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My Geriatrics

Mahadevan R Rajasekaran, Johnny Fu, My-Uyen Lilly Nguyen, Yaozhi Wang, Michael Albo, Valmik Bhargava
AIMS: Prior studies demonstrate increased incidence of urinary incontinence (UI) in the geriatric population which affects their quality of life. Pathophysiology of UI in the geriatric population and the underlying molecular mechanisms are still unclear. To elucidate these mechanisms, we performed a pre-clinical study in a rabbit model and the objectives were to (i) determine the effect of aging as well as multiparity on urethral sphincter muscle thickness and urethral closing pressure (UCP); (ii) examine the role of fibrosis and atrophy; and (iii) elucidate the molecular pathways that mediate fibrosis and atrophy in the urethral tissue...
December 21, 2018: Neurourology and Urodynamics
Hiroko Komatsu, Kaori Yagasaki, Hisashi Kida, Yoko Eguchi, Hidehito Niimura
PURPOSE: Current healthcare systems are not suitable for serving future societies in which the oldest old are commonplace. The objective of this study was to understand what the oldest old care most about in their daily lives. METHODS: Semi-structured in-depth interviews and thematic analysis were used. Face-to-face interviews were conducted in 17 elderly residents (≥ 95 years) of Arakawa-ku, Tokyo, Japan from July to November 2017. RESULTS: Three themes emerged from the interview responses: "unshakable beliefs and social ties," "natural acceptance," and "my day-to-day life with precious moments...
December 2018: International Journal of Qualitative Studies on Health and Well-being
Sharon K Inouye
This article is based on the M. Powell Lawton Award Lecture that I delivered at the 2016 Gerontological Society of America Annual Meeting. I provide an overview of my journey in geriatric medicine and delirium research. I created new measures, including the Confusion Assessment Method, for identification of delirium; conceptualized a multifactorial risk model; and developed and tested intervention strategies for delirium prevention. The Hospital Elder Life Program arose from this work. In addition, like Dr...
March 2018: Journal of the American Geriatrics Society
M My Tse, R Yc Kwan, J L Lau
INTRODUCTION: The increasing longevity of people with intellectual disability is testimony to the positive developments occurring in medical intervention. Nonetheless, early-onset age-related issues and concerns cause deterioration of their overall wellbeing. This paper aimed to explore the issues and concerns about individuals with intellectual disability as they age. METHODS: Articles that discussed people older than 30 years with an intellectual disability and those that identified ageing health issues and concerns were included...
February 2018: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Martial Coutaz
Will my patient actually benefit from the medication that I've prescribed? Faced with an elderly, frail patient, the family doctor is often confronted by this dilemma. This article reviews the evidence that can assist clinicians in determining the best approach to treating diabetes, hypertension and hyperlipidemia in elderly patients, by defining treatment goals specific to each patients' functional and cognitive capacities. Avoiding hypoglycemia and hypotension, with all of their consequences, must remain the highest priority driving objectives for optimal management of diabetes and hypertension in the geriatric population...
November 8, 2017: Revue Médicale Suisse
Genna Holder, Brent Salvig
With the baby boomer population anticipated to explode between 2010 and 2030, it is essential that student pharmacists learn how to properly care for older patients. One way for pharmacy students to prepare for providing health care to the elderly is to partake in an Advanced Pharmacy Practice Experience (APPE) elective course in geriatrics. Pharmacy students, and health care professionals in general, have an immense amount of information available to them that is not found in a patient's chart or textbook, but can be uncovered through increased social interaction with patients, promoting the best possible care...
August 1, 2017: Consultant Pharmacist: the Journal of the American Society of Consultant Pharmacists
Elaine Mahon

My earliest memories of family dinners include conversations shared by my parents about patient catheters or diseases, entertaining patient anecdotes, and the relationship between nurses and doctors. As I grew up, my two older sisters added their own stories from their clinical nursing experiences. My mother has a doctorate of nursing science, my father is physician board certified in internal medicine and geriatrics, and both of my older sisters are nurses pursuing graduate degrees. My family has never been one to talk about sports or business; we always talked health and disease...
October 1, 2017: Clinical Journal of Oncology Nursing
Layla Haidrani
What is your job? I am a commissioner and a nurse, which means I have roles, such as clinical audit, that other commissioners do not have. My job involves assessing the needs of the local population, looking for gaps and filling these with the appropriate services.
May 31, 2017: Nursing Older People
Layla Haidrani
Why did you become a nurse? I had a career in banking which was well paid and exciting, but essentially unrewarding. My neighbours were both nurses and suggested it might suit me.
April 28, 2017: Nursing Older People
Alessandro Blasimme
Physical frailty and loss of muscular mass (sarcopenia) are believed to be predictors of age-related conditions, such as disability and loss of autonomy. In this paper, I show that what in political and moral philosophy has come to be known as "the capability approach" may indeed provide much needed conceptual clarification in the area of frailty research. Other than being useful at the theoretical level, the capability approach can definitely help in the implementation of clinical guidelines and public health measures aimed at translating the results that are accumulating from frailty research...
