Latest & greatest articles for geriatrics

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Top results for geriatrics

41. Pharmacist’s Comprehensive Geriatric Assessment: Introduction and Evaluation at Elderly Patient Admission (PubMed)

Pharmacist’s Comprehensive Geriatric Assessment: Introduction and Evaluation at Elderly Patient Admission The role of the clinical pharmacist within the healthcare system remains unclear.Our objective was to describe a pharmacist's comprehensive geriatric assessment (pCGA) at admission of elderly patients and to assess its relevance in terms of medication compliance and pharmacist interventions (PIs).We conducted a prospective interventional study over 29 months in a 34-bed medical (...) /rehabilitation geriatric ward in a French geriatric hospital. At admission, patients received pharmaceutical care through a consistent three-step process: (1) pharmacists met with the patient to undertake cognitive screening and assess their medication adherence (using the Girerd score) and medication history; (2) medication reconciliation was conducted at admission to detect intentional and unintentional discrepancies in treatment; and (3) clinical medication review was carried out throughout the patient's

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2016 Drugs - real world outcomes

42. CRACKCast E039 – Geriatric Trauma

CRACKCast E039 – Geriatric Trauma CRACKCast E039 - Geriatric Trauma - CanadiEM CRACKCast E039 – Geriatric Trauma In , , by Adam Thomas September 5, 2016 This episode of CRACKCast cover’s Rosen’s Chapter 039, Geriatric Trauma. We see more and more elderly patients in our trauma bay as our population ages, and there are important distinctions in the management of this growing population. Shownotes – Rosen’s in Perspective GERIATRIC trauma is on the rise Have increased morbidity and mortality ATLS (...) for hypovolemia and stress Comorbidities Arthritis / CAD / COPD / CVA / DM Effect of medications 30% have >5 meds including ASA and BB and hypnotics Modifications of the Trauma Assessment of older adults Same primary and secondary survey approach Usual vital sign abnormalities are absent: hypotension / tachycardia / pain Normal vital signs should NOT be reassuring Primary assessment and resuscitation in geriatric trauma AIRWAY Have multiple predictors of difficult airway Consider early intubation Consider VL

2016 CandiEM

43. Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study (PubMed)

Evaluation of delirium screening tools in geriatric medical inpatients: a diagnostic test accuracy study screening all unscheduled older adults for delirium is recommended in national guidelines, but there is no consensus on how to perform initial assessment.to evaluate the test accuracy of five brief cognitive assessment tools for delirium diagnosis in routine clinical practice.a consecutive cohort of non-elective, elderly care (older than 65 years) hospital inpatients admitted to a geriatric (...) a sensitivity of 86.7% (95% CI: 77.5-93.2) and specificity of 69.5% (95% CI: 64.4-74.3).short screening tools such as AMT-4 or MOTYB have good sensitivity for definite delirium, but poor specificity; these tools may be reasonable as a first stage in assessment for delirium. The 4AT is feasible and appears to perform well with good sensitivity and reasonable specificity.© The Author 2016. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions

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2016 EvidenceUpdates

44. Delivering tailored surgery to older cancer patients: Preoperative geriatric assessment domains and screening tools - A systematic review of systematic reviews. (PubMed)

Delivering tailored surgery to older cancer patients: Preoperative geriatric assessment domains and screening tools - A systematic review of systematic reviews. The onco-geriatric population is increasing and thus more and more elderly will require surgery; an important treatment modality for many cancer types. This population's heterogeneity demands preoperative risk stratification, which has led to the introduction of Geriatric Assessment (GA) and associated screening tools in surgical (...) oncology. Many reviews have investigated the use of GA in onco-geriatric patients. Discrepancies in outcomes between studies currently hamper the implementation of a preoperative GA in clinical practice. A systematic review of systematic reviews was performed in order to investigate assessment tools of the most commonly included GA domains and their predictive ability regarding the adverse postoperative outcomes. All domains - except polypharmacy - were, to a varying degree, associated with different

