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1.
Braz. j. oral sci ; 20: e211060, jan.-dez. 2021. ilus
Artículo en Inglés | LILACS, BBO - Odontología | ID: biblio-1254621

RESUMEN

Aim: To evaluate the efficacy of ultrasonic bath and traditional brushing in the hygiene of complete dentures of dependent residents in long-term care institutions (LTCIs). Methods: A randomized cross-over clinical study was conducted in 17 maxillary complete denture wearers living in LTCIs. Cleaning protocols were brushing or ultrasonic bath, both applied with neutral liquid soap. Biofilm biomass were estimated by MTT reduction assay and specific microbial load (CFU) of Streptococcus spp., Staphylococcus spp. and Candida spp. were quantified by selective and differential culture media. Results: Ultrasound method showed higher percentage reduction of biofilm biomass and specific microbial loads of Streptococcus spp. compared to brushing (p<0.01). Reduction of microbial loads of the other microorganisms were not different between cleaning methods (p>0.05). Conclusions: The ultrasonic bath proved to be a feasible alternative method for the mechanical cleaning of complete dentures in LTCIs


Asunto(s)
Anciano , Higiene , Dentaduras , Biopelículas , Servicios de Salud para Ancianos
2.
BMJ ; 374: n1593, 2021 08 31.
Artículo en Inglés | MEDLINE | ID: mdl-34465575

RESUMEN

Age is an independent risk factor for cardiovascular disease. With the accelerated growth of the population of older adults, geriatric and cardiac care are becoming increasingly entwined. Although cardiovascular disease in younger adults often occurs as an isolated problem, it is more likely to occur in combination with clinical challenges related to age in older patients. Management of cardiovascular disease is transmuted by the context of multimorbidity, frailty, polypharmacy, cognitive dysfunction, functional decline, and other complexities of age. This means that additional insight and skills are needed to manage a broader range of relevant problems in older patients with cardiovascular disease. This review covers geriatric conditions that are relevant when treating older adults with cardiovascular disease, particularly management considerations. Traditional practice guidelines are generally well suited for robust older adults, but many others benefit from a relatively more personalized therapeutic approach that allows for a range of medical circumstances and idiosyncratic goals of care. This requires weighing of risks and benefits amidst the patient's aggregate clinical status and the ability to communicate effectively about this with patients and, where appropriate, their care givers in a process of shared decision making. Such a personalized approach can be particularly gratifying, as it provides opportunities to optimize an older patient's function and quality of life at a time in life when these often become foremost therapeutic priorities.


Asunto(s)
Enfermedades Cardiovasculares/terapia , Toma de Decisiones Conjunta , Factores de Edad , Servicios de Salud para Ancianos , Humanos , Factores de Riesgo
3.
Ned Tijdschr Geneeskd ; 1652021 09 02.
Artículo en Holandés | MEDLINE | ID: mdl-34523843

RESUMEN

Integrated orthogeriatric treatment, led by a nurse practitioner, is an important step forward in the improvement of care for older people with a hip fracture. In this paper we reflect on the study of Van Leendert et al. Their main findings are similar to the literature with a significantly reduced 1-year mortality rate in the orthogeriatric group compared to the standard care group. However, there are some remarks to be made regarding the patient characteristics that are unbalanced in favor of the orthogeriatric group, with an overrepresentation of a certain type of fracture, indicating potentially more vulnerable patients in the standard care group. Although a significant step forward, we also address that still face major challenges, that technology might be an enabler for further improvement but that it might also be time to introduce a new perspective on recovery that makes better use of the dynamics of the system.


