Geriatric Assessment: Evaluation of the level of physical, physiological, or mental functioning in the older population group.Geriatrics: The branch of medicine concerned with the physiological and pathological aspects of the aged, including the clinical problems of senescence and senility.Frail Elderly: Older adults or aged individuals who are lacking in general strength and are unusually susceptible to disease or to other infirmity.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Activities of Daily Living: The performance of the basic activities of self care, such as dressing, ambulation, or eating.Geriatric Nursing: Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.Manifest Anxiety Scale: True-false questionnaire made up of items believed to indicate anxiety, in which the subject answers verbally the statement that describes him.Polypharmacy: 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)Geriatric Dentistry: The branch of dentistry concerned with the dental problems of older people.Hospital Units: Those areas of the hospital organization not considered departments which provide specialized patient care. They include various hospital special care wards.Rehabilitation: Restoration of human functions to the maximum degree possible in a person or persons suffering from disease or injury.Medical Oncology: A subspecialty of internal medicine concerned with the study of neoplasms.Karnofsky Performance Status: 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.Institutionalization: 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.Geriatric Psychiatry: A subspecialty of psychiatry concerned with the mental health of the aged.Nutrition Assessment: 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.Accidental Falls: Falls due to slipping or tripping which may result in injury.Patient Care Team: 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.Neoplasms: 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.Hospitalization: The confinement of a patient in a hospital.Comorbidity: 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 Factors: 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.Aging: The gradual irreversible changes in structure and function of an organism that occur as a result of the passage of time.Prospective Studies: 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.Predictive Value of Tests: 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.Reproducibility of Results: 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.Follow-Up Studies: 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.Depression: Depressive states usually of moderate intensity in contrast with major depression present in neurotic and psychotic disorders.Questionnaires: 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.Psychometrics: Assessment of psychological variables by the application of mathematical procedures.Treatment Outcome: 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.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Quality of Life: 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.Cognition: Intellectual or mental process whereby an organism obtains knowledge.Social Support: 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.Sensitivity and Specificity: 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)Risk Assessment: 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)Time Factors: Elements of limited time intervals, contributing to particular results or situations.EuropeUnited StatesCanada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Day Care: Institutional health care of patients during the day. The patients return home at night.Dental Care for Aged: 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, Special: Hospitals which provide care for a single category of illness with facilities and staff directed toward a specific service.Nursing Assessment: Evaluation of the nature and extent of nursing problems presented by a patient for the purpose of patient care planning.Homes for the Aged: Geriatric long-term care facilities which provide supervision and assistance in activities of daily living with medical and nursing services when required.Outcome Assessment (Health Care): 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).Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.Urinary Incontinence: 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.Delirium: 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)Cognition Disorders: Disturbances in mental processes related to learning, thinking, reasoning, and judgment.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Dependent Ambulation: To move about or walk on foot with the use of aids.
Jon Magnussen - NTNU2011) Effect of in-hospital comprehensive geriatric assessment (CGA) in older people with hip fracture. The protocol of the ... Trondheim Hip Fracture Trial. BMC Geriatrics. * Biørn, Erik; Hagen, TP; Iversen, Tor; Magnussen, Jon. (2010) How different are ...
Assessment of Older Adults With Cancer: Feasibility of Computer Survey Methodology - Tabular View - ClinicalTrials.govHurria and colleagues developed a geriatric assessment for older adults with cancer, which includes well validated measures of ... Assessment of Older Adults With Cancer: Feasibility of Computer Survey Methodology. Official Title ICMJE Assessment of Older ... Consenting patients complete the geriatric assessment via a computer survey.. *The following feasibility data will be captured ... Feasibility of delivering the geriatric assessment via computer survey methodology. [ Time Frame: Upon enrollment (one ...
Elderly Assessment: Senior Nutrition & Home CareElder assessment-Aging Wisely Clearwater geriatric care managers. ... A geriatric assessment will uncover many such issues and ... A geriatric care management assessment identifies senior nutrition needs, eldercare concerns. ... Nutritional Elder Assessment - Aging Wisely. In our professional geriatric care management assessments, we review a range of ... Click on these links to learn more about the components of a professional elder assessment, benefits of a geriatric assessment ...
Algorithms | Free Full-Text | Mining Branching Rules from Past Survey Data with an Illustration Using a Geriatric Assessment...The algorithm is illustrated by the analysis of four sections of a geriatric assessment survey used by oncologists. Reductions ... Mining Branching Rules from Past Survey Data with an Illustration Using a Geriatric Assessment Survey for Older Adults with ... The algorithm is illustrated by the analysis of four sections of a geriatric assessment survey used by oncologists. Reductions ... "Mining Branching Rules from Past Survey Data with an Illustration Using a Geriatric Assessment Survey for Older Adults with ...
