational therapists, and other healthcare professionals to provide comprehensive care for their patients.
Geriatric dentistry is a specialized branch of dental medicine that focuses on the prevention, diagnosis, and treatment of dental diseases in older adults. This field takes into account the unique oral health needs and challenges faced by this population, which can include factors such as:
* Increased risk of tooth decay and gum disease due to dry mouth (xerostomia), a common side effect of many medications taken by older adults
* Difficulty maintaining good oral hygiene due to physical limitations or cognitive impairments
* Greater susceptibility to oral infections and other complications due to weakened immune systems
* Higher rates of tooth loss, which can lead to problems with nutrition, speech, and self-esteem
Geriatric dentists are trained to provide comprehensive dental care to older adults, including routine cleanings and exams, fillings and extractions, dentures and other restorative treatments, and education on oral hygiene and disease prevention. They may also work closely with other healthcare providers to manage the overall health and well-being of their patients.
Geriatric nursing is a specialized area of nursing practice that focuses on the care of older adults, typically those aged 65 and over. It involves providing comprehensive nursing care to this population group, addressing their unique healthcare needs and promoting their overall well-being. Geriatric nurses work in various settings, including hospitals, long-term care facilities, community health centers, and home health agencies.
The primary goals of geriatric nursing are to:
1. Promote functional independence and quality of life for older adults.
2. Prevent or manage chronic conditions and disabilities that commonly occur in later life.
3. Provide patient-centered care that respects the autonomy, dignity, and cultural diversity of older adults.
4. Collaborate with interdisciplinary teams to develop individualized care plans that address physical, mental, emotional, and social needs.
5. Educate older adults, their families, and caregivers about health promotion strategies, disease prevention, and self-care management.
6. Advocate for the rights and access to healthcare services for older adults.
Geriatric nurses must have a deep understanding of the aging process, common age-related diseases and conditions, and evidence-based practices for managing them. They also need excellent communication skills, empathy, patience, and a strong commitment to providing compassionate care to this vulnerable population.
"Health services for the aged" is a broad term that refers to medical and healthcare services specifically designed to meet the unique needs of elderly individuals. According to the World Health Organization (WHO), health services for the aged should be "age-friendly" and "person-centered," meaning they should take into account the physical, mental, and social changes that occur as people age, as well as their individual preferences and values.
These services can include a range of medical and healthcare interventions, such as:
* Preventive care, including vaccinations, cancer screenings, and other routine check-ups
* Chronic disease management, such as treatment for conditions like diabetes, heart disease, or arthritis
* Rehabilitation services, such as physical therapy or occupational therapy, to help elderly individuals maintain their mobility and independence
* Palliative care and end-of-life planning, to ensure that elderly individuals receive compassionate and supportive care in their final days
* Mental health services, including counseling and therapy for conditions like depression or anxiety
* Social services, such as transportation assistance, meal delivery, or home care, to help elderly individuals maintain their quality of life and independence.
Overall, the goal of health services for the aged is to promote healthy aging, prevent disease and disability, and provide high-quality, compassionate care to elderly individuals, in order to improve their overall health and well-being.
Dental care for the elderly, also known as geriatric dentistry, refers to the dental care services provided to meet the specific needs and challenges of older adults. As people age, they may experience various oral health issues such as:
* Dry mouth due to medication side effects or medical conditions
* Gum disease and periodontitis
* Tooth loss and decay
* Oral cancer
* Uneven jawbone or ill-fitting dentures
Dental care for the aged may include routine dental exams, cleanings, fillings, extractions, denture fittings, oral surgery, and education on proper oral hygiene. It is important for elderly individuals to maintain good oral health as it can impact their overall health and quality of life. Regular dental check-ups and good oral hygiene practices can help prevent or manage these common oral health problems in the elderly.
A geriatric assessment is a comprehensive, multidimensional evaluation of an older adult's functional ability, mental health, social support, and overall health status. It is used to identify any medical, psychological, or social problems that could affect the person's ability to live independently and safely, and to develop an individualized plan of care to address those issues.
The assessment typically includes a review of the person's medical history, medications, cognitive function, mobility, sensory function, nutrition, continence, and mood. It may also include assessments of the person's social support network, living situation, and financial resources. The goal of the geriatric assessment is to help older adults maintain their independence and quality of life for as long as possible by addressing any issues that could put them at risk for disability or institutionalization.
In the context of medical education, a curriculum refers to the planned and organized sequence of experiences and learning opportunities designed to achieve specific educational goals and objectives. It outlines the knowledge, skills, and attitudes that medical students or trainees are expected to acquire during their training program. The curriculum may include various components such as lectures, small group discussions, clinical rotations, simulations, and other experiential learning activities. It is typically developed and implemented by medical education experts and faculty members in consultation with stakeholders, including learners, practitioners, and patients.
The term "frail elderly" is not a formal medical diagnosis, but rather a general description used to identify older adults who are vulnerable and at increased risk for negative health outcomes. Frailty is a complex syndrome characterized by decreased physiological reserve and resistance to stressors, which results in increased vulnerability to adverse outcomes.