Asunto(s)
Servicios de Salud para Ancianos , Fracturas de Cadera , Anciano , Fracturas de Cadera/terapia , Humanos , Tiempo de Internación
6.
Medicine (Baltimore) ; 100(36): e27159, 2021 Sep 10.
Artículo en Inglés | MEDLINE | ID: mdl-34516508

RESUMEN

ABSTRACT: Severity of illness, age, malnutrition, and infection are the important factors determining intensive care unit (ICU) survival.The aim of the study is to determine the relations between Geriatric Nutritional Risk Index (GNRI), C-reactive protein/albumin (CAR), and prognosis-mortality of geriatric patients (age of ≥65 years) admitted to intensive care unit.The study with 10/15/2020, 697 approval date, and number retrospectively registered. Between January 1, 2018 and December 31, 2019, 413 geriatric patients admitted to ICU. The patients were divided into three groups according to their age.The age group, gender, Charlson comorbidity index, intensive care scores (Acute Physiology And Chronic Health Evaluation II and Sequential Organ Failure Assessment), the infection markers (white blood cell, procalcitonin, CAR levels), malnutrition tools for each patient (body mass index, Nutrition Risk in Critically ill score, and GNRI scores) were analyzed retrospectively. Also length of stay (LOS) ICU, length of stay hospital, and 30-day mortality were recorded.Geriatric patients number of 403 was included in the study. Forty-nine (12.3%) patients had a history of malignancy, 272 (67.5%) patients had Chronic Obstructive Pulmonary Disease comorbidity. There was no difference in mortality between age groups.In patients with mortality, body mass index, had being Chronic Obstructive Pulmonary Disease history, GNRI, length of stay hospital, and albumin were significantly lower; malignancy comorbidity rate, inotrope use, modified Nutrition Risk in Critically ill score, mechanical ventilation duration, LOS ICU, Sequential Organ Failure Assessment, Acute Physiology And Chronic Health Evaluation II, Charlson comorbidity index, C-reactive protein, procalcitonin, and CAR were significantly higher.Both malnutrition and infection affect mortality in geriatric patients in intensive care. The GNRI is better than CAR at predicting mortality.


Asunto(s)
Infección Hospitalaria/epidemiología , Anciano Frágil , Desnutrición/epidemiología , Síndrome de Dificultad Respiratoria , APACHE , Anciano , Anciano de 80 o más Años , Infección Hospitalaria/etiología , Infección Hospitalaria/mortalidad , Femenino , Evaluación Geriátrica , Servicios de Salud para Ancianos , Humanos , Unidades de Cuidados Intensivos , Masculino , Desnutrición/etiología , Desnutrición/mortalidad , Evaluación Nutricional , Estado Nutricional , Turquia/epidemiología
7.
Artículo en Inglés | PAHO-IRIS | ID: phr-54916

RESUMEN

[ABSTRACT]. Objective. To identify key indicators that will allow empirical measurement of a health system’s responsiveness to older people. Methods. We conducted a series of consultations with experts to develop a relevant list of indicators. Concept mapping was used to devise the list, including the steps of preparation, brainstorming and structuring. Additionally, four countries were used as national case studies to test the feasibility of measuring health system responsiveness with readily available national-level data (Barbados, Brazil, Chile, and Mexico). Results. Our study resulted in a list of 25 indicators scored with high usefulness for informing public policy, 10 of which were also categorized as being of high availability. National case studies were useful to assess the feasibility of measuring health system responsiveness in different settings. Conclusions. Responsiveness can be comprehensively assessed by (i) approaching the intrinsic features of the system via its inputs, outputs, and outcomes, and (ii) measuring the impact of the system on meeting the needs of older people in terms of their health, financial protection, and expectations. Further consensus is needed to develop a list of core indicators that could be used as a baseline for measuring a health system’s responsiveness to the needs of older people.


[RESUMEN]. Objetivo. Determinar qué indicadores clave permitirán la medición empírica de la capacidad de respuesta de un sistema de salud a las personas mayores. Métodos. Se llevó a cabo una serie de consultas con expertos para elaborar una lista de indicadores pertinentes. Para elaborar la lista se usó un mapeo conceptual, que incluyó los pasos de preparación, tormenta de ideas y estructuración. Además, se emplearon cuatro países en estudios de casos nacionales para evaluar la viabilidad de medir la capacidad de respuesta del sistema de salud con datos fácilmente disponibles a nivel de país (Barbados, Brasil, Chile y México). Resultados. Se obtuvo una lista de 25 indicadores que se clasificaron como de alta utilidad para la fundamentación de políticas públicas, diez de los cuales también se categorizaron como de alta disponibilidad. Los estudios de casos nacionales fueron útiles para evaluar la viabilidad de medir la capacidad de respuesta del sistema de salud en diferentes entornos. Conclusiones. La capacidad de respuesta se puede evaluar de manera integral a) abordando las características intrínsecas del sistema mediante sus insumos, resultados inmediatos y resultados intermedios, y b) determinando el efecto del sistema en la satisfacción de las necesidades de las personas mayores en cuanto a su salud, protección financiera y expectativas. Es necesario un mayor consenso para elaborar una lista de indicadores centrales que puedan usarse como línea de base para medir la capacidad de respuesta de un sistema de salud ante las necesidades de las personas mayores.


