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1.
J Aging Stud ; 63: 100950, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36462912

RESUMO

This paper reports findings from a project that aimed to generate new feminist visions of later life, inspired directly by Sandberg and Marshall's paper 'Queering Aging Futures' (Sandberg & Marshall, 2017). Creative workshops with groups of self-identified feminists led to the generation of a range of artefacts exploring personal visions of a good feminist old age. This paper firstly considers the features that participants most frequently imagined - which were independence, social connection, pleasurable encounters with water, and good health - here treating feminism as a participants' resource explored through inductive analysis. The paper then explores the extent to which participants were able to imagine good feminist old age beyond the normativities of 'successful ageing', using a more deductive style of analysis drawing on feminist theory and feminist gerontology. Several participants imagined powerful and agentic old women who resisted the idea of older women's powerlessness. Some imagined new emotional and psychological foci for later life, clearly distinct from those of mid-life. Others imagined future physical decline and ways of embracing or overcoming it. Finally, drawing on feminist theory about the need to be reflexive and accountable in knowledge production, the paper concludes with consideration of the researcher's own imagined feminist old age and feminist history, and the implications this might have for the analysis presented.


Assuntos
Feminismo , Geriatria , Humanos , Feminino , Idoso , Envelhecimento , Emoções , Conhecimento
2.
J Aging Stud ; 63: 101032, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36462928

RESUMO

This roundtable discussion is a creative contribution to this special issue on 'aging masculinities' based on questions posed by editor Stephen Katz to three leading senior scholars in the critical gerontological field in the United States. W. Andrew Achenbaum is a renowned historian who has devoted his career to writing about the relevance of past politics, cultures, and knowledges of aging to comprehending our current dilemmas. Thomas R. Cole is an acclaimed historical scholar and mentor to generations of Humanities researchers across the globe. His work also includes film, literature, ethics, and spirituality. Brian de Vries is a social gerontologist whose bold research on LGBTQ aging is a powerful voice in critiquing the multiple forms of discrimination, violence and hardships, and denied rights and life-chances imposed by hetero-patriarchal regimes in later life. That these men have shaped and been shaped by their work and advocacy is the key theme that inspires our conversation.


Assuntos
Geriatria , Masculino , Humanos , Envelhecimento , Masculinidade , Geriatras , Filmes Cinematográficos
3.
J Aging Stud ; 63: 101075, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36462934

RESUMO

This paper aims to present the process of older adults' place personalization and the image of old age emerging from it. The focus is on the material environment where participants live. This environment reveals one of the many layers of becoming an older adult. Results indicate that older people are strongly integrated into the place in which they live, and the components of this process are presented. The dwelling place echoes the acquired identity of an older person in many dimensions-physical, biographical, aesthetic, and axiological. Following main themes were generated inductively from the data, which reveals two aspects of place: the structural aspect, relating to the objects gathered - (personal belongings, aestheticization of place with objects of biographical significance, objects pointing to values), and the agency aspect, relating to the characteristic activities that older adults engage in where they live (place adaptation, command center, and customization of objects and actions). The context of the current discussion is the knowledge provided by environmental gerontology and an identity perspective on both collective and individual aspects of housing. The study was based on qualitative data-photographs of the interiors of older adult's dwellings and transcripts of conversations obtained using the photowalking technique. The analysis and interpretation of the research material was performed in accordance with visual grounded theory methodology. Findings can be used to design an environment for older adults, which may improve their quality of life. It is crucial when designing rooms in residential care homes and when sensitizing their staff to the need to provide residents with appropriate space for accumulating, storing, and displaying familiar and important objects rooted in their values, biographies, and established rituals.


