Latest & greatest articles for geriatrics

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Top results for geriatrics

101. Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons and Recommendations

Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons and Recommendations Summaries of the Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Preventionof Falls in Older Persons and the 2010 AGS/BGS Clinical Practice Guideline: Prevention of Falls in Older Persons Logging In... × Welcome to GeriatricsCareOnline! AGS or ADGAP MEMBER Attention AGS Members! As an AGS Member (...) for the Prevention of Falls PRODUCT DETAILS × PIN Subscriprion Validating... Product Titile : Updated American Geriatrics Society/British Geriatrics Society Clinical Practice Guideline for Prevention of Falls in Older Persons and Recommendations Enter PIN * × PIN Subscriprion Subscription is completed successfully. Click OK button to go to MyLibrary page. Product Type : Guidelines, Recommendations & Position Statements Language : English Publisher : American Geriatrics Society Editors : Panel on Prevention

2010 American Geriatrics Society

102. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials

Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2010 DARE.

103. How Should You Approach a Geriatric Insomniac?

How Should You Approach a Geriatric Insomniac? How Should You Approach a Geriatric Insomniac? – Clinical Correlations Search How Should You Approach a Geriatric Insomniac? September 2, 2009 6 min read Gilda Boroumand, MS4 Faculty Peer Reviewed Chronic insomnia, defined as difficulty with the initiation, maintenance, duration, and quality of sleep for at least one month, is a common complaint with significant impact on an individual’s daytime functioning and quality of life. It is particularly (...) . National Institutes of Health State of the Science Conference Statement on Manifestations and Management of Chronic Insomnia in Adults. Sleep. 2005;28:1049-1057 3. Bloom HG, Ahmed I, Alessi CA, et al. Evidence-based recommendations for the assessment and management of sleep disorders in older persons. J Am Geriatr Soc. 2009;57:761-789. 4. Morin CM, Koetter U, Bastien C, Ware JC, Wooten V. Valerian-hops combination and diphenhydramine for treating insomnia: a randomized placebo-controlled clinical trial

2009 Clinical Correlations

104. A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts (PubMed)

A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts To explore through literature review the appropriateness of three common tools for use by community nurses to screen war veteran and war widow(er) clients for depression, anxiety and post-traumatic stress disorder.War veterans and, to a lesser extent, war widow(er)s, are prone to mental health challenges, especially (...) depression, anxiety and post-traumatic stress disorder. Community nurses do not accurately identify such people with depression and related disorders although they are well positioned to do so. The use of valid and reliable self-report tools is one method of improving nurses' identification of people with actual or potential mental health difficulties for referral to a general practitioner or mental health practitioner for diagnostic assessment and treatment. The Geriatric Depression Scale, Depression

2009 EvidenceUpdates

105. Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis. (Full text)

Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis. To assess the effectiveness of acute geriatric units compared with conventional care units in adults aged 65 or more admitted to hospital for acute medical disorders.Systematic review and meta-analysis.Medline, Embase, and the Cochrane Library up to 31 August 2008, and references from published literature. Review (...) methods Randomised trials, non-randomised trials, and case-control studies were included. Exclusions were studies based on administrative databases, those that assessed care for a single disorder, those that evaluated acute and subacute care units, and those in which patients were admitted to the acute geriatric unit after three or more days of being admitted to hospital. Two investigators independently selected the studies and extracted the data.11 studies were included of which five were randomised

2009 BMJ PubMed

106. A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts

A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress Disorder Checklist to community nursing cohorts A literature review of the application of the Geriatric Depression Scale, Depression Anxiety Stress Scales and Post-traumatic Stress (...) Disorder Checklist to community nursing cohorts Allen J, Annells M CRD summary This review concluded that the Geriatric Depression Scale predicted depression in community nursing cohorts and the Post-traumatic Stress Disorder Checklist predicted post-traumatic stress disorder in community cohorts; no studies were identified for the Depression Anxiety Stress Scales. The potential for missing studies, poor reporting of review methods and uncertain study quality suggests these conclusions should

2009 DARE.

107. Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis

Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital for acute medical disorders: meta-analysis Effectiveness of acute geriatric units on functional decline, living at home, and case fatality among older patients admitted to hospital (...) for acute medical disorders: meta-analysis Baztan J J, Suarez-Garcia F M, Lopez-Arrieta J, Rodriguez-Manas L, Rodriguez-Artalejo F CRD summary This well-conducted review compared acute geriatric units with conventional hospital care for elderly patients admitted for acute medical disorders. The authors concluded that acute geriatric unit care provides greater funciontal benefit and increased likelihood of living at home after discharge compared to conventional hospital care. This conclusion clearly

2009 DARE.

108. Central but not brachial blood pressure predicts cardiovascular events in an unselected geriatric population: the ICARe Dicomano Study (Full text)

Central but not brachial blood pressure predicts cardiovascular events in an unselected geriatric population: the ICARe Dicomano Study The present study investigated whether central blood pressure (BP) predicts cardiovascular (CV) events better than brachial BP in a cohort of normotensive and untreated hypertensive elderly individuals.Limited and conflicting data have been reported on the prognostic relevance of central BP compared with brachial BP.Community-dwelling individuals > or =65 years (...) mm Hg; p < 0.0001).Our prospective study in an unselected geriatric population demonstrates superior prognostic utility of central compared with brachial BP.