February 2017: Aging Clinical and Experimental Research
Chiara S Haller, Cecile Delhumeau, Michael De Pretto, Rahel Schumacher, Laura Pielmaier, Marie My Lien Rebetez, Guy Haller, Bernhard Walder
OBJECTIVE: The objective was to investigate disability and health-related quality-of-life (HRQoL) 3, 6 and 12 months after traumatic brain injury (TBI) in non-geriatric (≤ 65 years) and geriatric patients (> 65 years). METHODS: Patients ≥ 16 years who sustained a severe TBI (Abbreviated Injury Scale of the head region > 3) were included in this prospective, multi-centre study. Outcome measures were Glasgow Outcome Scale Extended (GOSE; disability), SF-12 (HRQoL)...
2017: Brain Injury: [BI]
Karen I Fredriksen-Goldsen
Historical, environmental, and cultural contexts intersect with aging, sexuality, and gender across communities and generations. My scholarship investigates health and well-being over the life course across marginalized communities, including LGBTQ (lesbian, gay, bisexual, transgender, and queer) midlife and older adults, native communities experiencing cardiovascular risk, and families in China living with HIV, in order to balance the realities of unique lives in contemporary society. By probing the intersection of age, sexuality, and gender, my analysis is informed by both personal and professional experiences...
February 2017: Gerontologist
J R Gladman
Over the decades, as the principles of comprehensive geriatric assessment have been established, there have been attempts to apply its principles to settings other than acute hospital medical wards or the general communitydwelling older population, for example, to other settings where older people with infirmity are found. The purpose of this paper is to describe and reflect upon the application of and evidence for comprehensive geriatric assessment in these new settings and give some advice to clinicians about how to optimise their contributions to these processes...
September 2016: Journal of the Royal College of Physicians of Edinburgh
Stacy M Madaus, Lionel S Lim
Chronic pain is an international healthcare crisis that affects an estimated 1.5 billion individuals worldwide, but pain management is not emphasized in the medical school curriculum, and thus supplemental education is essential. The Portal of Geriatric Online Education (POGOe) is a free repository of teaching modules for use by geriatric educators and learners. This article highlights three teaching modules available on this site: It's My Old Back Again: An Approach to Diagnosing and Managing Back Pain in the Older Adult (POGOe ID: 21670), Computer Based Learning Workbook, Third Edition module on Pain Management (POGOe ID: 21036), and Aging Q3 Curriculum on Pain Management of Older Adult Patients (POGOe ID: 21187)...
October 2016: Journal of the American Geriatrics Society
Janet Smith
To my great joy, on Easter Saturday I became a grandmother. But as a nurse specialising in the care of elderly people I must confess it presented me I with something of an identity crisis. The stereotyped ideas about old age suddenly seem very close to home and I don't much like the tag 'Granny Smith' (would you?). All the arguments about that much abused word 'geriatric' have come into sharp focus in my mind.
May 28, 1988: Nursing Standard
Sachin Nagar, Nicola Davey
Stat medications are regularly prescribed on hospital wards as part of the ongoing care for patients. Because they are prescribed at variable times that do not coincide with regular nursing drug administration times, they rely on good communication and vigilance on staff to ensure they are administered in a timely manner. Delays in drug administration can lengthen patient recovery times, prolong admission, and can lead to avoidable patient harm and suffering. While working on a geriatrics ward I noticed that there were often significant delays in administration of stat medications which occurred on a regular basis...
2015: BMJ Quality Improvement Reports
A Wh Ho, M Ml Lee, E Wc Chan, H My Ng, C W Lee, W S Ng, S H Wong
INTRODUCTION: Sarcopenia and osteoporosis are age-related declines in the quantity of muscle and bone, respectively. Both contribute in disability, fall, and hip fracture in the elderly. This study reported the prevalence of sarcopenia in Chinese geriatric patients with hip fracture, and the correlation between relative appendicular skeletal muscle mass index and other factors. METHODS: This case series was conducted in Kowloon West Cluster Orthopaedic Rehabilitation Centre in Hong Kong...
February 2016: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
Andrea Ungar, Martina Rafanelli
Falling is one of the major geriatric syndromes, with a multi-factorial pathogenesis due to age-related changes, pathological conditions and environmental hazards. Such a multi-factorial syndrome needs a standardized approach aimed at identifying risk factors. A comprehensive loco-motor, gait and standing balance, cardiovascular and neurological assessment, as well as a drugs regimens review, should be part of the routinely approach. Modification of environmental hazards, exercise training, behavioral and pharmacological treatment of specific diseases which can be the leading cause of falls, should all be part of an individualized intervention...
November 2015: Journal of Geriatric Oncology
Simon Menny
No abstract text is available yet for this article.
2015: Krankenpflege. Soins Infirmiers
Marc Bourgeois
No abstract text is available yet for this article.
April 2015: Canadian Nurse
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