Assuntos
Geriatria , Qualidade de Vida , Humanos , Idoso , Comunicação , Confiabilidade dos Dados , Estética
4.
Geriatr Psychol Neuropsychiatr Vieil ; 20(3): 311-318, 2022 09 01.
Artigo em Francês | MEDLINE | ID: mdl-36322809

RESUMO

Introduction: Development of the geriatric care allows direct hospitalization and avoid unnecessary emergency admissions. In Clermont-Ferrand, a specific hotline regulates direct entry from home and emergencies in the geriatric acute care unit. The aim of this study was to evaluate the impact of the entry mode (home or emergency) on the length of stay of patients hospitalized in acute care geriatric unit. Materials and methods: We have retrospectively collected data on hospitalization of patients over 75 years in the Geriatric Acute care unit from January to March 2019. We also collected socio-demographic data, autonomy score, MMS, co-morbidity score, exit mode, previous year's hospitalization and polymedication on hospitalization reports. Results: We included 88 patients in the "direct" group and 184 patients in the "emergency" group. The characteristics of the two groups were comparable. The median length of stay for the "emergency" group was 14 days [9.5; 20] versus 12 [8.5; 18] for the "direct" group (p=0.03). In multivariate analysis, ADL score and home lifestyle were correlated with duration of stay. Conclusion: The development of direct entrance pathways into the geriatric short-stay department by establishing specific hotlines decreases length of stay.


Le développement des filières gériatriques permet une hospitalisation en entrée directe évitant le passage par les urgences. À Clermont-Ferrand, depuis 2011, une ligne téléphonique dédiée permet une régulation des entrées. L'objectif de cette étude est d'évaluer l'impact du mode d'entrée (directe ou urgences) sur la durée moyenne de séjour (DMS) chez les patients hospitalisés en court séjour gériatrique (CSG). Méthodes: La DMS, ainsi que les données socio démographiques, le score d'autonomie, le MMS, les comorbidités, le mode de sortie, la survenue d'une hospitalisation dans l'année précédente et la polymédication ont été recueillis de manière rétrospective chez les patients âgés de plus de 75 ans. Résultats: 272 patients ont été inclus (88 « entrées directes ¼ et 184 « urgences ¼). Les caractéristiques des groupes étaient comparables. La durée médiane de séjour pour le groupe « urgences ¼ était de 14 [9,5 ; 20] contre 12 [8,5 ; 18] pour l'autre groupe (p = 0,03). En analyse multivariée, le score d'ADL et le mode de vie étaient corrélés à la DMS avec respectivement p = 0,009 et p = 0,018. Conclusion: La création de filières d'entrées directes en CSG par la mise en place de lignes téléphoniques dédiées permet une réduction de la DMS.


Assuntos
Geriatria , Linhas Diretas , Humanos , Idoso , Tempo de Internação , Estudos Retrospectivos , Serviço Hospitalar de Emergência , Hospitalização , Avaliação Geriátrica
5.
Rev Med Suisse ; 18(802): 2063-2066, 2022 Nov 02.
Artigo em Francês | MEDLINE | ID: mdl-36326224

RESUMO

The management of infections in the elderly requires medical and nursing expertise with a standardized global geriatric evaluation. We present here an original and pioneering unit in Switzerland, dedicated to polymorbid and complex elderly patients hospitalized for an acute infection and who will benefit from joint management by an interdisciplinary team including a geriatrician, an infectious diseases specialist and a pharmacogeriatrician. The Hôpital des Trois-Chêne, which has geriatric emergencies, intermediate care beds, SOMADEM (somatic dementia) and UGIMP (medico-psychiatric) programs adapted to this population, seems to be the ideal place to host this unit. The teams will benefit from theoretical and practical training associated with field coaching.


La prise en charge des infections de la personne âgée nécessite une expertise médico-soignante avec une évaluation gériatrique globale standardisée. Nous présentons ici une unité originale et pionnière en Suisse, dédiée aux patients âgés polymorbides et complexes hospitalisés pour infection aiguë. Ils bénéficieront d'une prise en charge conjointe par une équipe interdisciplinaire comprenant entre autres le gériatre, l'infectiologue et le pharmacogériatre. L'hôpital des Trois-Chêne, qui possède des urgences gériatriques, des lits de soins intermédiaires, les programmes SOMADEM (somatique démence) et UGIMP (médico-psychiatrique) adaptés à cette population, semble le lieu idéal pour accueillir cette unité. Les équipes bénéficieront d'une formation théorique et pratique associée à du coaching de terrain.