2016 European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology

45. Abnormal Mini-Cog Is Associated with Higher Risk of Complications and Delirium in Geriatric Patients with Fracture (PubMed)

Abnormal Mini-Cog Is Associated with Higher Risk of Complications and Delirium in Geriatric Patients with Fracture The Mini-Cog test is a validated and simple tool to screen for dementia. The purpose of this study was to investigate the relationship of cognitive impairment as measured by Mini-Cog testing as a predictor for in-hospital complications and mortality in geriatric patients with fracture.From 2011 to 2014, patients who were seventy years of age or older, had a fracture, and were (...) admitted to co-managed orthopaedic trauma and geriatrics services embedded at two Level-I trauma centers were enrolled in our study. As part of the patients' routine admission evaluation, the Mini-Cog examination was performed. An observational cohort study was completed documenting pre-injury functional status, in-hospital complications, length of stay, thirty-day readmission, and mortality. All patients in the study were followed for at least one year.Seven hundred and thirty-nine patients (median

2016 EvidenceUpdates

46. Video and computer-based interactive exercises are safe and improve task-specific balance in geriatric and neurological rehabilitation: a randomised trial (PubMed)

Video and computer-based interactive exercises are safe and improve task-specific balance in geriatric and neurological rehabilitation: a randomised trial Does adding video/computer-based interactive exercises to inpatient geriatric and neurological rehabilitation improve mobility outcomes? Is it feasible and safe?Randomised trial.Fifty-eight rehabilitation inpatients.Physiotherapist-prescribed, tailored, video/computer-based interactive exercises for 1 hour on weekdays, mainly involving

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2016 EvidenceUpdates

47. American Geriatrics Society Position Statement: Making Medical Treatment Decisions for Unbefriended Older Adults

American Geriatrics Society Position Statement: Making Medical Treatment Decisions for Unbefriended Older Adults American Geriatrics Society Position Statement: Making Medical Treatment Decisions for Unbefriended Older Adults Logging In... × Welcome to GeriatricsCareOnline! AGS or ADGAP MEMBER Attention AGS Members! As an AGS Member, you already have an account automatically set up on GeriatricsCareOnline.org. Your username and password are the same that you use to log onto MyAGS. (If you do (...) not remember your MyAGS credentials, ). Please do not register for a new user account if you are an AGS member - if you create a new account, you will not be recognized as a member in the system. Username Password remember Remember me Login NON-AGS MEMBER Username Password Remember me Login Search: Toggle navigation Search: Position Statement: Making Medical Treatment Decisions for Unbefriended PRODUCT DETAILS × PIN Subscriprion Validating... Product Titile : American Geriatrics Society Position Statement

2016 American Geriatrics Society

48. American Geriatrics Society Position Statement: Achieving High-Quality Multicultural Geriatric Care

American Geriatrics Society Position Statement: Achieving High-Quality Multicultural Geriatric Care Logging In... × Welcome to GeriatricsCareOnline! AGS or ADGAP MEMBER Attention AGS Members! As an AGS Member, you already have an account automatically set up on GeriatricsCareOnline.org. Your username and password are the same that you use to log onto MyAGS. (If you do not remember your MyAGS credentials, ). Please do not register for a new user account if you are an AGS member - if you create (...) a new account, you will not be recognized as a member in the system. Username Password remember Remember me Login NON-AGS MEMBER Username Password Remember me Login Search: Toggle navigation Search: Position Statement: Achieving High-Quality Multicultural Geriatric Care PRODUCT DETAILS × PIN Subscriprion Validating... Product Titile : American Geriatrics Society Position Statement: Achieving High-Quality Multicultural Geriatric Care Enter PIN * × PIN Subscriprion Subscription is completed

