Latest & greatest articles for geriatrics

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Top results for geriatrics

1. Falls in older people: assessing risk and prevention

to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 4 of 31This guideline replaces CG21. This guideline is the basis of QS86. Introduction Introduction This guideline updates and replaces 'Falls' (NICE guideline CG21). The recommendations are labelled according to when they were originally published (see about this guideline for details). Falls and fall-related injuries are a common and serious problem for older people. People aged 65 and older have the highest (...) . Who this guideline is for This document is for healthcare and other professionals and staff who care for older people who are at risk of falling. Populations covered by this guideline All people aged 65 or older are covered by all guideline recommendations. This is because people aged 65 and older have the highest risk of falling. According to the guideline recommendations, all people 65 or older who are admitted to hospital should be considered for a multifactorial assessment for their risk

2013 National Institute for Health and Clinical Excellence - Clinical Guidelines

2. Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer's-Type Dementia

studies used multidomain interventions, and potentially none have explored the possibility of cumulative or synergistic effects. Timing and measurement choices affect cognitive decline prevention studies. Researchers can recruit participants at any point along the cognitive continuum. Various proposed strategies target young and middle-aged adults with no evidence of cognitive decline, older adults worried about age-related changes, people with documented MCI, and those with major neurocognitive (...) Studies 13 Data Synthesis 13 Assessing the Strength of Evidence for Major Comparisons and Outcomes 14 Assessing Applicability 15 Peer Review and Public Commentary 15 Chapter 3. Search Results 16 Chapter 4A. Results: Cognitive Training 18 Key Messages 18 Eligible Studies 18 Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Trial 18 Other Studies 24 Effect of Training on Adults With Normal Cognition 25 Effect of Training on People With Mild Cognitive Impairment 30 Interpreting

2017 Effective Health Care Program (AHRQ)

3. Systematic review of needs for medical devices for ageing populations

burdens on the provision of health care services to this demographic. Many medical devices are available that may benefit elderly people, although these devices may be expensive or may not be available in all countries. These factors impede equitable access to medical devices. The clinical focus of this report has been defined as the five health conditions that cause the greatest loss of disability-adjusted life-years (DALYs) for older people (defined as people aged 60–79 years) in the Western Pacific (...) report is a literature-based systematic review of needed medical devices. It is intended that this report will inform future research, with the aim of determining the need for medical devices and thus improving access of elderly people to needed devices across the Western Pacific Region. 1.1 THE GLOBAL AND REGIONAL CHALLENGE OF AN AGEING POPULATION The proportion of the population classified as older is growing worldwide. Current data suggest that approximately one in nine people is aged 60 years

2015 Publication 80

4. Interventions to Prevent Age-Related Cognitive Decline, Mild Cognitive Impairment, and Clinical Alzheimer's-Type Dementia

studies used multidomain interventions, and potentially none have explored the possibility of cumulative or synergistic effects. Timing and measurement choices affect cognitive decline prevention studies. Researchers can recruit participants at any point along the cognitive continuum. Various proposed strategies target young and middle-aged adults with no evidence of cognitive decline, older adults worried about age-related changes, people with documented MCI, and those with major neurocognitive (...) Studies 13 Data Synthesis 13 Assessing the Strength of Evidence for Major Comparisons and Outcomes 14 Assessing Applicability 15 Peer Review and Public Commentary 15 Chapter 3. Search Results 16 Chapter 4A. Results: Cognitive Training 18 Key Messages 18 Eligible Studies 18 Advanced Cognitive Training for Independent and Vital Elderly (ACTIVE) Trial 18 Other Studies 24 Effect of Training on Adults With Normal Cognition 25 Effect of Training on People With Mild Cognitive Impairment 30 Interpreting