ATP: Ross Information Processing Assessment-Geriatric:2 (RIPA-G:2)... assessments, parent and teacher resources, hi lo readers, and visual perceptual aids. ... 2nd edition is a comprehensive assessment battery designed to identify, describe, and quantify cognitive-linguistic deficits in ... the geriatric population.. Academic Therapy Publications publishes materials for learning disabilities and special education, ... Ross Information Processing Assessment-2 (RIPA-2) DDD-2110. Ross Information Processing Assessment-Primary (RIPA-P) DDD-2118. ...
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comprehensive geriatric assessmentPosts about comprehensive geriatric assessment written by BGS and bgscomms ... Comprehensive Geriatric Assessment (CGA) is increasingly implemented in community care settings and involves an assessment of ... We collected data on assessment units, with a particular interest in the use of Comprehensive Geriatric Assessment (CGA). 29% ... comprehensive geriatric assessment, Delphi exercise, Graham Ellis , Leave a reply Geriatric conditions, are they recognized as ...
Initial Assessment | Geriatric Psychiatry | Perelman School of Medicine at the University of Pennsylvania... through the education and training of clinicians and future leaders in the field of geriatric mental health, and through direct ... The Geriatric Psychiatry Section's mission is to improve the mental health and well-being of older adults through innovative ... Initial Assessment. The faculty of the Hospital of the University of Pennsylvania section of geriatric psychiatry specialize in ... In order to aid in the assessment, the latest in diagnostic testing, including brain imagining and laboratory testing may be ...
Geriatric medicine. A randomized, controlled trial of a geriatric assessment unit in a community rehabilitation hospitalA randomized, controlled trial of a geriatric assessment unit in a community rehabilitation hospital ... Inpatient geriatric assessment units are hospital units where older people undergo medical and social assessment and treatment ... However, comprehensive geriatric assessment (CGA) in the home setting appears to be effective in reducing hospitalization rates ... Results showed that patients assigned to the geriatric assessment unit improved more than control patients in three self-care ...
Geriatric Assessment as a qualification element for elective and emergency cholecystectomy in older patients (pdf) | PaperityUse of Geriatric Assessment for Older Adults in the Oncology Setting: A ... Use of Geriatric Assessment for Older Adults in the ... Geriatric Assessment as a qualification element for elective and emergency cholecystectomy in older patients, World Journal of ... a Geriatric Assessment (GA), can provide a comprehensive health appraisal to guide targeted geriatric interventions and ... geriatric assessment; GDS, the geriatric depression scale; IADL, instrumental activities of daily living; LOS, length of ...
OARS-MFAQ - Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire (geriatrics) |...... geriatrics) abbreviated? OARS-MFAQ stands for Older Americans Resources and Services Multidimensional Functional Assessment ... OARS-MFAQ is defined as Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire (geriatrics ... How is Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire ( ... OARS-MFAQ stands for Older Americans Resources and Services Multidimensional Functional Assessment Questionnaire (geriatrics). ...
Cultural and LGBT ResourcesGeriatric Assessment Center * Geriatric Emergency Services * Health and Wellness * Legal Resources * Helpful Resources ...
EASY-Care and needs assessment | British Geriatrics SocietyHe has been working on a study called 'Supporting Older People's Resilience through Assessment of Needs and Outcomes' (SOPRANO ... EASY-Care is a Comprehensive Geriatric Needs Assessment tool. It consists of 49 core questions covering physical, mental, ... This entry was posted in A&A journal and tagged Age & Ageing, EASY-Care, needs assessment, Research by ageingjournal. Bookmark ... Thirdly the assessment can be used to collate data on population needs to inform commissioning and public health intelligence. ...
Congenital and Acquired Bone Marrow Failure - 1st EditionComprehensive geriatric assessment *Treatment of aplastic anemia in the elderly *Open questions in the treatment of elderly ...
https://elsevier.com/books/congenital-and-acquired-bone-marrow-failure/aljurf/978-0-12-804152-9?utm_source=SciTech Connect&utm_campaign=STC317&utm_medium=New Releases Biomed
Dr. David Ison, DMD - Dry Ridge, KY - Dentistry & Pediatric Dentistry & Orthodontics | Healthgrades.comGeriatric Assessment. *Impacted Tooth Removal. *Invisalign®. *Lower Dentures. *Metal Dental Braces. *Non-Surgical Gum Treatment ... I routinely treat geriatric patients, medically compromised patients, patients with mental challenge, and psychiatric patients. ... geriatric patients, and psychiatrically fragile patients. I.v. conscious sedation and nitrous oxide sedation is available. We ...