[RESUMO]. Objetivo. Identificar os principais indicadores que permitem medir de forma empírica a resposta de um sistema de saúde às pessoas idosas. Métodos. Realizamos uma série de consultas com especialistas para desenvolver uma lista relevante de indicadores. O mapeamento de conceitos foi utilizado para criar a lista, incluindo as etapas de preparação, discussão de ideias e estruturação. Além disso, quatro países foram usados como estudos de casos nacionais para verificar a viabilidade de medir a capacidade de resposta do sistema de saúde com dados de nível nacional prontamente disponíveis (Barbados, Brasil, Chile e México). Resultados. Nosso estudo resultou em uma lista de 25 indicadores pontuados como de grande utilidade para a informação para políticas públicas, 10 dos quais foram também classificados como de alta disponibilidade. Os estudos de casos nacionais foram úteis para avaliar a viabilidade de medir a capacidade de resposta do sistema de saúde em diferentes meios. Conclusões. A capacidade de resposta pode ser avaliada integralmente por meio de (i) abordagem das características intrínsecas do sistema por meio de seus insumos, resultados e desfechos, e (ii) medição do impacto do sistema na resposta às necessidades das pessoas idosas em termos de saúde, proteção financeira e expectativas. É necessário maior consenso para desenvolver uma lista de indicadores básicos que possam ser usados como linha de base para medir a capacidade de resposta de um sistema de saúde às necessidades das pessoas idosas.


Asunto(s)
Sistemas de Información en Salud , Sistemas de Salud , Indicadores de Servicios , Anciano , Envejecimiento , Envejecimiento Saludable , Salud del Anciano , Servicios de Salud para Ancianos , Barbados , Brasil , Chile , México , Sistemas de Información en Salud , Sistemas de Salud , Indicadores de Servicios , Anciano , Salud del Anciano , Servicios de Salud para Ancianos , Envejecimiento , Envejecimiento Saludable , Brasil , México , Sistemas de Información en Salud , Sistemas de Salud , Indicadores de Servicios , Anciano , Salud del Anciano , Servicios de Salud para Ancianos , Envejecimiento , Envejecimiento Saludable
8.
Artículo en Español | PAHO-IRIS | ID: phr-54915

RESUMEN

[RESUMEN]. Objetivo. Analizar las pautas de convivencia de la población de 60 años o más que reside en hogares priva-dos en 23 países de América Latina y el Caribe. Métodos. Estudio transversal realizado con base en los microdatos censales más recientes disponibles en Integrated Public Use Microdata Series (IPUMS)-International, la mayoría de ellos correspondientes a la ronda censal de 2010. Se calcularon y se compararon, para cada país y por sexo, el número medio de convivientes, su distribución por edad y las relaciones de parentesco que se establecen entre ellos. Se compararon, por país y por sexo, el promedio de convivientes en función del nivel de escolaridad y del estado civil. Resultados. El promedio del número de personas con las que convive la gente mayor difiere entre países. Oscila entre dos personas en países como Argentina, Puerto Rico y Uruguay, y cuatro o más personas en países como Honduras y Nicaragua. Esta diferencia resulta de la mayor o menor presencia de personas jóvenes, hijos y otros familiares en el hogar. El número de convivientes disminuye con el mayor nivel de escolaridad, salvo en Cuba y en Puerto Rico, donde no se observan diferencias. En general, las mujeres mayores viven en hogares con menos personas que los hombres, aunque no es el caso de las personas solteras o divorciadas. Conclusiones. La convivencia con hijos y otros familiares es habitual en la Región. Las diferencias entre países y por nivel educativo muestran que la familia juega un papel importante en la protección social de la vejez en los países menos desarrollados y en los grupos menos escolarizados.


