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1.
Medicine (Baltimore) ; 99(9): e19347, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32118772

RESUMEN

INTRODUCTION: Pulmonary sequestration (PS) is a rare congenital malformation defined as nonfunctioning lung tissue supplied by systemic circulation. It is uncommonly diagnosed in adults. Herein, we describe a clinical case of PS with cystic degeneration mimicking a bronchogenic cyst in an elderly patient. PATIENT CONCERNS: A huge cystic mass was incidentally found in a 65-year-old man on chest computed tomography (CT) scans during preoperative workup for a hand laceration. A 15-cm-sized round cystic mass was detected in the right lower lobe. DIAGNOSIS: After reviewing the chest CT scan, we decided to perform contrast-enhanced chest magnetic resonance imaging (MRI) and CT-guided lung aspiration biopsy. On MRI, the lesion had the appearance of a cystic mass with hemorrhagic clots, such as an intrapulmonary bronchogenic cyst. The aspirated specimen was nondiagnostic; thus, we decided to surgically remove the mass. INTERVENTIONS: Upon right lower lobectomy, the mass was diagnosed as a PS. A thin systemic artery supplying the cystic mass was visualized during surgery. OUTCOMES: The patient is undergoing regular follow-up at the outpatient clinic. CONCLUSIONS: PS should be considered as a differential diagnosis in patients with a cystic lung mass. Identification of a systemic artery on radiologic imaging is important in the diagnosis of PS before preoperative workup to prevent unpredicted massive bleeding during surgery.


Asunto(s)
Quiste Broncogénico/complicaciones , Secuestro Broncopulmonar/etiología , Anciano , Quiste Broncogénico/fisiopatología , Secuestro Broncopulmonar/fisiopatología , Diagnóstico Diferencial , Geriatría/métodos , Humanos , Masculino , Paracentesis/métodos , Tomografía Computarizada por Rayos X/métodos
2.
Rev Med Suisse ; 16(686): 548-551, 2020 Mar 18.
Artículo en Francés | MEDLINE | ID: mdl-32186801

RESUMEN

Sexuality in an important aspect of human life at all ages and expressing it is an essential human need regardless of age. Society is ageing and people are living longer life. As the sexuality continues during the entire life many factors affect the sexuality in older population. The aging process and remodeling of the life style play an important role in the alteration of sexual needs and sexual behavior in advanced age. Sexuality expression is considered as a fundamental mental health need of all individuals, regardless of gender and age. The majority of healthcare professionals do not proactively discuss sexuality issues with old age patients, and this requires further attention.


Asunto(s)
Envejecimiento/psicología , Disfunción Cognitiva , Geriatría , Sexualidad , Anciano , Humanos , Conducta Sexual
3.
Nurse Pract ; 45(3): 40-43, 2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-32068656

RESUMEN

The American Geriatrics Society Beers Criteria, designed to prevent the prescription of potentially inappropriate medications to older adult patients, were updated in 2019. This article provides a stepwise protocol on how to incorporate the Beers Criteria guidelines into NP practice using a case study model.


Asunto(s)
Enfermeras Practicantes , Lista de Medicamentos Potencialmente Inapropiados , Guías de Práctica Clínica como Asunto , Pautas de la Práctica en Enfermería/organización & administración , Anciano , Geriatría , Humanos , Sociedades Médicas , Estados Unidos
4.
Sr Care Pharm ; 35(2): 68-74, 2020 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-32019641

RESUMEN

OBJECTIVE: To compare the 2015 and 2019 AGS Beers Criteria® of potentially inappropriate medications in the elderly.
DATA SOURCES: American Geriatrics Society 2015 and 2019 Updated AGS Beers Criteria® for Potentially Inappropriate Medication (PIM) Use in Older Adults published literature.
STUDY SELECTION/DATA EXTRACTION: The literature was reviewed, compared, and summarized to identify pertinent changes and updates to the AGS Beers Criteria of PIMs in the elderly.
DATA SYNTHESIS: The AGS Beers Criteria® contains a list of potentially inappropriate medications that should be used with caution, avoided, notable drug-drug interactions, and drugs that should be dose-adjusted based on kidney function in the older adult. The updated AGS Beers Criteria® also includes removal of medications that are no longer sold in the United States, have a low usage rate, provide low evidence of harm, and/or the potential harm is not unique to the older adult.
CONCLUSION: The AGS Beers Criteria® is intended to improve and optimize the care of the geriatric population. It serves as a guide to minimize older adults' exposure to PIMs whenever possible. As with previously published updates to the AGS Beers Criteria®, the 2019 update outlines the following: recommendations, rationale, and quality of the recommendations, as well as the strength of the recommendations.