"Managing perplexing patients: the case of Helen" by Marianne...The challenges faced in provision of high quality and effective care to geriatric psychiatric inpatients are substantial for ... Geriatric Assessment, *Geriatric Nursing/organization & administration, *Health Services Needs and Demand, *Humans, ... The challenges faced in provision of high quality and effective care to geriatric psychiatric inpatients are substantial for ...
Dr. Paul Steinberg, MD - Phoenix, AZ - Family Medicine | Healthgrades.comGeriatric Assessment. *Health Screening. *Immunization. *Infant Care. *Ingrown Toenail Surgery. *Intrauterine Device (IUD) ...
Dr. George Wedd III, MD - Chester, VA - Family Medicine | Healthgrades.comGeriatric Assessment. *Physical Examination. Background Check. 0 Malpractice Claims. What is medical malpractice?. No ...
"Alzheimer's residents' cognitive and functional measures: special and traditional care unit comparison" by Elizabeth A....Geriatric Assessment, *Hospital Units, *Humans, *Male, *Middle Aged, *Nursing Homes. Published Article/Book Citation ...
Senior Healthcare Consultant (Geriatric) class at Piedmont HospitalsThe first of a 2-day class on Geriatric issues for nursing staff at all 4 Piedmont hospitals funded by a HRSA Comprehensive ... Journal of the American Geriatrics Society, 3(12).,br /,Katz, S. (1989). Functional assessment in geriatrics: A review of ... Journal of the American Geriatrics Society, 37.,br /,Kresevic, D. M., & Mezey, M. (2003). Assessment of function. In M. Mezey, ... Failure to apply standardized assessment instruments consistently will cause inconsistencies in assessment and consequently in ...
Clinical Diagnostic Ultrasound (Innbundet) - Helse- og sosialfag | Tanum nettbokhandelRapid Geriatric Assessment, An Issue of Clinics in Geriatric Medicine. John E. Morley ...
A randomized controlled trial of a high support hospital discharge team for elderly people.Geriatric Assessment*. Home Care Services*. Humans. Length of Stay. Male. Patient Care Team*. Patient Discharge*. Patient ... Previous Document: The impact of a comprehensive multi-dimensional geriatric assessment programme on duration of stay i.... ...
The influence of fruit and vegetable intake on the nutritional status and plasma homocysteine levels of institutionalised...Geriatric Assessment. Health Surveys. Homes for the Aged. Homocysteine / blood*. Humans. Male. Minerals / administration & ...
Intraocular pressure measurements obtained as part of a comprehensive geriatric health examination from cats seven years of age...7 years of age undergoing a routine comprehensive geriatric health examination. DESIGN: Prospective study. ANIMALS: 538 cats ( ... Geriatric Assessment. Glaucoma / prevention & control, veterinary. Intraocular Pressure* / physiology. Male. Ocular ... Intraocular pressure measurements obtained as part of a comprehensive geriatric health examination from cats seven years of age ... OBJECTIVE: To determine intraocular pressure (IOP) in cats , or = 7 years of age undergoing a routine comprehensive geriatric ...
Practical Treatment of Wound Pain and Trauma: A Patient-Centered Approach. An Overview | Ostomy Wound ManagementComprehensive Geriatric Assessment. New York, NY: McGraw Hill; 2000:381-397.7. Herr KA, Mobily PR, Kohout FJ, et al. Evaluation ... Geriatrics Review Syllabus: A Core Curriculum in Geriatric Medicine, 4th ed. Dubuque, Ia.: Kendall/Hunt Publishing;1999.17. Ian ... Use of valid assessment tools is considered a low priority in assessment; greater reliance is placed on body language and ... American Geriatrics Society. J Am Geriatr Soc. 1998;46:635-651.32. Melzack R. The tragedy of needless pain. Sci Am. 1990;262:27 ...