2017 Effective Health Care Program (AHRQ)

5. Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years

, and relatively narrow microbiologic spectrum. For children aged 2 years or older with uncomplicated acute bacterial sinusitis that is mild to moderate in degree of severity who do not attend child care and who have not been treated with an antimicrobial agent within the last 4 weeks, amoxicillin is recommended at a standard dose of 45 mg/kg per day in 2 divided doses. In communities with a high prevalence of nonsusceptible S pneumoniae (>10%, including intermediate- and high-level resistance), treatment may (...) Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years Clinical Practice Guideline for the Diagnosis and Management of Acute Bacterial Sinusitis in Children Aged 1 to 18 Years | From the American Academy of Pediatrics | Pediatrics '); document.write(''); } function OAS_AD(pos) { if (OAS_version >= 11 && typeof(OAS_RICH)!='undefined') { OAS_RICH(pos); } else { OAS_NORMAL(pos); } } //--> Search for this keyword Source User menu

2013 American Academy of Pediatrics

6. Addressing Social Isolation To Improve the Health of Older Adults: A Rapid Review

) of interest for this review (Table 1). Table 1. Inclusion and exclusion criteria PICOTS Inclusion/Exclusion Criteria Population Include: Older adults (Medicare or retirement age [60 years or older]), community dwelling Exclude: People less than 60 years of age, exclusively focused on a single health condition (physical or sensory disability, specific mental illness, etc.), non-community dwelling (nursing home, institutional setting, etc.), exclusively focused on a specific subpopulation (indigenous (...) isolation and low support are particularly concerning for older adults. The population of the United States is aging, with the number of adults aged 65 and older growing from 35 million in 2000 to 49.2 million in 2016. 4 Older adults are at higher risk for being socially isolated due to age-related changes in health and social connections, such as limitations to hearing and vision, reduced mobility, and loss of family and friends. 1 These changes can contribute to social isolation and loneliness

2019 Effective Health Care Program (AHRQ)

7. 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults

. Racial and Ethnic Differences in Treatment e61 10.2. Sex-Related Issues e61 10.2.1. Women e62 10.2.2. Pregnancy e62 10.3. Age-Related Issues e63 10.3.1. Older Persons e63 10.3.2. Children and Adolescents e64 11. Other Considerations e64 11.1. Resistant Hypertension e64 11.2. Hypertensive Crises—Emergencies and Urgencies e65 11.3. Cognitive Decline and Dementia e68 11.4. Sexual Dysfunction and Hypertension e69 11.5. Patients Undergoing Surgical Procedures e69 12. Strategies to Improve Hypertension (...) , American Academy of Physician Assistants (AAPA), Association of Black Cardiologists (ABC), American College of Preventive Medicine (ACPM), American Geriatrics Society (AGS), American Pharmacists Association (APhA), American Society of Hypertension (ASH), American Society for Preventive Cardiology (ASPC), National Medical Association (NMA), and Preventive Cardiovascular Nurses Association (PCNA). 1.3. Document Review and Approval This document was reviewed by 2 official reviewers nominated by the ACC

2017 American Heart Association

8. Improving Quality of Life: Substance Use and Aging

Improving Quality of Life: Substance Use and Aging SUBSTANCE USE IN CANADA 2018 Improving Quality of Life: Substance Use and Aging Foreword by Rita Notarandrea Foreword by Samuel Weiss Introduction Terminology Notes Improving Quality of Life: Substance Use and Aging PRINCIPAL EDITORS Alastair J. Flint, MB, FRCPC, FRANZCP Professor and Vice-Chair, Research, Department of Psychiatry, University of Toronto Senior Scientist, Toronto General Hospital Research Institute Specialist in Geriatric (...) use, as we do in this report, is key to developing new and more tailored strategies for reducing the harms of alcohol and drugs on older adults. Since 2005, the series now known as Substance Use in Canada has highlighted alcohol- and drug-related issues that are in need of greater attention. For this seventh edition, we began with two questions: How can we help people age in a healthy way? and How can we ensure they have the supports they need to sustain a good quality of life in their later years