2008 EvidenceUpdates PubMed

109. Geriatric conditions and disability: the Health and Retirement Study. (PubMed)

Geriatric conditions and disability: the Health and Retirement Study. Geriatric conditions, such as incontinence and falling, are not part of the traditional disease model of medicine and may be overlooked in the care of older adults. The prevalence of geriatric conditions and their effect on health and disability in older adults has not been investigated in population-based samples.To investigate the prevalence of geriatric conditions and their association with dependency in activities (...) ).Of adults age 65 years or older, 49.9% had 1 or more geriatric conditions. Some conditions were as prevalent as common chronic diseases, such as heart disease and diabetes. The association between geriatric conditions and dependency in activities of daily living was strong and significant, even after adjustment for demographic characteristics and chronic diseases (adjusted risk ratio, 2.1 [95% CI, 1.9 to 2.4] for 1 geriatric condition, 3.6 [CI, 3.1 to 4.1] for 2 conditions, and 6.6 [CI, 5.6 to 7.6

2007 Annals of Internal Medicine

110. Geriatric care management for low-income seniors: a randomized controlled trial. (Full text)

Geriatric care management for low-income seniors: a randomized controlled trial. Low-income seniors frequently have multiple chronic medical conditions for which they often fail to receive the recommended standard of care.To test the effectiveness of a geriatric care management model on improving the quality of care for low-income seniors in primary care.Controlled clinical trial of 951 adults 65 years or older with an annual income less than 200% of the federal poverty level, whose primary (...) care physicians were randomized from January 2002 through August 2004 to participate in the intervention (474 patients) or usual care (477 patients) in community-based health centers.Patients received 2 years of home-based care management by a nurse practitioner and social worker who collaborated with the primary care physician and a geriatrics interdisciplinary team and were guided by 12 care protocols for common geriatric conditions.The Medical Outcomes 36-Item Short-Form (SF-36) scales

2007 JAMA PubMed

111. The criterion validity of the Geriatric Depression Scale: a systematic review

The criterion validity of the Geriatric Depression Scale: a systematic review The criterion validity of the Geriatric Depression Scale: a systematic review The criterion validity of the Geriatric Depression Scale: a systematic review Wancata J, Alexandrowicz R, Marquart B, Weiss M, Friedrich F CRD summary The review assessed the diagnostic accuracy of the Geriatric Depression Scale (GDS-15 and GDS-30 versions). It concluded that the GDS is similar to the Centre for Epidemiological Studies (...) Depression scale and better than the Yale-1-question screen. Limitations in the search, the reporting of the review and the meta-analytic methods mean that conclusions should be viewed with caution. Authors' objectives To assess the screening accuracy of both versions of the Geriatric Depressions Scale (GDS-30 and GDS-15) and to compare the GDS with other screening instruments. Searching MEDLINE, EMBASE, CINAHL, PSYNDEX and the Cochrane Library were searched to September 2004. The search terms, which

2006 DARE.

112. Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations?

Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations? Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations? Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations? Honkanen L A, Mushlin A I, Lachs M, Schackman B R Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) to older age cohorts for both sexes and their use should be covered by third-party payers. In addition, more research is needed to quantify HP-related QALY reductions and to identify the limitations of HPs to wearers and health professionals. Source of funding None stated. Bibliographic details Honkanen L A, Mushlin A I, Lachs M, Schackman B R. Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric populations? Journal of the American Geriatrics Society 2006; 54(11

2006 NHS Economic Evaluation Database.

113. Do geriatric interventions reduce emergency department visits: a systematic review

Do geriatric interventions reduce emergency department visits: a systematic review Do geriatric interventions reduce emergency department visits: a systematic review Do geriatric interventions reduce emergency department visits: a systematic review McCusker J, Verdon J CRD summary This review assessed the effects of comprehensive geriatric assessment on emergency department visits. The authors concluded that many out-patient or community-based interventions reduced emergency department visits (...) , whereas hospital-based interventions had little effect. The lack of a quality assessment means that the reliability of the authors' conclusions is unclear. Authors' objectives To evaluate the effects of comprehensive geriatric assessment (CGA) on emergency department (ED) visits. Searching MEDLINE and the Cochrane Controlled Trials Register were searched from 1965 to 2004 using the reported search terms. In addition, the reference lists of relevant studies and reviews were screened and the authors

