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-operative care are to treat elderly patients in a timely, digni?ed manner, and to optimise reha- bilitation by avoiding postoperative complications. Effective peri-operative care improves the likelihood of very elderly surgical patients returning to their same pre-morbid place of residence, and maintains the continuity of their community care when in hospital. 6 Postoperative delirium is common, but underdiagnosed, in elderly surgical patients, and delays rehabilitation. Multimodal intervention (...) strategies are recommended for preventing postoperative delirium. 7 Peri-operative pain is common, but underappreciated, in elderly surgical patients, particularly if they are cogni- tively impaired. Anaesthetists should administer opioid-sparing analgesia where possible, and follow published guidance on the management of pain in older people. 8 Elderly patients should be assumed to have the mental capacity to make decisions about their treatment. Good communication is essential to this process
to develop a broader and deeper understanding of topics or issues that were most salient to residents of a South-West German community by exploring their perceptions of needs, challenges, barriers and existing resources related to health and well-being.As an initial step of a multi-year community-based participatory research project, we conducted semi-structured interviews with key informants (n = 30) from various community settings (e.g., child care, elderly care, businesses, non-profit organizations (...) Identification of starting points to promote health and wellbeing at the community level - a qualitative study. As health is influenced by the social, economic and environmental conditions in which individuals live, local communities are an ideal setting to promote health and wellbeing. However, up to now various health promotion interventions at the community level have had limited success, perhaps related to an incomplete understanding of local contexts and priorities. We therefore aimed
to raise awareness on its usage and to provide policy recommendations to address the problem.This study employed qualitative methods, including in-depth interviews with 18 drug suppliers and 16 community members, and six focus group discussions. It included inventories from 17 drug suppliers. Data were collected in selected communities of the Kanchanaburi Demographic Surveillance System, located in the western region of Thailand.Thematic analysis was based upon the Health Services Utilization Model (...) were identified as factors that enable access and use of Yaa Chud.Though illegal in Thailand, Yaa Chud is likely to remain available for self-medication by community members, due to the persisting demand by the elderly and migrant workers. There is an urgent need to replace these mixed medications with better choices. Safer Yaa Chud may be a preferred, first-line health-care option, which could help reduce congestion in the formal health-care setting. At the same time, enforcement of regulatory
Prevalence of geriatric depression in the Kavre district, Nepal: Findings from a cross sectional community survey. The increasing elderly population worldwide is likely to increase mental health problems such as geriatric depression, which has mostly been studied in high-income countries. Similar studies are scarce in low-and-middle-income-countries like Nepal.A cross-sectional, population-based, door-to-door survey was conducted in randomly selected rural and urban population clusters (...) 2.1), limited time provided by families (AOR 1.8), and exposure to verbal and/or physical abuse (AOR 2.6).Geriatric depression is highly prevalent in Kavre, Nepal. The findings call for urgent prioritization of delivery of elderly mental health care services in the country.
) first phase, followed by a qualitative study with focus group interviews (n = 23) to explore the needs and acceptance of community-dwelling aged people concerning the application of robot technology in their daily lives.The scores concerning the need for and acceptance of robot services to assist daily living performance were high, at 7.2 and 7.9 out of 10 points, respectively. Further, for both needs and acceptance, timely reaction to emergency situations, early detection of emergency situations (...) , transportation, using phones, and preparing meals. If appropriate assistance technology is developed, this population can maintain its independence. Thus, it is necessary to address main needs, including detecting and addressing emergency situations, locating objects, assisting mobility and memory recall, and assisting with daily living performance. New robot services that can be tailored to the functions or abilities of the elderly must be developed based on individually collected information.
Impact of social care on Hospital Admissions in a sample of community-dwelling older adults: results of a quasi-experimental study. The paper describes the impact on Hospital Admissions of a program targeting the community-dwelling older citizens with social interventions aimed at managing frailty and reducing social isolation.The study is quasi-experimental intervention program.A randomized sample made up by 207 participants (cases) to the Long Live the Elderly program is compared (...) in the first six months of follow up, of a Community-based Program aimed at increasing the social capital of older adults. Further studies with longer follow up are needed to confirm the study results in order to support the hypothesis that the future sustainability of health systems is partially linked to the increase of the social component of community care service.