The frail elderly often have multiple chronic conditions, cognitive impairment, functional limitations, social isolation, poor nutritional status, and sensory deficits. These factors contribute to a decline in their physical function, mobility, and overall health, making them more susceptible to falls, disability, hospitalization, institutionalization, and mortality.
There are several tools and criteria used to define frailty, including the Frailty Phenotype model proposed by Fried et al., which identifies frailty based on the presence of three or more of the following five criteria: unintentional weight loss, weakness (measured by grip strength), self-reported exhaustion, slow walking speed, and low physical activity. Another commonly used tool is the Clinical Frailty Scale, which assesses frailty based on a person's level of dependence and coexisting medical conditions.
It is important to note that frailty is not an inevitable part of aging, and interventions aimed at addressing its underlying causes can help improve outcomes for the frail elderly. These interventions may include exercise programs, nutritional support, medication management, and social engagement.
Continuing medical education (CME) refers to the process of ongoing learning and professional development that healthcare professionals engage in throughout their careers. The goal of CME is to enhance knowledge, skills, and performance in order to provide better patient care and improve health outcomes.
CME activities may include a variety of formats such as conferences, seminars, workshops, online courses, journal clubs, and self-study programs. These activities are designed to address specific learning needs and objectives related to clinical practice, research, or healthcare management.
Healthcare professionals are required to complete a certain number of CME credits on a regular basis in order to maintain their licensure, certification, or membership in professional organizations. The content and quality of CME activities are typically overseen by accreditation bodies such as the Accreditation Council for Continuing Medical Education (ACCME) in the United States.
Overall, continuing medical education is an essential component of maintaining competence and staying up-to-date with the latest developments in healthcare.
Clinical competence is the ability of a healthcare professional to provide safe and effective patient care, demonstrating the knowledge, skills, and attitudes required for the job. It involves the integration of theoretical knowledge with practical skills, judgment, and decision-making abilities in real-world clinical situations. Clinical competence is typically evaluated through various methods such as direct observation, case studies, simulations, and feedback from peers and supervisors.
A clinically competent healthcare professional should be able to:
1. Demonstrate a solid understanding of the relevant medical knowledge and its application in clinical practice.
2. Perform essential clinical skills proficiently and safely.
3. Communicate effectively with patients, families, and other healthcare professionals.
4. Make informed decisions based on critical thinking and problem-solving abilities.
5. Exhibit professionalism, ethical behavior, and cultural sensitivity in patient care.
6. Continuously evaluate and improve their performance through self-reflection and ongoing learning.
Maintaining clinical competence is essential for healthcare professionals to ensure the best possible outcomes for their patients and stay current with advances in medical science and technology.
The "attitude of health personnel" refers to the overall disposition, behavior, and approach that healthcare professionals exhibit towards their patients or clients. This encompasses various aspects such as:
1. Interpersonal skills: The ability to communicate effectively, listen actively, and build rapport with patients.
2. Professionalism: Adherence to ethical principles, confidentiality, and maintaining a non-judgmental attitude.
3. Compassion and empathy: Showing genuine concern for the patient's well-being and understanding their feelings and experiences.
4. Cultural sensitivity: Respecting and acknowledging the cultural backgrounds, beliefs, and values of patients.
5. Competence: Demonstrating knowledge, skills, and expertise in providing healthcare services.
6. Collaboration: Working together with other healthcare professionals to ensure comprehensive care for the patient.
7. Patient-centeredness: Focusing on the individual needs, preferences, and goals of the patient in the decision-making process.
8. Commitment to continuous learning and improvement: Staying updated with the latest developments in the field and seeking opportunities to enhance one's skills and knowledge.
A positive attitude of health personnel contributes significantly to patient satisfaction, adherence to treatment plans, and overall healthcare outcomes.
Internship: In medical terms, an internship is a supervised program of hospital-based training for physicians and surgeons who have recently graduated from medical school. The duration of an internship typically ranges from one to three years, during which the intern engages in a variety of clinical rotations in different departments such as internal medicine, surgery, pediatrics, obstetrics and gynecology, psychiatry, and neurology. The primary aim of an internship is to provide newly graduated doctors with hands-on experience in patient care, diagnosis, treatment planning, and communication skills under the close supervision of experienced physicians.
Residency: A residency is a structured and intensive postgraduate medical training program that typically lasts between three and seven years, depending on the specialty. Residents are licensed physicians who have completed their internship and are now receiving advanced training in a specific area of medicine or surgery. During this period, residents work closely with experienced attending physicians to gain comprehensive knowledge and skills in their chosen field. They are responsible for managing patient care, performing surgical procedures, interpreting diagnostic tests, conducting research, teaching medical students, and participating in continuing education activities. Residency programs aim to prepare physicians for independent practice and board certification in their specialty.
A clinical clerkship is a phase of medical education where medical students participate in supervised direct patient care in a clinical setting as part of their training. It typically occurs during the third or fourth year of medical school and serves to provide students with practical experience in diagnosing and treating patients under the guidance of experienced physicians.