[ABSTRACT]. Objective. Analyze cohabitation patterns in the population over 60 years of age living in private households in 23 countries in Latin America and the Caribbean. Methods. Cross-sectional study based on the most recently available census microdata from the Integrated Public Use Microdata Series (IPUMS, International), corresponding mainly to the 2010 census. Average number of household members, age distribution, and family relationships were calculated and compared for each country and by sex. The average number of household members was compared, by country and by sex, in relation to level of schooling and marital status. Results. The average number of people that older people live with differs between countries, ranging from two or less in countries such as Argentina, Puerto Rico, and Uruguay, to four or more in countries such as Honduras and Nicaragua. This difference depends on a greater or lesser presence of young adults, children, and other family members in the household. The number of household members declines with a higher level of schooling, except in Cuba and Puerto Rico, where no differences are observed. In general, older women live in households with fewer people than men, although this is not the case for unmarried or divorced people. Conclusions. In the Region, it is common for older persons to live with children and other family members. The differences between countries and by educational level show that the family plays an important role in social protection of the elderly in less developed countries and in the least educated groups.


[RESUMO]. Objetivo. Analisar os padrões de convivência da população de 60 anos ou mais que reside em moradias particulares em 23 países da América Latina e do Caribe. Métodos. Estudo transversal realizado com base nos microdados censitários mais recentes disponíveis no Integrated Public Use Microdata Series (IPUMS)-International, na maior parte correspondente à etapa cen-sitária de 2010. O número médio de coabitantes, sua distribuição por idade e as relações de parentesco estabelecidas entre eles foram calculados e comparados para cada país e por sexo. A média de coabitantes em função do nível de escolaridade e do estado civil foi comparada por país e por sexo. Resultados. A média do número de pessoas com quem os idosos convivem difere entre países. Oscila entre 2 pessoas em países como Argentina, Porto Rico e Uruguai e 4 ou mais pessoas em países como Honduras e Nicarágua. Essa diferença resulta da maior ou menor presença de jovens, filhos e outros familiares em casa. Quanto maior o nível de escolaridade, menor o número de coabitantes, exceto em Cuba e em Porto Rico, onde não são observadas diferenças. Em geral, as mulheres idosas vivem em moradias com menos pessoas que os homens, embora não seja o caso das pessoas solteiras ou divorciadas. Conclusões. A convivência com filhos e outros familiares é habitual na Região. As diferenças entre países e por nível educacional mostram que a família desempenha um papel importante na proteção social da velhice nos países menos desenvolvidos e nos grupos menos escolarizados.


Asunto(s)
Hogares para Ancianos , Anciano , Vivienda , Envejecimiento , Envejecimiento Saludable , Salud del Anciano , América Latina , Región del Caribe , Vivienda , Viviendas para Ancianos , Anciano , Salud del Anciano , Servicios de Salud para Ancianos , Hogares para Ancianos , Envejecimiento Saludable , Envejecimiento , América Latina , Región del Caribe , Anciano , Servicios de Salud para Ancianos , Vivienda , Viviendas para Ancianos , Salud del Anciano , Envejecimiento , Envejecimiento Saludable
9.
Nutrients ; 13(7)2021 Jul 05.
Artículo en Inglés | MEDLINE | ID: mdl-34371823

RESUMEN

Malnutrition, frailty and sarcopenia are becoming increasingly prevalent among community-dwelling older adults; yet are often unidentified and untreated in community settings. There is an urgent need for community-based healthcare professionals (HCPs) from all disciplines, including medicine, nursing and allied health, to be aware of, and to be able to recognise and appropriately manage these conditions. This paper provides a comprehensive overview of malnutrition, frailty and sarcopenia in the community, including their definitions, prevalence, impacts and causes/risk factors; and guidance on how these conditions may be identified and managed by HCPs in the community. A detailed description of the care process, including screening and referral, assessment and diagnosis, intervention, and monitoring and evaluation, relevant to the community context, is also provided. Further research exploring the barriers/enablers to delivering high-quality nutrition care to older community-dwelling adults who are malnourished, frail or sarcopenic is recommended, to inform the development of specific guidance for HCPs in identifying and managing these conditions in the community.