2016 American Geriatrics Society

49. Constant Observation Monitors for Geriatric Patients with Dementia or Delirium: Clinical and Cost-Effectiveness

Constant Observation Monitors for Geriatric Patients with Dementia or Delirium: Clinical and Cost-Effectiveness Constant Observation Monitors for Geriatric Patients with Dementia or Delirium: Clinical and Cost-Effectiveness | CADTH.ca Find the information you need Constant Observation Monitors for Geriatric Patients with Dementia or Delirium: Clinical and Cost-Effectiveness Constant Observation Monitors for Geriatric Patients with Dementia or Delirium: Clinical and Cost-Effectiveness Published (...) on: September 10, 2015 Project Number: RA0806-000 Product Line: Research Type: Devices and Systems Report Type: Reference List Result type: Report Question What is the clinical effectiveness of using constant observation monitors for geriatric patients with dementia or delirium? What is the cost-effectiveness of using constant observation monitors for geriatric patients with dementia or delirium? Key Message No relevant literature was identified regarding the clinical or cost-effectiveness of using constant

2015 Canadian Agency for Drugs and Technologies in Health - Rapid Review

50. Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams

Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams Deschodt M, Claes V, Van Grootven B, Milisen K, Boland B, Flamaing J, Denis A, Daue F, Mergaert L, Devos C, Mistiaen P, Van den Heede K Record Status This is a bibliographic record of a published health technology (...) assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Deschodt M, Claes V, Van Grootven B, Milisen K, Boland B, Flamaing J, Denis A, Daue F, Mergaert L, Devos C, Mistiaen P, Van den Heede K. Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams. Brussels: Belgian Health Care Knowledge Centre (KCE). KCE Reports 245. 2015 Authors' objectives The overall aim of this project is to formulate

2015 Health Technology Assessment (HTA) Database.

51. Comprehensive Geriatric Assessment and predicted 3-year survival in treatment planning for frail patients with early breast cancer (PubMed)

Comprehensive Geriatric Assessment and predicted 3-year survival in treatment planning for frail patients with early breast cancer Endocrine therapy alone has been a popular treatment for oestrogen receptor-positive breast cancer in elderly patients, although it may be inadequate in those surviving more than 2-3 years. The aim of this study was to estimate 3-year survival in frail patients with early breast cancer, to inform treatment decisions.A risk score was created to estimate 3-year (...) survival in individual patients using data from patients who had Comprehensive Geriatric Assessment (CGA) in a specialist clinic before decisions about their breast cancer treatment were made. The data were analysed using logistic regression.Ninety-seven (29·6 per cent) of the 328 patients had died by 3 years. Four components of the assessment proved strongly associated with survival: Mini Mental State Examination, Barthel Index of Activities of Daily Living, instrumental Activities of Daily Living

2015 EvidenceUpdates

52. Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. (PubMed)

Comprehensive geriatric care for patients with hip fractures: a prospective, randomised, controlled trial. Most patients with hip fractures are characterised by older age (>70 years), frailty, and functional deterioration, and their long-term outcomes are poor with increased costs. We compared the effectiveness and cost-effectiveness of giving these patients comprehensive geriatric care in a dedicated geriatric ward versus the usual orthopaedic care.We did a prospective, single-centre (...) , randomised, parallel-group, controlled trial. Between April 18, 2008, and Dec 30, 2010, we randomly assigned home-dwelling patients with hip-fractures aged 70 years or older who were able to walk 10 m before their fracture, to either comprehensive geriatric care or orthopaedic care in the emergency department, to achieve the required sample of 400 patients. Randomisation was achieved via a web-based, computer-generated, block method with unknown block sizes. The primary outcome, analysed by intention