Asunto(s)
Lista de Medicamentos Potencialmente Inapropiados , Anciano , Interacciones de Drogas , Geriatría , Humanos , Registros , Estados Unidos
5.
HNO ; 68(3): 141-142, 2020 Mar.
Artículo en Alemán | MEDLINE | ID: mdl-32103294
6.
Adv Exp Med Biol ; 1216: 149-152, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31894554

RESUMEN

Frailty is a clinical concept which is gaining increased momentum not only in geriatrics, but in all specialties treating adult patients. In these Future Perspectives, the following roles of frailty in the field of cardiovascular diseases (CVD) will be discussed as a narrative review: (1) Frailty as an adjunct to assess CVD patients in addition to traditional risk scores; (2) bidirectional relationship between frailty and CVD; (3) widening the scope of endpoints in CVD trials-inclusion of frailty; (4) finally, the relationship between geriatrics and cardiology will be shortly discussed.


Asunto(s)
Enfermedades Cardiovasculares/complicaciones , Anciano Frágil , Fragilidad/complicaciones , Anciano , Cardiología , Geriatría , Humanos , Narración
7.
Rev Med Suisse ; 16(676-7): 37-40, 2020 Jan 15.
Artículo en Francés | MEDLINE | ID: mdl-31961081

RESUMEN

Up-dated recommendations published in 2019 about inappropriate medications in older persons and management for type 2 diabetes mellitus are discussed. New evidence has also been published regarding the benefits of physical activity in secondary prevention for falls as well as in the prevention of cognitive decline and dementia, independent of genetic and vascular risk profile. SPRINT MIND study reports a significant 19 % decreased risk of minor neurocognitive impairment with intensive BP treatment. A meta-analysis about prevention of delirium with antipsychotics report benefits only in cardiac and orthopedic post-operative settings, whereas another meta-analysis about delirium treatment did not find any benefits from antipsychotics.


Asunto(s)
Antipsicóticos , Delirio , Demencia , Diabetes Mellitus Tipo 2 , Geriatría , Anciano , Anciano de 80 o más Años , Geriatría/tendencias , Humanos , Metaanálisis como Asunto
8.
J Forensic Nurs ; 16(1): 36-46, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-31299671

RESUMEN

INTRODUCTION: Corrections agencies are exploring ways to securely and cost-effectively increase access to high-quality, evidence-based educational programs for personnel. Technology-based instructional tools hold strong potential for continuing education. The Institute for Healthcare Improvement's Framework for Going to Full Scale was employed to guide a systematic approach. PURPOSE: The purpose of this article is to outline and describe the design and development of a media-rich interactive computer-based learning product, Enhancing Care for Aged and Dying in Prison, which addresses geriatric and end-of-life care issues in corrections. METHOD: Through an iterative process, the research team developed the computer-based educational program that included program and module-specific objectives in alignment with goals and priorities of the end users, detailed evidence-based content that was engaging and visually appealing, and assessments aimed at testing the user's knowledge. RESULTS: The Enhancing Care for Aged and Dying in Prison contains six modules, created under the careful guidance of the research team and the two advisory boards. Contents, including images and testimonials, were selected purposefully and strategically. Module objectives were developed in alignment with the goals and priorities of each module, and assessments tested user knowledge level pre/post module exposure. Completion of the training product advances the research and development necessary to further the goal of full-scale dissemination of the computer-based education. DISCUSSION/CONCLUSIONS: The goal of this program is to enhance care and improve quality of life for aged and dying inmates. Evidence-based training products are critical in preparing not only forensic nurses who work in corrections but also the broader group of correctional personnel in how to better meet the care needs of incarcerated persons.


Asunto(s)
Instrucción por Computador , Geriatría/educación , Prisioneros , Diseño de Programas Informáticos , Cuidado Terminal , Anciano , Humanos , Desarrollo de Programa , Interfaz Usuario-Computador
9.
J Trauma Acute Care Surg ; 88(2): 266-278, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31464870