Asunto(s)
Servicios de Salud Comunitaria/métodos , Fragilidad/epidemiología , Servicios de Salud para Ancianos , Desnutrición/epidemiología , Terapia Nutricional/métodos , Sarcopenia/epidemiología , Anciano , Anciano de 80 o más Años , Femenino , Anciano Frágil , Fragilidad/diagnóstico , Fragilidad/terapia , Humanos , Vida Independiente , Masculino , Desnutrición/diagnóstico , Desnutrición/terapia , Prevalencia , Factores de Riesgo , Sarcopenia/diagnóstico , Sarcopenia/terapia
10.
Medicine (Baltimore) ; 100(29): e26675, 2021 Jul 23.
Artículo en Inglés | MEDLINE | ID: mdl-34398035

RESUMEN

ABSTRACT: Population aging and air pollution are global concerns. The purpose of this study is to explore the relationship among particulate matter with a diameter of 2.5 µm or less (PM2.5) knowledge, PM2.5 preventive attitude, and PM2.5 preventive behavioral intention in the elderly.A cross-sectional survey design was applied in this study, including usage intention and snowball sampling. A total of 617 elderly people aged over 65 participated, and the collected data were quantitatively analyzed.The results showed that the mean score of PM2.5 knowledge of the elderly was 10.34 (79.53%) with the standard deviation (SD) of 3.42, the mean score of PM2.5 preventive attitude was 4.58 (91.60%) with SD of 0.49, and the mean score of PM2.5 preventive behavioral intention was 4.72 (94.40%) with SD of 0.40. Elderly people's characteristics regarding PM2.5 knowledge and PM2.5 preventive attitude explained 22% (adjusted R2 = 0.22, F = 30.44, P < .001) of the variance in PM2.5 preventive behavioral intention.It is concluded that we found no difference in PM2.5 knowledge, PM2.5 preventive attitude, or PM2.5 preventive behavioral intention among the elderly with or without chronic diseases. In our opinion, health education regarding the threat of PM2.5 to the health of the elderly should be strengthened, to enhance their knowledge, preventive attitude, and preventive behavioral intention of PM2.5.


Asunto(s)
Contaminación del Aire/prevención & control , Conductas Relacionadas con la Salud , Conocimientos, Actitudes y Práctica en Salud , Material Particulado/análisis , Anciano , Anciano de 80 o más Años , Servicios de Salud Comunitaria , Estudios Transversales , Femenino , Servicios de Salud para Ancianos , Humanos , Masculino , Encuestas y Cuestionarios , Taiwán
11.
BMJ Open ; 11(8): e048657, 2021 08 25.
Artículo en Inglés | MEDLINE | ID: mdl-34433599

RESUMEN

INTRODUCTION: There is a clear need for improved care quality and quality monitoring in aged care. Aged care providers collect an abundance of data, yet rarely are these data integrated and transformed in real-time into actionable information to support evidence-based care, nor are they shared with older people and informal caregivers. This protocol describes the co-design and testing of a dashboard in residential aged care facilities (nursing or care homes) and community-based aged care settings (formal care provided at home or in the community). The dashboard will comprise integrated data to provide an 'at-a-glance' overview of aged care clients, indicators to identify clients at risk of fall-related hospitalisations and poor quality of life, and evidence-based decision support to minimise these risks. Longer term plans for dashboard implementation and evaluation are also outlined. METHODS: This mixed-method study will involve (1) co-designing dashboard features with aged care staff, clients, informal caregivers and general practitioners (GPs), (2) integrating aged care data silos and developing risk models, and (3) testing dashboard prototypes with users. The dashboard features will be informed by direct observations of routine work, interviews, focus groups and co-design groups with users, and a community forum. Multivariable discrete time survival models will be used to develop risk indicators, using predictors from linked historical aged care and hospital data. Dashboard prototype testing will comprise interviews, focus groups and walk-through scenarios using a think-aloud approach with staff members, clients and informal caregivers, and a GP workshop. ETHICS AND DISSEMINATION: This study has received ethical approval from the New South Wales (NSW) Population & Health Services Research Ethics Committee and Macquarie University's Human Research Ethics Committee. The research findings will be presented to the aged care provider who will share results with staff members, clients, residents and informal caregivers. Findings will be disseminated as peer-reviewed journal articles, policy briefs and conference presentations.