2018 Canadian Centre on Substance Abuse

9. WHO Guidelines on Integrated Care for Older People (ICOPE)

) members 34 Annex 2: Assessment of conflicts of interest 35 Annex 3: Scoping questions 38 Annex 4: Evidence process 41 Glossary 44iv Integrated care for older people Acknowledgements These ICOPE guidelines were coordinated by the World Health Organization (WHO) Department of Ageing and Life Course. Islene Araujo de Carvalho, Jotheeswaran Amuthavalli Thiyagarajan, Yuka Sumi and John Beard oversaw the preparation of this document, with thanks to Susanna Volk for administrative support. WHO acknowledges (...) in the demographics of populations around the world: the proportion of older people in general populations has increased substantially within a relatively short period of time. Numerous underlying physiological changes occur with increasing age, and for older people the risks of developing chronic disease and care dependency increase. By the age of 60 years, the major burden of disability and death arises from age-related losses in hearing, seeing and moving, and conditions such as dementia, heart disease, stroke

2017 World Health Organisation Guidelines

10. Treatment of Diabetes in Older Adults Full Text available with Trip Pro

apnea, or physical inactivity. Shared decision-making is advised for performing this procedure in frail older people or in those for whom it may be overly burdensome. Standard dietary preparation for an oral glucose tolerance test is advised. 2.3 In patients aged 65 years and older who have prediabetes, we recommend a lifestyle program similar to the Diabetes Prevention Program to delay progression to diabetes. (1|⊕⊕⊕⊕) Technical remark: Metformin is not recommended for diabetes prevention (...) levels for reducing absolute cardiovascular disease events and all-cause mortality. (1|⊕⊕⊕⊕) Technical remark: The Writing Committee did not rigorously evaluate the evidence for specific low-density lipoprotein cholesterol targets in this population, so we refrained from endorsing specific low-density lipoprotein cholesterol targets in this guideline. For patients aged 80 years old and older or with short life expectancy, we advocate that low-density lipoprotein cholesterol goal levels should

2019 The Endocrine Society

11. A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia

is currently estimated to cost £23B per year. 1 The number of people with dementia is projected to reach over 1 million by 2020 and double again in the subsequent 20 years. Costs are expected to treble in the next 30 years as the number of older people increases. 2,3 For comparison, the entire NHS budget was £110B in 2009. 4 Dementia affects not only the person with the illness, but also his or her family and society. The Alzheimer’s Society Dementia UK report found that current levels of services (...) A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia HEALTH TECHNOLOGY ASSESSMENT VOLUME 18 ISSUE 39 JUNE 2014 ISSN 1366-5278 DOI 10.3310/hta18390 A systematic review of the clinical effectiveness and cost-effectiveness of sensory, psychological and behavioural interventions for managing agitation in older adults with dementia Gill Livingston, Lynsey Kelly, Elanor

2014 NIHR HTA programme

12. Assessment of falls in the elderly

Assessment of falls in the elderly Assessment of falls in the elderly - Differential diagnosis of symptoms | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Assessment of falls in the elderly Last reviewed: February 2019 Last updated: January 2019 Summary Falls are often multifactorial in origin. Deandrea S. Risk factors for falls in community-dwelling older people: a systematic review and meta-analysis. Epidemiology. 2010 Sep;21(5):658-68. http (...) ://www.ncbi.nlm.nih.gov/pubmed/20585256?tool=bestpractice.com The presence of the following factors is associated with greater probability of future falls, Rubenstein LZ, Josephson KR. Falls and their prevention in elderly people: what does the evidence show? Med Clin North Am. 2006 Sep;90(5):807-24. http://www.ncbi.nlm.nih.gov/pubmed/16962843?tool=bestpractice.com McInnes L, Gibbons E, Chandler-Oatts J. Clinical practice guideline for the assessment and prevention of falls in older people. Worldviews Evid Based Nurs