RESUMEN

BACKGROUND: Elderly patients commonly suffer isolated hip fractures, causing significant morbidity and mortality. The use of orthogeriatrics (OG) management services, in which geriatric specialists primarily manage or co-manage patients after admission, may improve outcomes. We sought to provide recommendations regarding the role of OG services. METHODS: Using GRADE methodology with meta-analyses, the Practice Management Guidelines Committee of the Eastern Association for the Surgery of Trauma conducted a systematic review of the literature from January 1, 1900, to August 31, 2017. A single Population, Intervention, Comparator and Outcome (PICO) question was generated with multiple outcomes: Should geriatric trauma patients 65 years or older with isolated hip fracture receive routine OG management, compared with no-routine OG management, to decrease mortality, improve discharge disposition, improve functional outcomes, decrease in-hospital medical complications, and decrease hospital length of stay? RESULTS: Forty-five articles were evaluated. Six randomized controlled trials and seven retrospective case-control studies met the criteria for quantitative analysis. For critical outcomes, retrospective case-control studies demonstrated a 30-day mortality benefit with OG (OR, 0.78 [0.67, 0.90]), but this was not demonstrated prospectively or at 1 year. Functional outcomes were superior with OG, specifically improved score on the Short Physical Performance Battery at 4 months (mean difference [MD], 0.78 [0.28, 1.29]), and improved score on the Mini Mental Status Examination with OG at 12 months (MD, 1.57 [0.40, 2.73]). Execution of activities of daily living was improved with OG as measured by two separate tests at 4 and 12 months. There was no difference in discharge disposition. Among important outcomes, the OG group had fewer hospital-acquired pressure ulcers (OR, 0.30 [0.15, 0.60]). There was no difference in other complications or length of stay. Overall quality of evidence was low. CONCLUSION: In geriatric patients with isolated hip fracture, we conditionally recommend an OG care model to improve patient outcomes. LEVEL OF EVIDENCE: Systematic review/meta-analysis, level III.


Asunto(s)
Geriatría/normas , Fracturas de Cadera/terapia , Ortopedia/normas , Grupo de Atención al Paciente/normas , Guías de Práctica Clínica como Asunto , Factores de Edad , Anciano , Anciano de 80 o más Años , Evaluación Geriátrica , Geriatría/métodos , Fracturas de Cadera/mortalidad , Humanos , Ortopedia/métodos , Sociedades Médicas/normas , Nivel de Atención , Traumatología/normas , Resultado del Tratamiento
10.
Z Gerontol Geriatr ; 53(1): 51-58, 2020 Feb.
Artículo en Alemán | MEDLINE | ID: mdl-30778666

RESUMEN

BACKGROUND: In the future an increasing number of patients in acute inpatient geriatric settings can be expected and their care needs new concepts. Animal-assisted interventions with dogs may represent a potential strategy to consider since animals can have a positive effect on patients' physical, psychological and social capabilities. OBJECTIVE: Identification of clinical and patient-specific outcome parameters by animal-assisted interventions for residents in long-term settings and discussion of the transferability of identified evidence to acute geriatric inpatient settings. METHODS: A literature review of animal-assisted interventions with dogs for long-term residents was conducted using the electronic databases Livivo, PubMed, CINAHL® and Cochrane as well as manual searching of references. Qualitative and quantitative studies from the last 16 years were included. RESULTS: A total of 12 studies were included. Of these studies 10 presented significant results and reported positive effects of animal-assisted interventions for geriatric patients based on clinical, behavioral, cognition, emotional and socializing factors, quality of life and motor skills. CONCLUSION: Animal-assisted interventions may represent a promising intervention for patients in acute geriatric settings. In the future, research on the use of animal-assisted interventions in acute geriatric settings is needed.


Asunto(s)
Vínculo Ser Humano-Animal , Geriatría , Calidad de Vida , Anciano , Animales , Perros , Humanos , Pacientes Internos
11.
Emerg Med Clin North Am ; 38(1): 15-29, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-31757248

RESUMEN

Appropriate recognition of the physiologic, psychological, and clinical differences among geriatric patients, with respect to orthopedic injury and disease, is paramount for all emergency medicine providers to ensure they are providing high-value care for this vulnerable population.


Asunto(s)
Manejo de la Enfermedad , Evaluación Geriátrica , Geriatría/métodos , Procedimientos Ortopédicos/métodos , Ortopedia/métodos , Heridas y Traumatismos/terapia , Anciano , Humanos , Heridas y Traumatismos/diagnóstico
12.
Adv Gerontol ; 32(4): 652-657, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31800196

RESUMEN

This study examines older adults' perceptions about their participation in vigorous physical activity (VPA) and the association between VPA and self-related health. A total of 686 older adults responded to self-reported questionnaires, and Pearson's ꭓ2 test and binary logistic regression were used to present findings. About 74% of older adults reported experiencing dislocations, fractures, or/and other forms of injury in intense physical activities lasting 30 minutes or more a day. After controlling for relevant socio-demographic factors, older adults who participated in VPA for 30 or more minutes a day were less likely (OR=0,129; p=0,000) to report good health compared with those who participated in VPA for less than 30 minutes. It is concluded that VPA in older populations can result in casualties that may compel older adults to underrate their health, which can discourage active living habits in older populations and discredit PA/health promotion programs.