US Veteran and military populations. Therefore, though we used selection criteria similar to those used in the reviews by Mann et al. and Gaynes et al., our review differs from these reviews in: 1) excluding observational studies, 2) excluding trials of community-based interventions, and 3) excluding trials conducted in countries dissimilar to the US. We classified studies as pharmacotherapy interventions, psychotherapy interventions, or referral and follow-up services. We defined interventions (...) Suicide Prevention Interventions and Referral/Follow-up Services Evidence-based Synthesis Program Department of Veterans Affairs Health Services Research & Development Service March 2012 Prepared for: Department of Veterans Affairs Veterans Health Administration Quality Enhancement Research Initiative Health Services Research & Development Service Washington, DC 20420 Prepared by: Evidence-based Synthesis Program (ESP) Center Portland VA Medical Center Portland, OR Devan Kansagara, M.D., M.C.R
[Study of urgent and emergency health services in the basque autonomous community: analysis and proposals for improvement] Estudio de las prestaciones sanitarias urgentes y emergentes en la Comunidad Autonoma Vasca: analisis y propuestas de mejora [Study of urgent and emergency health services in the basque autonomous community: analysis and proposals for improvement] Estudio de las prestaciones sanitarias urgentes y emergentes en la Comunidad Autonoma Vasca: analisis y propuestas de mejora (...) [Study of urgent and emergency health services in the basque autonomous community: analysis and proposals for improvement] Unanue JM, Perez I, Alcorta I, Gurruchaga MI, Lasa M, Arrese-Igor A, Bustinduy A, Esquisabel R, Medina I, Lopez A, Garcia S, Rojo M Citation Unanue JM, Perez I, Alcorta I, Gurruchaga MI, Lasa M, Arrese-Igor A, Bustinduy A, Esquisabel R, Medina I, Lopez A, Garcia S, Rojo M. Estudio de las prestaciones sanitarias urgentes y emergentes en la Comunidad Autonoma Vasca: analisis y
Factors limiting the Northeast Indian elderly population from seeking cataract surgical treatment: Evidence from Kolasib district, Mizoram, India Reliable data on the barriers to the uptake of cataract surgical services in the Northeast Indian states are scanty. The purpose of this study was to assess the barriers to uptake of cataract surgical services among elderly patients and suggest appropriate strategies to reduce these.A cross-sectional study was conducted among patients who failed (...) to avail cataract surgical services, 6-12 months' postinitial diagnosis at a community eye health camp. Validated questionnaire was used to collect information through face-to-face interviews at the residence of the participants. Descriptive statistics and Chi-square tests were conducted to assess the association between the barriers quoted and sociodemographic variables.A total of 140 (89.2%) individuals participated in the study, of whom 56 (40%) were aged between 71 and 80 years. The median age
, and to define key concepts for success.A mixed qualitative research model in four multidisciplinary teams for elderly care in the Netherlands was used. With these four teams, consisting of 46 health care and social service professionals, we carried out two rounds of focus-group interviews. Moreover, we performed semi-structured interviews with four GPs. We analysed data using a hybrid inductive/deductive thematic analysis.According to the health care and social service professionals in our study, the role (...) of GPs in multidisciplinary teams for elderly care was characterized by the ability to 'see the bigger picture'. We identified five key activities that constitute a successful GP role: networking, facilitating, team building, integrating care elements, and showing leadership. Practice setting and phase of multidisciplinary team development influenced the way in which GPs fulfilled their roles. According to team members, GPs were the central professionals in care services for older people
, Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Sampling Method: Non-Probability Sample Study Population Program of All-inclusive Care for the Elderly (PACE) is a Medicare-Medicaid program that provides comprehensive medical and supportive services to individuals >55 years of age who are certified by their state as needing nursing home care but are able to live safely in the community through PACE, as an alternative to institutionalization. Criteria Inclusion Criteria (...) Information provided by (Responsible Party): Tabula Rasa HealthCare Study Details Study Description Go to Brief Summary: The aim of this study is to retrospectively evaluate and describe the use of antipsychotics among participants enrolled in the Program of All-inclusive Care for the Elderly (PACE), a community-based practice setting. Condition or disease Behavioral and Psychiatric Symptoms of Dementia Detailed Description: Much national attention has been given to assessing and reducing the use
-promoting lifestyle (HPL) on health-related quality of life in elderly people with hypertension from a community health service center in Hengyang, Hunan, PR China.Totally 530 elderly patients with hypertension from the community health service center were included in this study, who were asked to fill in a questionnaire (504 patients responded). HPL was assessed by the health-promoting lifestyle profile II (HPLP-II), and HRQOL was measured by the Short Form Health Survey Questionnaire (SF-36).HPL among (...) correlated (P < .01). According to the standardized regression coefficients, the influencing factors for HRQOL included (in a descending order) the health responsibility, physical activity, interpersonal relationships, stress management, spiritual growth, and nutrition.HPL and HRQOL were both relatively poor in the elderly people with hypertension from the community health service center. HPL represents an important factor affecting HRQOL of elderly people with hypertension. HRQOL could be improved