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2015 Lancet

53. Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams

Comprehensive geriatric care in hospitals: the role of inpatient geriatric consultation teams 2015 www.kce.fgov.be KCE REPORT 245Cs SYNTHESIS COMPREHENSIVE GERIATRIC CARE IN HOSPITALS: THE ROLE OF INPATIENT GERIATRIC CONSULTATION TEAMS 2015 www.kce.fgov.be KCE REPORT 245Cs HEALTH SERVICES RESEARCH SYNTHESIS COMPREHENSIVE GERIATRIC CARE IN HOSPITALS: THE ROLE OF INPATIENT GERIATRIC CONSULTATION TEAMS MIEKE DESCHODT, VEERLE CLAES, BASTIAAN VAN GROOTVEN, KOEN MILISEN, BENOIT BOLAND, JOHAN FLAMAING (...) , ALAIN DENIS, FRANÇOIS DAUE, LUT MERGAERT, CARL DEVOS, PATRIEK MISTIAEN, KOEN VAN DEN HEEDE KCE Report 245Cs Inpatient geriatric consultation teams 1 ¦ FOREWORD As already frequently mentioned, the ageing of our population is foremost good news: it means we all live longer, and live longer in good health. Not surprisingly, also the mean age of patients in hospitals is rising. People aged 75 and older account for almost half of all hospital days on non-geriatric nursing units. Frail older people

2015 Belgian Health Care Knowledge Centre

54. Systematic review: Review: nurses predominantly have negative feelings towards the use of physical restraints in geriatric care, though some still perceive a need in clinical practice

Systematic review: Review: nurses predominantly have negative feelings towards the use of physical restraints in geriatric care, though some still perceive a need in clinical practice Review: nurses predominantly have negative feelings towards the use of physical restraints in geriatric care, though some still perceive a need in clinical practice | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings (...) feelings towards the use of physical restraints in geriatric care, though some still perceive a need in clinical practice Article Text Care of older people Systematic review Review: nurses predominantly have negative feelings towards the use of physical restraints in geriatric care, though some still perceive a need in clinical practice Jan P H Hamers Statistics from Altmetric.com Commentary on : Möhler R , Meyer G . Attitudes of nurses towards the use of physical restraints in geriatric care

2015 Evidence-Based Nursing

55. Non-pharmaceutical interventions for orthostatic hypotension in geriatric patients: clinical effectiveness and guidelines

Non-pharmaceutical interventions for orthostatic hypotension in geriatric patients: clinical effectiveness and guidelines Non-pharmaceutical interventions for orthostatic hypotension in geriatric patients: clinical effectiveness and guidelines Non-pharmaceutical interventions for orthostatic hypotension in geriatric patients: clinical effectiveness and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation (...) of the quality of this assessment has been made for the HTA database. Citation CADTH. Non-pharmaceutical interventions for orthostatic hypotension in geriatric patients: clinical effectiveness and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2015 Authors' conclusions No relevant literature was identified regarding the clinical effectiveness of compression stockings and abdominal binders for the treatment of orthostatic hypertension (OH) in geriatric

2015 Health Technology Assessment (HTA) Database.

56. American Geriatrics Society Care of Lesbian, Gay, Bisexual, and Transgender Older Adults Position Statement

American Geriatrics Society Care of Lesbian, Gay, Bisexual, and Transgender Older Adults Position Statement American Geriatrics Society Care of Lesbian, Gay, Bisexual, and Transgender Older Adults Position Statement Logging In... × Welcome to GeriatricsCareOnline! AGS or ADGAP MEMBER Attention AGS Members! As an AGS Member, you already have an account automatically set up on GeriatricsCareOnline.org. Your username and password are the same that you use to log onto MyAGS. (If you do not remember (...) your MyAGS credentials, ). Please do not register for a new user account if you are an AGS member - if you create a new account, you will not be recognized as a member in the system. Username Password remember Remember me Login NON-AGS MEMBER Username Password Remember me Login Search: Toggle navigation Search: American Geriatrics Society Care of Lesbian, Gay, Bisexual, and Transgender PRODUCT DETAILS × PIN Subscriprion Validating... Product Titile : American Geriatrics Society Care of Lesbian, Gay