Jerome Vincent Donnelly DO | Geriatrician | Western Springs, IL | Lifescript.comDo I need a comprehensive geriatric assessment?. *How do I plan for the future and maintain my ability to care for myself at ... Geriatrics differs from gerontology, the study of aging.. Who are geriatrics physicians and what do they do? Geriatrics ... Geriatric Doctor FAQs. What is geriatrics? Geriatrics focuses on the health of the elderly. Its goal is to provide health and ... Geriatrics physicians often have subspecialties. What are some of the most common subspecialties?. *Geriatric psychiatry - ...
British Geriatrics Society: The British Geriatrics Society (BGS) is the professional body of specialists in the health care of older people in the United Kingdom. Membership is drawn from doctors, nurses, allied health professionals, scientists and others practicing geriatric medicine and with a particular interest in the care of older people and the promotion of better health in old age.Frailty syndrome: Frailty is a common geriatric syndrome that embodies an elevated risk of catastrophic declines in health and function among older adults. Frailty is a condition associated with ageing, and it has been recognized for centuries.Bristol Activities of Daily Living Scale: The Bristol Activities of Daily Living Scale (BADLS) is a 20-item questionnaire designed to measure the ability of someone with dementia to carry out daily activities such as dressing, preparing food and using transport.Polypharmacy: thumbRehabilitation Research and Development Service: The Veterans Health Administration Office of Research and Development's Rehabilitation Research and Development (RR&D) Service funds research to improve or restore function in veterans who have become disabled because of injury or disease. As the population of Veterans with disabilities increases, in part, due to improved survival following catastrophic events, the need for research increases.European Society for Medical Oncology: ==About ESMO==Abbreviated mental test score: The abbreviated mental test score (AMTS) was introduced by Hodkinson in 1972 rapidly to assess elderly patients for the possibility of dementia. Its uses in medicine have become somewhat wider, e.Eco-Runner Team Delft: Eco-Runner Team DelftComorbidity: In medicine, comorbidity is the presence of one or more additional disorders (or diseases) co-occurring with a primary disease or disorder; or the effect of such additional disorders or diseases. The additional disorder may also be a behavioral or mental disorder.Age adjustment: In epidemiology and demography, age adjustment, also called age standardization, is a technique used to allow populations to be compared when the age profiles of the populations are quite different.Generalizability theory: Generalizability theory, or G Theory, is a statistical framework for conceptualizing, investigating, and designing reliable observations. It is used to determine the reliability (i.Rating scales for depression: A depression rating scale is a psychiatric measuring instrument having descriptive words and phrases that indicate the severity of depression for a time period. When used, an observer may make judgements and rate a person at a specified scale level with respect to identified characteristics.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.David Budescu: David Budescu is a psychologist and academic. He is the Anne Anastasi Professor of Psychometrics and Quantitative Psychology at Fordham University.Feasibility Study (The Outer Limits): "Feasibility Study" is an episode of The Outer Limits television show. It was first broadcast on 11 July 1997, during the third season.Time-trade-off: Time-Trade-Off (TTO) is a tool used in health economics to help determine the quality of life of a patient or group. The individual will be presented with a set of directions such as:Cognitive skill: Cognitive functioning is a term referring to a human’s ability to process to (thoughts) that should not deplete on a large scale in healthy individuals. Cognition mainly refers to things like memory, the ability to learn new information, speech, understanding of written material.Assay sensitivity: Assay sensitivity is a property of a clinical trial defined as the ability of a trial to distinguish an effective treatment from a less effective or ineffective intervention. Without assay sensitivity, a trial is not internally valid and is not capable of comparing the efficacy of two interventions.Global Risks Report: The Global Risks Report is an annual study published by the World Economic Forum ahead of the Forum’s Annual Meeting in Davos, Switzerland. Based on the work of the Global Risk Network, the report describes changes occurring in the global risks landscape from year to year and identifies the global risks that could play a critical role in the upcoming year.Temporal analysis of products: Temporal Analysis of Products (TAP), (TAP-2), (TAP-3) is an experimental technique for studyingGA²LENList of Parliamentary constituencies in Kent: The ceremonial county of Kent,Canadian Organ Replacement Registry: The Canadian Organ Replacement Registry CORR is a health organisation was started by Canadian nephrologists and kidney transplant surgeons in 1985 in order to develop the care of patients with renal failure. In the early 1990s data on liver and heart transplantation were added to the registry.Isabella Geriatric Center: Isabella Geriatric Center is a non-profit, non-sectarian organization that has provided residential and community-based services for elderly residents of New York City since 1875. The main campus is located in the Washington Heights neighborhood of Manhattan at 515 Audubon Avenue at the corner of 190th Street.Royal National Orthopaedic Hospital: The Royal National Orthopaedic Hospital (informally the RNOH) is a specialist orthopaedic hospital located in Greater London, United Kingdom and a part of Royal National Orthopaedic Hospital NHS Trust. It provides the most comprehensive range of neuro-musculoskeletal health care in the UK, including acute spinal injury, complex bone tumour treatment, orthopaedic medicine and specialist rehabilitation for chronic back pain.Home of the future: The home of the future, similar to the office of the future, is a concept that has been popular to explore since the early 20th century, or perhaps earlier. There have been many exhibits, such as at World's Fairs and theme parks, purporting to show how future homes will look and work, as well as standalone model "homes of the future" sponsored by builders, developers, or technology companies.Emergence deliriumPostoperative cognitive dysfunction: Postoperative cognitive dysfunction (POCD) is a short-term decline in cognitive function (especially in memory and executive functions) that may last from a few days to a few weeks after surgery. In rare cases, this disorder may persist for several months after major surgery.