2019 BMJ Best Practice

13. How to improve the Organisation of Mental healthcare for older adults in Belgium?

changes 22 1.1.4 Specific concepts attached to older people 22 1.1.5 Mental health problems in older people in Belgium 23 1.1.6 Specific dimensions of mental health in the older people 30 1.2 OBJECTIVE 31 1.3 METHODS 31 2 LITERATURE REVIEW: CONCEPTS & MODELS APPLICABLE FOR MENTAL HEALTHCARE IN THE ELDERLY AND ITS EFFECTIVENESS 32 2.1 METHODOLOGY 32 2.1.1 Databases and search terms 32 2.1.2 Search strategy and date limits 33 2.1.3 Results of the literature search 34 2.2 GENERAL MODELS & PRIMARY CARE 34 (...) improvements 74 KCE Report 301 How to improve the Organisation of Mental healthcare for older adults in Belgium? 3 3.3 KEY MESSAGES 76 4 INTERNATIONAL COMPARISON: ANALYSIS OF MENTAL HEALTHCARE ORGANIZATION FOR THE OLDER PEOPLE 78 4.1 INTRODUCTION 78 4.2 METHOD 78 4.2.1 Selection of countries 78 4.2.2 Methodology of data collection 78 4.3 ENGLAND 79 4.3.1 Healthcare system in general 79 4.3.2 Organisation of mental healthcare 79 4.3.3 Demographics on elderly population 80 4.3.4 Burden of mental health

2018 Belgian Health Care Knowledge Centre

14. Integrated care for older people (?ICOPE)?: guidance for person-centred assessment and pathways in primary care

and encouragement from a health- care provider in the community, can modify some of the factors responsible for declines in intrinsic capacity. A partnership involving the older person, primary health- care workers, family and community will sustain people’s well-being as they age. 153 Generic care pathway Person-centered assessment and pathways in primary care STEP 4 ENSURE A REFERRAL PATHWAY AND MONITORING OF THE CARE PLAN WITH LINKS TO SPECIALIZED GERIATRIC CARE Regular and sustained follow-up (...) . The responsibility for the interpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. Design and layout by Erica Lefstad. Printed in Switzerland. Integrated Care of Older PeopleIntegrated Care of Older People Acknowledgements iv Abbreviations v 1. Integrated care for older people (ICOPE) 1 2. Optimizing capacities and abilities: towards healthy ageing for all 5 3. Assessing older people’s needs and developing a personalized care plan 9 4. Care

2019 World Health Organisation Guidelines

15. Effect on falls among elderly persons after training elderly care staff

Effect on falls among elderly persons after training elderly care staff Effect on falls among elderly persons after training elderly care staff We use cookies on this website. By using this site, you agree that we may store and access cookies on your device. Swedish Agency for Health Technology Assessment and Assessment of Social Services Effect on falls among elderly persons after training elderly care staff Share: Reading time approx. 4 minutes In general, every person aged 65 years or older (...) received our training after the study was completed. Resident falls and cognition. Authors' conclusion: “Relatively light educational intervention with activating learning methods may improve nursing staff’s knowledge of older people’s harmful medications. It is possible to reduce number of falls among older people in institutional settings by reducing their use of harmful medication”. References Balzer K, Bremer M, Schramm S, Luhmann D, Raspe H. Falls prevention for the elderly. GMS Health Technol

2019 Swedish Council on Technology Assessement

16. An update to the Greig Health Record: Preventive health care visits for children and adolescents aged 6 to 17 years ? Technical report

for sexual activity In Canada, the criminal code defines the age of consent for sexual activity as 16 years for non-exploitative activity and as 18 years for situations involving prostitution, pornography or in relationships where there is a difference in authority or dependence. There are close-in-age exceptions. For 14- or 15- year-olds, the relationship must be non-exploitative and the partner must be < 5 years older. For 12- and 13-year-olds, the partner must be < 2 years older. For details, see (...) the strength of the recommendation. The checklist tables are divided arbitrarily into early, middle and late age groupings, but it is important to remember that children develop at different rates and screening questions should be tailored to each individual. For example, it may be appropriate to discuss pubertal development with some 8- or 9- year-olds, especially girls, but not appropriate for their less mature peers. A small area for family history is included on the top left-hand corner of each