Asunto(s)
Ejercicio , Geriatría , Promoción de la Salud , Heridas y Traumatismos , Anciano , Ejercicio/psicología , Geriatría/tendencias , Promoción de la Salud/estadística & datos numéricos , Promoción de la Salud/tendencias , Humanos , Luxaciones Articulares/psicología , Autoimagen , Autoinforme , Encuestas y Cuestionarios , Heridas y Traumatismos/psicología
13.
Soins Gerontol ; 24(140): 46-48, 2019.
Artículo en Francés | MEDLINE | ID: mdl-31806180

Asunto(s)
Geriatría , Curriculum , Humanos
15.
Kardiologiia ; 59(12): 54-63, 2019 Dec 11.
Artículo en Ruso | MEDLINE | ID: mdl-31849312

RESUMEN

Increase in life expectancy during the second part of the 20th century is accompanied by increase in proportion of elderly and senile age population. However, despite the increase in life expectancy, the prevalence of most chronic diseases and functional impairments rises with age. Elderly and senile age is associated with the risk of cardiovascular diseases (CVD), therefore the problem of managing elderly patients with CVD becomes especially urgent.


Asunto(s)
Cardiología , Enfermedades Cardiovasculares , Geriatría , Anciano , Enfermedad Crónica , Humanos , Esperanza de Vida
16.
Soins ; 64(841): 26-29, 2019 Dec.
Artículo en Francés | MEDLINE | ID: mdl-31864508

RESUMEN

The ageing of the French population and the high occurrence of cancers in the population of patients aged over 75 has resulted in the convergence of the competences of two specialties, oncology and geriatrics, in order to optimise the quality of the care provided. Geriatric oncology care must be adapted to the medical, psychological and social situation of each patient.


Asunto(s)
Geriatría/organización & administración , Oncología Médica/organización & administración , Neoplasias/terapia , Anciano , Francia/epidemiología , Humanos , Neoplasias/epidemiología , Calidad de la Atención de Salud
17.
Maturitas ; 130: 38-40, 2019 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-31706434

RESUMEN

Our objective was to determine whether the provision of therapeutic advice (i.e., any recommendation for an increase or decrease in drug dosage, or for the addition, withdrawal or replacement of at least one drug) by hospital geriatric mobile teams (GMTs) was associated with long-term mortality among older inpatients. Data on therapeutic advice provided by the GMT of Angers University Hospital, France, were collected from 694 consecutive inpatients examined in 2012 (mean age 84.4 ± 6.3 years; 65.6% female), who were followed up after 3 years. We found no between-group differences regarding the 3-year mortality (P = 0.30) and no cumulative survival difference (log-rank P = 0.43). The provision of therapeutic advice by a GMT was not associated with better 3-year survival (HR = 1.18, P = 0.40) in these frail inpatients.


Asunto(s)
Evaluación Geriátrica , Geriatría , Comunicación Interdisciplinaria , Anciano , Anciano de 80 o más Años , Femenino , Fragilidad/mortalidad , Fragilidad/terapia , Francia , Hospitales Universitarios , Humanos , Masculino , Grupo de Atención al Paciente , Polifarmacia , Tasa de Supervivencia
19.
Br Dent J ; 227(9): 803, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31705097
20.
Rev Lat Am Enfermagem ; 27: e3212, 2019.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-31664416

RESUMEN

OBJECTIVE: to analyze the relation between resilience and demographic variables, quality of life and symptoms of depression in elderlies attended at a Geriatric Outpatient Clinic. METHOD: analytical cross-sectional study, conducted with 148 elderlies, with a questionnaire of sociodemographic and health characterization, the Resilience Scale, the World Health Organization Quality of Life Bref, the World Health Organization Quality of Life Old, and the Center for Epidemiologic Survey - Depression Scale. Descriptive statistics, Student's t-test and Pearson correlation were used for data analysis. RESULTS: there was a positive correlation between resilience and schooling (r = 0.208; p = 0.010), income (r = 0.194; p = 0.017), the World Health Organization Quality of Life Bref (r = 0.242; p = 0.003), and the World Health Organization Quality of Life Old (r = 0.522; p <0.001), and negative correlation regarding symptoms of depression (r = -0.270; p = 0.001). CONCLUSION: Resilience presented relation to schooling, income, quality of life and symptoms of depression in the elderly. These results are expected to help the multidisciplinary team plan actions aimed at developing resilience towards the promotion of health and good quality of life in old age.


Asunto(s)
Instituciones de Atención Ambulatoria/organización & administración , Depresión/psicología , Geriatría/organización & administración , Calidad de Vida , Anciano , Brasil , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Dinámica Poblacional , Factores Socioeconómicos , Encuestas y Cuestionarios
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