During a clinical clerkship, students work directly with patients in hospitals, clinics, or other healthcare facilities, taking medical histories, performing physical examinations, ordering and interpreting diagnostic tests, formulating treatment plans, and communicating with patients and their families. They may also participate in patient rounds, conferences, and other educational activities.
Clinical clerkships are designed to help students develop clinical skills, build confidence, and gain exposure to different medical specialties. They provide an opportunity for students to apply the knowledge and skills they have learned in the classroom to real-world situations, helping them to become competent and compassionate healthcare providers.
Medical societies are professional organizations composed of physicians, surgeons, and other healthcare professionals who share a common purpose of promoting medical research, education, and patient care. These societies can focus on specific medical specialties, such as the American Society of Clinical Oncology (ASCO) for cancer specialists or the American College of Surgeons (ACS) for surgeons. They may also address broader issues related to healthcare policy, advocacy, and ethics. Medical societies often provide resources for continuing medical education, publish scientific journals, establish clinical practice guidelines, and offer networking opportunities for members.
Medical education, undergraduate, refers to the initial formal educational phase in which students learn the basic sciences and clinical skills required to become a physician. In the United States, this typically involves completing a four-year Bachelor's degree followed by four years of medical school. The first two years of medical school are primarily focused on classroom instruction in subjects such as anatomy, physiology, biochemistry, pharmacology, and pathology. The final two years involve clinical rotations, during which students work directly with patients under the supervision of licensed physicians. After completing medical school, graduates must then complete a residency program in their chosen specialty before they are eligible to practice medicine independently.
Health services needs refer to the population's requirement for healthcare services based on their health status, disease prevalence, and clinical guidelines. These needs can be categorized into normative needs (based on expert opinions or clinical guidelines) and expressed needs (based on individuals' perceptions of their own healthcare needs).
On the other hand, health services demand refers to the quantity of healthcare services that consumers are willing and able to pay for, given their preferences, values, and financial resources. Demand is influenced by various factors such as price, income, education level, and cultural beliefs.
It's important to note that while needs represent a population's requirement for healthcare services, demand reflects the actual utilization of these services. Understanding both health services needs and demand is crucial in planning and delivering effective healthcare services that meet the population's requirements while ensuring efficient resource allocation.
I'm assuming you are asking for a definition of "medical students." Here it is:
Medical students are individuals who are enrolled in a program of study to become medical doctors. They typically complete four years of undergraduate education before entering a medical school, where they spend another four years studying basic sciences and clinical medicine. After completing medical school, they become physicians (M.D.) and continue their training through residency programs in their chosen specialties. Some medical students may choose to pursue a research career and complete a Ph.D. during or after medical school.
I'm sorry for any confusion, but "teaching" is a general term that refers to the act of imparting knowledge or skills to others and is not a medical term. However, in the context of medical education, teaching refers to the instruction and training of medical students, residents, fellows, and other healthcare professionals to develop their knowledge, skills, and attitudes necessary for providing high-quality patient care. This can take place in various settings such as classrooms, clinical wards, simulation centers, or online platforms, and can involve a range of teaching methods including lectures, small group discussions, bedside teaching, case-based learning, and hands-on training.
I'm sorry for any confusion, but "United States" is a geopolitical entity, specifically the name of the country consisting of 50 states, and it is not a medical term or concept. Therefore, I can't provide a medical definition for it. If you have any questions related to health, medicine, or biology, I would be happy to try to help answer those!
Aging is a complex, progressive and inevitable process of bodily changes over time, characterized by the accumulation of cellular damage and degenerative changes that eventually lead to increased vulnerability to disease and death. It involves various biological, genetic, environmental, and lifestyle factors that contribute to the decline in physical and mental functions. The medical field studies aging through the discipline of gerontology, which aims to understand the underlying mechanisms of aging and develop interventions to promote healthy aging and extend the human healthspan.
An encyclopedia is a comprehensive reference work containing articles on various topics, usually arranged in alphabetical order. In the context of medicine, a medical encyclopedia is a collection of articles that provide information about a wide range of medical topics, including diseases and conditions, treatments, tests, procedures, and anatomy and physiology. Medical encyclopedias may be published in print or electronic formats and are often used as a starting point for researching medical topics. They can provide reliable and accurate information on medical subjects, making them useful resources for healthcare professionals, students, and patients alike. Some well-known examples of medical encyclopedias include the Merck Manual and the Stedman's Medical Dictionary.
A colonoscope is a medical device that is used in a procedure called colonoscopy to examine the interior lining of the large intestine, also known as the colon and rectum. It is a long, thin, flexible tube with a lighted end and a camera that allows the doctor to view the inside of the colon on a video monitor. The colonoscope can also have channels that allow for the insertion of tools to take biopsies or remove polyps. Regular colonoscopies are recommended as a screening method for colorectal cancer, which is one of the leading causes of cancer-related deaths in many countries.