Alzheimer Disease and Related Disorders and Out-of-Pocket Health Care Spending and Burden Among Elderly Medicare Beneficiaries. To estimate the excess burden of out-of-pocket health care spending associated with Alzheimer disease and related disorders (ADRD) among older individuals (age 65 y and older).We adopted a retrospective, cross-sectional study design with data from 2012 Medicare Current Beneficiary Survey. The study sample comprised of elderlycommunity-dwelling individuals who had (...) positive total health care expenditures, and enrolled in Medicare throughout the calendar year (462 with ADRD, and 7160 without ADRD). We estimated the per-capita total annual out-of-pocket spending on health care and out-of-pocket spending by service type: inpatient, outpatient, home health, prescription drugs, and other services. We measured out-of-pocket spending burden by calculating the percentage of income spent on health care and defined high out-of-pocket spending burden as having
Depression among the elderly population in Sohag governorate To determine the proportion of geriatric depression and factors associated with its occurrence among a sample of the elderly population in Sohag Governorate. Methods: A cross-sectional, community-based study was conducted from May 2016 to March 2017 with 1,027 elderly individuals (aged ≥60 years) living in Sohag Governorate, Egypt. A questionnaire was designed and included inquiries on socio-demographic variables (age, gender (...) , and residence) and the 15-item Geriatric Depression Scale (GDS-15) to determine the outcome variable, the presence of depression, among the studied elderly population. Results: About two-thirds (62.7%) of participants suffered from depression. Regarding depression levels, 450 (43.8%) participants had mild depression with GDS-15 scores between 5 and 8, and 18.9% of participants had moderate depression, represented by GDS-15 scores between 9 and 11. No participants had severe depression. Applying logistic
and Nutrition Examination Survey (KNHANES), Korea Community Health Survey (KCHS) and National Health Insurance Service-National Sample Cohort (NHIS-NSC). We investigated annual asthma prevalence, evaluating the rate and risk factors of asthma exacerbation by age and sex, and clinical data of 1,832 patients with asthma who were registered in the Cohort for Reality and Evolution of Adult Asthma in Korea (COREA) were analyzed to elucidate risk factors for asthma exacerbation. We also analyzed another asthma (...) High Prevalence of Asthma in Elderly Women: Findings From a Korean National Health Database and Adult Asthma Cohort The prevalence and burden of asthma is increasing worldwide. In this study, we analyzed 3 different Korean national health survey datasets to determine the general features of adult asthma in Korea and to obtain basic information that would support future strategies for better management of adult asthma.The surveys used in this study included the Korea National Health
Music Interventions for Dementia and Depression in Elderly Care Music Interventions for Dementia and Depression in Elderly Care - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Music Interventions (...) for Dementia and Depression in Elderly Care (MIDDEL) The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. of clinical studies and talk to your health care provider before participating. Read our for details. ClinicalTrials.gov Identifier: NCT03496675 Recruitment Status : Recruiting First Posted : April 12, 2018 Last Update Posted : July 24, 2018 See Sponsor: NORCE
Volunteers: No Criteria Inclusion Criteria: Elderly person with 60 years of age or older; Diagnosis of mild or major neurocognitive disorder, performed by a physician specialized in neurology or psychiatry, or who is validated by the family physician in accordance with DSMIII/IV/5 or ICD-9/10 criteria; Presence of mild to moderate cognitive impairment according to the 6-Item Cognitive Decline Test (6CIT); Capable of communicating and understanding communication; Without a physical illness or significant (...) disability (eg elderly people who are on dialysis or bedridden); Living in the community (in their home); Have an informal caregiver available and able to develop the individual cognitive stimulation program. Exclusion Criteria: Elderly / informal caregiver with a history of severe psychiatric illness diagnosed before 60 years of age; Informal caregiver with cognitive impairment, even if mild (mild PNC according to DSM-5 criteria); Elderly people who do not live in their home. Contacts and Locations Go
by (Responsible Party): Yu-ming Chen, Sun Yat-sen University Study Details Study Description Go to Brief Summary: Objective: The Nanshan Elderly Cohort Study (NECS) aims to investigate the nutritional, as well as other environmental and genetic factors of chronic diseases, such as cardio-metabolic diseases. Study design: NECS is a community-based prospective cohort study. Participants: About 10000-20000 apparently healthy residents, living in Nanshan， Shenzhen (South China) for >5 years, aged ≥ 65 years (...) , will be recruited between 2018 and 2019. Visits and Data Collection: Participants will be followed up approximately every 3 years by invited to the Community Healthcare Service Centre. At each survey, face-to-face interviews, anthropometric measurements, ultrasonography examination, electrocardiogram test and specimen collection will be conducted. Key variables: Face-to-face interviews: Structured questionnaires will be used to collect the participants' socio-demographic characteristics, lifestyles, habitual
Model: Crossover Assignment Masking: None (Open Label) Primary Purpose: Health Services Research Official Title: Effect of Tai Chi on Functional Fitness of Elderly Patients With Degenerative Arthritis Actual Study Start Date : December 1, 2017 Actual Primary Completion Date : February 28, 2018 Actual Study Completion Date : February 28, 2018 Resource links provided by the National Library of Medicine related topics: related topics: Arms and Interventions Go to Arm Intervention/treatment Experimental (...) provided below. For general information, Layout table for eligibility information Ages Eligible for Study: 65 Years to 100 Years (Older Adult) Sexes Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Elderly persons aged 65 or above who actively participate in community activities awareness MMSE score ≧ 25 and can use the Chinese, Taiwanese fluent communication can stand for more than 60 minutes and the Kirsley scale for the second to zero level. Exclusion Criteria