Asunto(s)
Servicios de Salud para Ancianos , Calidad de Vida , Anciano , Cuidadores , Servicios de Salud , Humanos , Calidad de la Atención de Salud
12.
Emerg Med J ; 38(5): 371-372, 2021 May.
Artículo en Inglés | MEDLINE | ID: mdl-34449412

RESUMEN

The COVID-19 pandemic has presented significant challenges to services providing emergency care, in both the community and hospital setting. The Physician Response Unit (PRU) is a Community Emergency Medicine model, working closely with community, hospital and pre-hospital services. In response to the pandemic, the PRU has been able to rapidly introduce novel pathways designed to support local emergency departments (EDs) and local emergency patients. The pathways are (1) supporting discharge from acute medical and older people's services wards into the community; (2) supporting acute oncology services; (3) supporting EDs; (4) supporting palliative care services. Establishing these pathways have facilitated a number of vulnerable patients to access patient-focussed and holistic definitive emergency care. The pathways have also allowed EDs to safely discharge patients to the community, and also mitigate some of the problems associated with trying to maintain isolation for vulnerable patients within the ED. Community Emergency Medicine models are able to reduce ED attendances and hospital admissions, and hence risk of crowding, as well as reducing nosocomial risks for patients who can have high-quality emergency care brought to them. This model may also provide various alternative solutions in the delivery of safe emergency care in the postpandemic healthcare landscape.


Asunto(s)
COVID-19/epidemiología , Servicios de Salud Comunitaria/organización & administración , Servicios Médicos de Urgencia/organización & administración , Servicio de Urgencia en Hospital/organización & administración , Servicios de Salud para Ancianos/organización & administración , Humanos , Neoplasias/terapia , Cuidados Paliativos/organización & administración , Pandemias , Alta del Paciente , SARS-CoV-2
13.
Pan Afr Med J ; 38: 411, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-34381555

RESUMEN

The population of Nigerian older persons is expected to reach 26 million by 2050 from 9 million reported in 2016. This population change has several implications, thus the need to pay attention to healthy ageing. Hence, this report aims to compare ageing and its facilitators in Nigeria and the United Kingdom (UK). The life course theory was used to explore the influence of early life factors and experiences on ageing. Unlike the UK, little attention is given to the care of Nigerian older persons. Therefore, Nigerian stakeholders must design and implement a comprehensive policy on healthy ageing. Also, there is an urgent need for training nurses to meet this demand as it arises.


Asunto(s)
Envejecimiento , Política de Salud , Enfermería/organización & administración , Anciano , Educación en Enfermería/métodos , Servicios de Salud para Ancianos/organización & administración , Envejecimiento Saludable , Humanos , Nigeria , Enfermeras y Enfermeros/organización & administración , Reino Unido
14.
Washington, D.C.; OPAS; 2021-08-31. (OPAS/FPL/HL/COVID-19/21-0029).
en Portugués | PAHO-IRIS | ID: phr-54770