2016 Canadian Paediatric Society

17. Preventing falls and harm from falls in older people - best practice guidelines for Australian hospitals

@safetyandquality.gov.au. Other resources available from http://www.safetyandquality.gov.au: • Preventing Falls and Harm From Falls in Older People: Best Practice Guidelines for Australian Community Care 2009 • Guidebook for Preventing Falls and Harm From Falls in Older People: Australian Community Care 2009 • Guidebook for Preventing Falls and Harm From Falls in Older People: Australian Hospitals 2009 • Preventing Falls and Harm From Falls in Older People: Best Practice Guidelines for Australian Residential Aged Care (...) Facilities 2009 • Guidebook for Preventing Falls and Harm From Falls in Older People: Australian Residential Aged Care Facilities 2009 • Implementation Guide for Preventing Falls and Harm From Falls in Older People: Best Practice Guidelines for Australian Hospitals and Residential Aged Care Facilities 2009 • F a c t s h e e t s – F a l l s f a c t s f o r p a t i e n t s a n d c a r e r s – F a l l s f a c t s f o r d o c t o r s – F a l l s f a c t s f o r n u r s e s – F a l l s f a c t s f o r a l l i

2009 Clinical Practice Guidelines Portal

18. Constipation in older adults: Stepwise approach to keep things moving

and constipation in older people. 2. Constipation . 14. Branch RL , Butt TF . Drug-induced constipation . 15. American Geriatrics Society 2012 Beers Criteria Update Expert Panel . American Geriatrics Society updated Beers Criteria for potentially inappropriate medication use in older adults . 16. O’Mahony D , Gallagher P , Ryan C , Byrne S , Hamilton H , Barry P , et al . STOPP and START criteria: a new approach to detecting potentially inappropriate prescribing in old age . 17. O’Mahony D , O’Sullivan D (...) is 26% for women and 16% for men. This rate increases to 34% for women and 26% for men in those 84 years of age and older. For long-term care residents, the prevalence is as high as 80%. , The objective of this article is to discuss a stepwise approach for the management of constipation in older adults. Clinical pearls for successful nonpharmacologic or lifestyle measures and pharmacotherapeutic tips are provided. Case Mrs N.M. is an 88-year-old woman who is new to your practice and is brought

2016 RxFiles

19. Canadian Diabetes Association 2013 clinical practice guidelines for the prevention and management of diabetes in Canada : Diabetes in the elderly

to type 2 diabetes in the older person. There is limited information on the management of type 1 diabetes in the elderly, but this is included wherever appropriate. The definition of “older” varies, with some studies defining the elderly population as ≥60 years of age. Administrative guidelines frequently classify people >65 years of age as older. Although there is no uniformly agreed-upon definition of older, it is generally accepted that this is a concept that reflects an age continuum starting (...) be made on an individual basis. Screening is unlikely to be beneficial in most people over the age of 80. Reducing the Risk of Developing Diabetes Healthy behaviour interventions are effective in reducing the risk of developing diabetes in older people at high risk for the development of the disease . Acarbose , rosiglitazone and pioglitazone also are effective in preventing diabetes in high-risk elderly. Metformin may not be effective . Since several of these drugs have significant toxicity

2013 CPG Infobase

20. Models of community care for the elderly involving collaboration between specialized geriatric services and primary care practitioners

based on their age, self- reported health and/or functional limitations Herbert et Canada (Quebec) 65+, to present significant disabilities, need al.(2010) RefID90 [Other reference: for >3 different Milette et services. al.(2005) RefID283 advance to join their members for PCP office visits. Program name: Co-management model; a primary care approach for direct care of vulnerable elders Key components: Referral of PCP to clinician (or clinician teams) with expertise in caring for the elderly (...) ) with additional expertise in caring for vulnerable elders. Program name: Program of Research to Integrate Services for the Maintenance of Autonomy (PRISMA). Key components: Coordination-based integrated care. As opposed to fully-integrated systems, this model uses all the public, private, or voluntary health and social service organizations involved in caring for older people in a given area. Accepted participants are assigned a case manager who is responsible for conducting a thorough assessment

2011 OHRI Knowledge to Action