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Geriatrie si gerontologie

Jurnale medicale Geriatrie si gerontologie

6 Februarie 2015 12:00
Background: Individual Cognitive Stimulation Therapy (iCST) is a one to one, carer led psychosocial intervention for people with dementia, adapted from group Cognitive Stimulation Therapy (CST). It is increasingly recognised that involving service users in research is key to developing interventions mai mult
BMC Geriatrics - Latest Articles
6 Februarie 2015 12:00
Background: Escalating numbers of people are experiencing dementia in many countries. With increasing consumer needs, there is anticipated growth in the numbers of people providing diagnostic evaluations, treatments, and care. Ensuring a consistent and contemporary understanding of dementia across a mai mult
BMC Geriatrics - Latest Articles
27 Ianuarie 2015 08:00
Background: High-risk medication exposure in the elderly is common and associated with increased mortality, hospitalizations, and emergency department (ED) visits. Skeletal muscle relaxants and antihistamines are high-risk medications commonly prescribed in elderly patients. The objective of this st mai mult
BMC Geriatrics - Latest Articles
5 Ianuarie 2015
Background: Globally, the population is ageing and lives with several chronic diseases for decades. A high symptom burden is associated with a high use of healthcare, admissions to nursing homes, and reduced quality of life. The aims of this study were to describe the multidimensional symptom profil mai mult
BMC Geriatrics - Latest Articles
7 Ianuarie 2015
Background: There is emerging evidence that the physical environment is important for health, quality of life and care, but there is a lack of valid instruments to assess health care environments. The Sheffield Care Environment Assessment Matrix (SCEAM), developed in the United Kingdom, provides a c mai mult
BMC Geriatrics - Latest Articles
30 Decembrie 2014
Background: Muscular power is an important aspect of many activities of daily living and declines at a faster rate than other fitness parameters (i.e. muscular strength and endurance). Assessing muscular power among older adults is problematic as many of the popular tests are contraindicated among o mai mult
BMC Geriatrics - Latest Articles
19 Decembrie 2014
Background: Although ageing is strongly associated with cognitive decline, a wide range of cognitive ability is observed in older populations with varying rates of change across different cognitive domains.ObjectiveWe report the distribution of cognitive function in different cognitive domains by ag mai mult
BMC Geriatrics - Latest Articles
20 Decembrie 2014
Background: The objective of this study was to investigate if application of United Kingdom National Osteoporosis Society (UK-NOS) triage approach, using calcaneal quantitative ultrasound (QUS), phalangeal radiographic absorptiometry (RA), or both methods in combination, for identification of women mai mult
BMC Geriatrics - Latest Articles
23 Decembrie 2014
Background: This study was conducted to determine the prevalence of a low appendicular skeletal muscle index (ASMI) using three cut-off points (mean ASMI-2SD of a gender-specific young reference group (aged 18-39 years), mean ASMI-1SD of a gender-specific young reference group, and the lower 20 perc mai mult
BMC Geriatrics - Latest Articles
18 Decembrie 2014
Background: As a result of the ageing population, there is an urgent need for innovation in community health-care in order to achieve sustainability. Reablement is implemented in primary care in some Western countries to help meet these challenges. However, evidence to support the use of such home-b mai mult
BMC Geriatrics - Latest Articles
18 Decembrie 2014
Background: The impact of gender on functional outcomes after hip fracture is not known. We aimed to determine the extent to which gender influenced functional outcome and response to an exercise program in older people after hip fracture, and to determine if any differences persisted after adjustin mai mult
BMC Geriatrics - Latest Articles
19 Decembrie 2014
Background: The detection of incipient functional decline in elderly persons is not an easy task. Here, we propose the self-reporting Functional Ability Index (FA index) suitable to screen functional competence in senior citizens in the community setting. Its prognostic validity was investigated in mai mult
BMC Geriatrics - Latest Articles
17 Decembrie 2014
Background: There is evidence of under-detection and poor management of pain in patient with dementia, in both long-term and acute care. Accurate assessment of pain in people with dementia is challenging and pain assessment tools have received considerable attention over the years, with an increasin mai mult
BMC Geriatrics - Latest Articles
16 Decembrie 2014
Background: Insight into factors that influence antibiotic prescribing is crucial when developing interventions aimed at a more rational use of antibiotics. We examined factors that influence antibiotic prescribing in long-term care facilities, and present a conceptual model that integrates these fa mai mult
BMC Geriatrics - Latest Articles
16 Decembrie 2014
Background: Diabetes mellitus is a potent risk factor for urinary incontinence. Previous studies of incontinence in patients with diabetes have focused on younger, healthier patients. Our objective was to characterize risk factors for urinary incontinence among frail older adults with diabetes melli mai mult