(1/2563) Association between serum fructosamine and mortality in elderly women: the study of osteoporotic fractures.
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)
(2/2563) Characteristics of discrepancies between self-reported visual function and measured reading speed. Salisbury Eye Evaluation Project Team.
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)
(3/2563) Outcomes of routine testing of liver enzymes in institutionalized geriatric patients.
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)
(4/2563) Outcome measures for routine use in dementia services: some practical considerations.
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)
(5/2563) Strategies to improve the quality of oral health care for frail and dependent older people.
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)
(6/2563) Staff and patient feedback in mental health services for older people.
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)
(7/2563) Identification and assessment of high-risk seniors. HMO Workgroup on Care Management.
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)
(8/2563) A population-based study of environmental hazards in the homes of older persons.
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)
- Essentials of Geriatric Psychiatry by Dan G. Blazer. (ebay.com.au)
- item 2 - Essentials of Geriatric Psychiatry Blazer, Dan G. (Editor)/ Steffens, David C. (ebay.com.au)
- Essentials of Geriatric Psychiatry, Second Edition, distills the main concepts from The American Psychiatric Publishing Textbook of Geriatric Psychiatry, Fourth Edition, thoroughly covering t only a wide range of important mental disorders of the elderly but also the so-called rmal biological, social, and behavioral effects of aging. (ebay.com.au)
- Essentials of Geriatric Psychiatry is organized into sections devoted to the basic science underlying geriatric psychiatry and to the evaluation, presentation, and treatment of the most common psychiatric disorders in the elderly -- from mood disorders and anxiety to schizophrenia and circadian rhythm disorders. (ebay.com.au)
- The Second Edition of Essentials of Geriatric Psychiatry is a must-have reference for geriatric psychiatrists and psychologists and other practicing clinicians, residents in training, psychiatric nurses, social workers, and researchers. (ebay.com.au)
- Dan G. Blazer, M.D., Ph.D., is J. P. Gibbons Professor of Psychiatry in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center in Durham, North Carolina.David C. Steffens, M.D., M.H.S., is Professor in the Department of Psychiatry and Behavioral Sciences at Duke University Medical Center in Durham, North Carolina and President-elect of the American Association for Geriatric Psychiatry. (ebay.com.au)
- The faculty of the Hospital of the University of Pennsylvania section of geriatric psychiatry specialize in the diagnosis and treatment of mental illness in older adults. (upenn.edu)
- Geriatric psychiatry is designed to address the specific difficulties faced by older adults, including higher incidences of depression, isolation and dependence on other family members. (atlantichealth.org)
- Inpatient geriatric psychiatry services are available at Morristown Medical Center, Newton Medical Center and Overlook Medical Center. (atlantichealth.org)
- Among the additional topics considered are - Neuropsychological assessment and its role in the diagsis of dementia and in differentiating among various cognitive disorders. (ebay.com.au)
- Our staff of psychiatrists, nurses and social workers can evaluate older adults to determine if they are suffering from psychosis , depression, geriatric dementia , anxiety, delirium and other cognitive conditions or mood disturbances. (atlantichealth.org)
- Approaches to assessment, diagsis, prevention, and management of delirium, with emphasis on npharmacological interventions as the first line of treatment. (ebay.com.au)
- At Atlantic Behavioral Health, we provide services to improve the health and restore the quality of life of geriatric patients. (atlantichealth.org)
- Because the symptoms of late-life mental illness may be a continuation of a long-standing condition or the presentation of a new one, an initial assessment begins with a thorough medical, psychiatric, family, and social history. (upenn.edu)