RESUMEN

A maioria das mortes relacionadas com a COVID-19 na Região das Américas ocorreu em pessoas com 70 anos ou mais. O impacto da pandemia da COVID-19 revelou ainda mais a fragilidade das pessoas idosas, bem como dos sistemas de saúde e das comunidades que as apoiam. No entanto, ambientes amigáveis ​​à pessoa idosa e iniciativas relacionadas têm desempenhado um papel fundamental na adaptação oportuna e na mitigação dos efeitos da COVID-19. Várias cidades e comunidades amigas da pessoa idosa na América Latina participaram de uma pesquisa com o objetivo de compreender o papel dessas iniciativas na Região, o impacto de fazer parte da rede global e apresentar as melhores práticas adotadas durante a pandemia da COVID-19. Esta publicação tem como objetivo mostrar que fazer parte da “rede global de cidades e comunidades amigas da pessoa idosa” é benéfico não apenas para as pessoas idosas, mas para todos, e pode ser especialmente benéfico em situações de emergência. Seu impacto pretendido é aumentar a qualidade do planejamento e das ações concretas em ambientes amigáveis ​​à pessoa idosa na Região das Américas. O público-alvo principal desta publicação são os Estados Membros da Organização Pan-Americana da Saúde (OPAS) e as partes interessadas que estão envolvidas e têm conhecimento prévio da prática de ambientes amigáveis à pessoa idosa. Também pretende alcançar cidades e comunidades amigas das pessoas idosas na Região das Américas para compartilhar boas práticas que podem ser reproduzidas, bem como incentivar tais iniciativas em nome das pessoas idosas. Suas mensagens principais destacam a importância do acesso à tecnologia para as pessoas idosas e como ser uma cidade amiga da pessoa idosa desempenha um papel importante no alcance das populações vulneráveis. Mostra também como o enfoque multissetorial e o envolvimento de diferentes atores têm tido um grande impacto no desenvolvimento de atividades voltadas para um ambiente favorável à pessoa idosa e em favor da proteção desse grupo populacional.


Asunto(s)
Pandemias , COVID-19 , Coronavirus , Anciano , Servicios de Salud para Ancianos , Mortalidad
15.
Washington, D.C.; PAHO; 2021-08-23. (PAHO/FPL/HL/COVID-19/21-0029).
en Inglés | PAHO-IRIS | ID: phr-54702

RESUMEN

Most COVID-19 related deaths in the Region of the Americas have occurred in people aged 70 years and over. The impact of the COVID-19 pandemic has further revealed the fragility of older adults, as well as of the health systems and communities that support them. However, age-friendly environments and related initiatives have played a key role in the timely adaptation to and mitigation of the effects of COVID-19. Various age-friendly cities and communities in Latin America participated in a survey aiming to understand the role of such initiatives in the Region, the impact of being part of the global network, and to present best practices adopted during the COVID-19 pandemic. This publication aims to show that being part of the “age-friendly global network” is beneficial not only to older persons but for all, and it can be especially beneficial in emergency situations. Its intended impact is to increase the quality of planning and concrete actions of age-friendly environments within the Region of the Americas. The primary target audiences of this publication are Member States of the Pan American Health Organization (PAHO) and stakeholders that are involved and have prior knowledge of the practice of age-friendly environments. It also intends to reach age-friendly cities and communities in the Region of the Americas to share good practices that can be reproduced, as well as encourage such initiatives on behalf of older individuals. Its key messages highlight the importance of access to technology for older people and how being an age-friendly city plays an important role in reaching vulnerable populations. It also shows how a multisectoral approach and the involvement of different actors have made a huge impact in the development of activities toward an age-friendly environment and in favor of the protection of older adults.


Asunto(s)
COVID-19 , Coronavirus , Anciano , Pandemias , Servicios de Salud para Ancianos , Sistemas de Salud , Hogares para Ancianos
16.
J Cross Cult Gerontol ; 36(3): 309-320, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34324047

RESUMEN

The older foreign-born population is predicted to increase in the United States. As a whole, this population in the long-term care setting is more likely to face greater challenges associated with loneliness and social isolation due to their smaller social networks, language and cultural differences. The benefits of person-centered care have been widely recognized and may be a potential remedy for such challenges felt by older immigrants. Using a qualitative case study approach, this study explored the staff perceptions of a culturally responsive companion program provided to an older Japanese woman with advanced dementia in the long-term care setting to understand the potential benefits of such a program. The first theme that emerged was that the client benefitted from the program in regard to her physical wellbeing, emotional wellbeing, language communication and cultural support. Given the support of Japanese companions, the client was able to express her needs and health symptoms effectively and the staff were subsequently able to provide culturally-sensitive care. The second theme that emerged was the perceived benefits received by the staff. The companion program improved the staff's ability to provide quality care for the resident. This study implies that culturally responsive companion programs may benefit foreign-born older individuals in improving their wellbeing in long-term care settings.