BMC Geriatrics - Latest Articles
15 Decembrie 2014
Background: Exercise interventions often do not combine physical and cognitive training. However, this combination is assumed to be more beneficial in improving walking and cognitive functioning compared to isolated cognitive or physical training. Methods: A multicenter parallel randomized controlle mai mult
BMC Geriatrics - Latest Articles
15 Decembrie 2014
Background: In the older population falls are a common problem and a major cause of morbidity, mortality and functional decline. The etiology is often multifactorial making the identification of fall predictors essential for preventive measures. Despite this knowledge, data on falls within the older mai mult
BMC Geriatrics - Latest Articles
15 Decembrie 2014
Background: The current diagnosis-oriented approach of dizziness does not suit older patients. Often, it is difficult to identify a single underlying cause, and when a diagnosis is made, therapeutic options may be limited. Identification of predictors of dizziness may provide new leads for the manag mai mult
BMC Geriatrics - Latest Articles
3 Decembrie 2014
Background: Comprehensive Geriatric Assessment (CGA) provides detailed information on clinical, functional and cognitive aspects of older patients and is especially useful for assessing frail individuals. Although a large proportion of hospitalized older adults demonstrate a high level of complexity mai mult
BMC Geriatrics - Latest Articles
3 Decembrie 2014
Background: The risk factors associated with fractures have been well-characterized in community dwelling populations, but have not been clearly defined in long-term care (LTC) settings. The objective of this review was to identify risk factors for fractures in LTC settings. Methods: We searched MED mai mult
BMC Geriatrics - Latest Articles
4 Decembrie 2014
Background: Risk factors for hip fracture are well studied because of the negative impact on patients and the community, with mortality in the first year being almost 30% in the elderly. Age, gender and fall risk-increasing drugs, identified by the National Board of Health and Welfare in Sweden, are mai mult
BMC Geriatrics - Latest Articles
5 Decembrie 2014
Background: Nursing homes are important locations for palliative care. Through comprehensive geriatric assessments (CGAs), evaluations can be made of palliative care needs of nursing home residents. The interRAI Palliative Care instrument (interRAI PC) is a CGA that evaluates diverse palliative care mai mult
BMC Geriatrics - Latest Articles
3 Decembrie 2014
Background: Since more people are reaching older and older ages, healthcare systems are becoming in need of more and more knowledgeable nurses to meet the specific health care needs of older persons. Several instruments exist to measure and evaluate students' knowledge of older persons, ageing, and mai mult
BMC Geriatrics - Latest Articles
1 Decembrie 2014
Background: This paper reports a cluster analysis of a sample recruited from a randomized controlled trial that explored the effect of using a life story work approach to improve the psychological outcomes of older people in the community. Methods: 238 subjects from community centers were included i mai mult
BMC Geriatrics - Latest Articles
28 Noiembrie 2014
Background: Older persons' right to exercise self-determination in daily life is supported by several laws. Research shows that older persons' self-determination is not fully respected within the healthcare sector. In order to enable and enhance older persons' self-determination, extensive knowledge mai mult
BMC Geriatrics - Latest Articles
26 Noiembrie 2014
Background: A restriction in functional capacity occurs in all hip fractures and a variety of factors have been shown to influence patient functional outcome. This study sought to provide new and comprehensive insights into the role of factors influencing functional recovery six months after an acci mai mult
BMC Geriatrics - Latest Articles
27 Noiembrie 2014
Background: Frailty is a highly prevalent condition in old age leading to vulnerability and greater risk of adverse health outcomes and disability. Detecting and tackling frailty at an early stage can prevent disability. The purpose of this study is to evaluate the effectiveness of a multifactorial mai mult
BMC Geriatrics - Latest Articles
24 Noiembrie 2014
Background: In many countries, primary care physicians determine whether or not older drivers are fit to drive. Little, however, is known regarding the effects of cognitive decline on driving performance and the means to detect it. This study explores to what extent the trail making test (TMT) can p mai mult
BMC Geriatrics - Latest Articles
21 Noiembrie 2014
Background: Benzodiazepines and related drugs affect physical functioning negatively and increase fall and fracture risk. As impaired muscle strength and balance are risk factors for falls, we examined the effects of hypnotic withdrawal on handgrip strength and balance in older adult outpatients dur mai mult
BMC Geriatrics - Latest Articles
21 Noiembrie 2014
Background: Non-pharmacological interventions are expected to be important strategies for reducing the age-adjusted prevalence of senile dementia, considering that complete medical treatment for cognitive decline has not yet been developed. From the viewpoint of long-term continuity of activity, it mai mult
BMC Geriatrics - Latest Articles
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