2006 DARE.

114. Evidence-based caregiver interventions in geriatric psychiatry

Evidence-based caregiver interventions in geriatric psychiatry Evidence-based caregiver interventions in geriatric psychiatry Evidence-based caregiver interventions in geriatric psychiatry Schulz R, Martire L M, Klinger J N CRD summary The conclusion of this review was not explicitly stated. The authors stated that differences among studies made it difficult to draw definitive conclusions, although they did make recommendations for future research. Poor reporting of review methods (...) with problems targeted by the intervention. Patient and caregiver outcomes, such as mood and quality of life for patients and burden and depression for caregivers, should be assessed. Funding National Institutes of Health, grants NIMH P30 MH52247 and K01 MH065547, NHLBI P50 HL65111-65112 and R24 HL076852, NIA K07 AG000923 and U01 AG013305, NINR R01 NR008272 and NIH P60 MD000207. Bibliographic details Schulz R, Martire L M, Klinger J N. Evidence-based caregiver interventions in geriatric psychiatry

2005 DARE.

115. What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature

What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature Day P, Rasmussen P (...) 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 Day P, Rasmussen P. What is the evidence for the effectiveness of specialist geriatric services in acute, post-acute and sub-acute settings? A critical appraisal of the literature. Christchurch: New Zealand Health Technology Assessment (NZHTA) 2004: 149 Authors' objectives To provide the evidence

2004 Health Technology Assessment (HTA) Database.

116. A systematic review of antidepressant placebo-controlled trials for geriatric depression: limitations of current data and directions for the future

A systematic review of antidepressant placebo-controlled trials for geriatric depression: limitations of current data and directions for the future Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2004 DARE.

117. General internal medicine and geriatrics: building a foundation to improve the training of general internists in the care of older adults. (PubMed)

General internal medicine and geriatrics: building a foundation to improve the training of general internists in the care of older adults. Internists--"doctors for adults"--provide most of the medical care given to older Americans, especially those with serious chronic disease. Nonetheless, the United States lacks an adequate physician workforce with mastery in caring for older persons and with expertise in building knowledge about how best to provide this care. This supplement aims (...) to strengthen the physician workforce by fostering incremental and sustained improvements in the training of internal medicine residents in the care of older adults and in the development of geriatrics-oriented general internal medicine faculty. It identifies 3 major barriers to these improvements: lack of adequately trained teachers and mentors, the belief that explicit training in geriatrics has little to offer the generalist, and inadequate funding. Three strategies offer particular promise in overcoming

2003 Annals of Internal Medicine

118. Development of geriatrics-oriented faculty in general internal medicine. (PubMed)

Development of geriatrics-oriented faculty in general internal medicine. The need for adequate geriatrics training for the physician workforce has been recognized for decades. However, there are not enough academic geriatricians to provide for the educational needs of trainees, and this situation is not expected to change in the future. General internists are often responsible for teaching medical students and internal medicine residents to care for elderly patients in inpatient and ambulatory (...) settings. These academic general internists could play a pivotal role in providing geriatrics instruction. To characterize what is being done to develop geriatrics-oriented general internal medicine faculty, we identified current practices, "best practices," goals and targets, and barriers to achieving those goals and targets. We reviewed the literature on faculty-development programs for general internal medicine faculty, and we held focus groups and structured interviews with general internal

2003 Annals of Internal Medicine

119. Geriatrics training in general internal medicine fellowship programs: current practice, barriers, and strategies for improvement. (PubMed)

Geriatrics training in general internal medicine fellowship programs: current practice, barriers, and strategies for improvement. To ensure its growth and prosperity, general internal medicine will need to embrace care of the elderly, research on aging, and geriatrics education as components of its core mission. Experts agree that general internal medicine fellows could benefit from increased opportunities in research on aging and geriatrics education; however, important barriers will hamper (...) efforts to integrate geriatrics training into general internal medicine fellowship programs. This article reviews the barriers to integration and proposes solutions for overcoming those barriers. As a result of interviews and meetings with a broad representation of general internists, geriatricians, funding agencies, and policymakers, we propose 2 interventions: 1) the development of institutional program grants to foster collaboration between general internal medicine and geriatrics faculty

2003 Annals of Internal Medicine

120. Improving geriatrics training in internal medicine residency programs: best practices and sustainable solutions. (PubMed)

Improving geriatrics training in internal medicine residency programs: best practices and sustainable solutions. National surveys indicate a need for additional training in geriatrics during internal medicine residencies. This paper describes 1) "best practices" for integrating geriatrics education into internal medicine residency programs, 2) barriers to implementation of these practices, and 3) possible ways to improve geriatrics training for internal medicine residents. These best practices (...) were determined by a systematic review of the literature and through interviews with leaders of 26 residency and geriatrics programs concerned with geriatrics training for residents. The most successful programs have clinical experiences with 3 key elements: model geriatric care in 1 or more settings (for example, in the hospital or in ambulatory practice), patient care across sites or transitions of care, and interdisciplinary teamwork. Barriers include attitudes, few faculty, need

2003 Annals of Internal Medicine