Asunto(s)
Competencia Cultural , Asistencia Sanitaria Culturalmente Competente , Demencia/enfermería , Atención Dirigida al Paciente , Anciano , Demencia/etnología , Femenino , Servicios de Salud para Ancianos , Hogares para Ancianos , Humanos , Entrevistas como Asunto , Japón , Cuidados a Largo Plazo , Casas de Salud , Investigación Cualitativa , Estados Unidos
17.
Med J Malaysia ; 76(4): 562-564, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-34305118

RESUMEN

Geriatric medicine practice requires a multidimensional and multidisciplinary assessment to provide a holistic overview of the older patients. During the current COVID-19 pandemic time, it becomes more critical to ensure that the elderly patients continue to receive regular geriatric care for their pre-existing chronic illness and at the same time avoid unnecessary exposure to COVID-19 virus. Geriatric telemedicine clinic provides a convenient solution to ensure continuity of care for the older patients. Careful patient selection, technical requirement, geriatric assessment via audio-visual communication, and caretaker involvement were among the important issues discussed in this article.


Asunto(s)
COVID-19/epidemiología , Continuidad de la Atención al Paciente , Servicios de Salud para Ancianos , Telemedicina , Factores de Edad , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Malasia/epidemiología , Masculino , Persona de Mediana Edad , Modelos Organizacionales , Telemedicina/métodos , Telemedicina/organización & administración
18.
Aging Clin Exp Res ; 33(9): 2405-2443, 2021 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-34287785

RESUMEN

BACKGROUND: Health outcomes of older subjects with hip fracture (HF) may be negatively influenced by multiple comorbidities and frailty. An integrated multidisciplinary approach (i.e. the orthogeriatric model) is, therefore, highly recommended, but its implementation in clinical practice suffers from the lack of shared management protocols and poor awareness of the problem. The present consensus document has been implemented to address these issues. AIM: To develop evidence-based recommendations for the orthogeriatric co-management of older subjects with HF. METHODS: A 20-member Expert Task Force of geriatricians, orthopaedics, anaesthesiologists, physiatrists, physiotherapists and general practitioners was established to develop evidence-based recommendations for the pre-, peri-, intra- and postoperative care of older in-patients (≥ 65 years) with HF. A modified Delphi approach was used to achieve consensus, and the U.S. Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence. RESULTS: A total of 120 recommendations were proposed, covering 32 clinical topics and concerning preoperative evaluation (11 topics), perioperative (8 topics) and intraoperative (3 topics) management, and postoperative care (10 topics). CONCLUSION: These recommendations should ease and promote the multidisciplinary management of older subjects with HF by integrating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.


Asunto(s)
Servicios de Salud para Ancianos , Fracturas de Cadera , Anciano , Consenso , Geriatras , Fracturas de Cadera/cirugía , Humanos , Italia
20.
J Am Geriatr Soc ; 69(7): 1755-1762, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-34245584

RESUMEN

Most innovations developed to reduce the burden of Alzheimer disease and other related dementias (ADRD) are difficult to implement, diffuse, and scale. The consequences of such challenges in design, implementation, and diffusion are suboptimal care and resulting harm for people living with ADRD and their caregivers. National experts identified four factors that contribute to our limited ability to implement and diffuse of evidence-based services and interventions for people living with ADRD: (1) limited market demand for the implementation and diffusion of effective ADRD interventions; (2) insufficient engagement of persons living with ADRD and those caring for them in the development of potential ADRD services and interventions; (3) limited evidence and experience regarding scalability and sustainability of evidence-based ADRD care services; and (4) difficulties in taking innovations that work in one context and successfully implementing them in other contexts. New investments in the science of human-centered design, implementation, and diffusion are crucial for meeting the goals of the National Plan to Address Alzheimer's Disease under the auspices of the National Alzheimer's Project Act.


Asunto(s)
Enfermedad de Alzheimer , Demencia , Investigación sobre Servicios de Salud/métodos , Servicios de Salud para Ancianos , Ciencia de la Implementación , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Proyectos de Investigación , Participación de los Interesados
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