2015 American Geriatrics Society

57. Optimal Perioperative Management of the Geriatric Patient

Optimal Perioperative Management of the Geriatric Patient Optimal Perioperative Management of the Geriatric Patient by American Geriatrics Society Logging In... × Welcome to GeriatricsCareOnline! AGS or ADGAP MEMBER Attention AGS Members! As an AGS Member, you already have an account automatically set up on GeriatricsCareOnline.org. Your username and password are the same that you use to log onto MyAGS. (If you do not remember your MyAGS credentials, ). Please do not register for a new user (...) account if you are an AGS member - if you create a new account, you will not be recognized as a member in the system. Username Password remember Remember me Login NON-AGS MEMBER Username Password Remember me Login Search: Toggle navigation Search: Optimal Perioperative Management of the Geriatric Patient PRODUCT DETAILS × PIN Subscriprion Validating... Product Titile : Optimal Perioperative Management of the Geriatric Patient Enter PIN * × PIN Subscriprion Subscription is completed successfully. Click

2015 American Geriatrics Society

58. Prevention of Dehydration in Geriatric Patients in Long-Term Care

Prevention of Dehydration in Geriatric Patients in Long-Term Care TITLE: Prevention of Dehydration in Geriatric Patients in Long-Term Care: Guidelines DATE: 17 July 2014 RESEARCH QUESTION What are the evidence-based guidelines regarding the prevention and identification of dehydration in geriatric patients in long-term care? KEY FINDINGS Four evidence-based guidelines were identified regarding the prevention or identification of dehydration in geriatric patients in long-term care. METHODS (...) the prevention or identification of dehydration in geriatric patients in long-term care. No relevant health technology assessments or meta-analyses were identified. Additional references of potential interest are provided in the appendix. OVERALL SUMMARY OF FINDINGS Four evidence-based guidelines 1-4 were identified regarding the prevention or identification of dehydration in geriatric patients in long-term care. The Hartford Institute for Geriatric Nursing produced guidelines that highlight the importance

2014 Canadian Agency for Drugs and Technologies in Health - Rapid Review

59. Australian and New Zealand Society for Geriatric Medicine position statement 22. Frailty in older people

Australian and New Zealand Society for Geriatric Medicine position statement 22. Frailty in older people Australian and New Zealand Society for Geriatric Medicine Position Statement No 22 Frailty in Older People Key Points 1. Frailty is an important concept for all those who plan and provide care for older people. It is closely linked to advanced age and disease-related processes, yet is a distinct construct. While some people remain fit and active as they grow older, others experience complex (...) problems: chronic disease, dependency and disability. Frailty is a term to describe this latter group, capturing differences in health status among older people. 2. “Frail” older people are at greatest risk of adverse outcomes (worsening disability, institutionalisation and death) and are more likely to present with a geriatric syndrome (particularly delirium and falls). 3. There are many validated tools to measure frailty as a clinical syndrome or phenotype. The most well-known and widely used

2014 Clinical Practice Guidelines Portal

60. ED Prevention of Geriatric Falls

ED Prevention of Geriatric Falls Emergency Medicine > Journal Club > Archive > November 2014 Toggle navigation November 2014 ED Prevention of Geriatric Falls Vignette Mrs. C., an 86-year old female, presents to your academic emergency department (ED) via ambulance after an accidental fall at home. She is a recent widower and lives alone, but she reports that she has two adult “children” that live nearby and check on her every day either in-person or by telephone. About 12-hours prior to ED (...) podcast about geriatric adult fall-risk stratification in the post-ED period. The podcast discusses a prognostic systematic review on this topic, which you decide to read to learn more. The systematic review provides you with a search strategy to find more published research on this topic. PICO Question #1 Population: Geriatric patients in the ED Intervention: Risk-stratification for falls and injurious falls in the months following an episode of ED care Comparison: None Outcome: Sensitivity

2014 Washington University Emergency Medicine Journal Club