Assuntos
Doenças Transmissíveis , Geriatria , Humanos , Idoso , Hospitalização , Hospitais , Doenças Transmissíveis/epidemiologia , Doenças Transmissíveis/terapia , Suíça/epidemiologia , Equipe de Assistência ao Paciente
6.
J Frailty Aging ; 11(4): 342-347, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-36346720

RESUMO

The Resilience is a construct receiving growing attention from the scientific community in geriatrics and gerontology. Older adults show extremely heterogeneous (and often unpredictable) responses to stressors. Such heterogeneity can (at least partly) be explained by differences in resilience (i.e., the capacity of the organism to cope with stressors). The International Conference on Frailty and Sarcopenia Research (ICFSR) Task Force met in Boston (MA,USA) on April 20, 2022 to discuss the biological and clinical significance of resilience in older adults. The identification of persons with low resilience and the prompt intervention in this at-risk population may be critical to develop and implement preventive strategies against adverse events. Unfortunately, to date, it is still challenging to capture resilience, especially due to its dynamic nature encompassing biological, clinical, subjective, and socioeconomic factors. Opportunities to dynamically measure resilience were discussed during the ICFSR Task Force meeting, emphasizing potential biomarkers and areas of intervention. This article reports the results of the meeting and may serve to support future actions in the field.


Assuntos
Fragilidade , Geriatria , Sarcopenia , Humanos , Idoso , Sarcopenia/prevenção & controle , Comitês Consultivos , Adaptação Psicológica
7.
BMJ ; 379: o2606, 2022 11 08.
Artigo em Inglês | MEDLINE | ID: mdl-36347527
8.
Prim Care ; 49(4): 659-676, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36357069

RESUMO

Telehealth is commonly used in the care of geriatric patients; however, it requires special considerations for effective implementation. Although available evidence suggests that this model of care is useful and feasible, interventions should be carefully designed with the unique needs of geriatric patients in mind. Further, more research is needed to determine the most effective telehealth interventions in this population, which will assist in determining cost-effectiveness and reimbursement policies.


Assuntos
Geriatria , Telemedicina , Humanos , Idoso
9.
Age Ageing ; 51(11)2022 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-36436009

RESUMO

Frailty is common in the older population and is a predictor of adverse outcomes following emergency and elective surgery. Identification of frailty is key to enable targeted intervention throughout the perioperative pathway from contemplation of surgery to recovery. Despite evidence on how to identify and modify frailty, such interventions are not yet routine perioperative care. To address this implementation gap, a guideline was published in 2021 by the Centre for Perioperative Care and the British Geriatrics Society, working with patient representatives and all stakeholders involved in the perioperative care of patients with frailty undergoing surgery. The guideline covers all aspects of perioperative care relevant to adults living with frailty undergoing elective and emergency surgery. It is written for healthcare professionals, as well as for patients and their carers, managers and commissioners. Implementation of the guideline will require collaboration between all stakeholders, underpinned by an implementation strategy, workforce development with supporting education and training resources, and evaluation through national audit and research. The guideline is an important step in improving perioperative outcomes for people living with frailty and quality of healthcare services. This commentary provides a summary and discussion of the evidence informing the standards and recommendations in the published guideline.


Assuntos
Fragilidade , Geriatria , Humanos , Idoso , Fragilidade/diagnóstico , Idoso Fragilizado , Procedimentos Cirúrgicos Eletivos , Assistência Perioperatória
10.
J Gerontol Nurs ; 48(12): 25-33, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36441062

RESUMO

Few studies have examined women's perspectives on their health and priorities in older age. In the current study, we administered a cross-sectional survey to women aged ≥60 years, recruited at a large community event in 2019. Participants (N = 303; mean age = 68 years) reported up to three 12-month life goals in open-text fields (N = 1,053 goals). Our qualitative analysis identified 25 themes under four domains: Health and Wellness (n = 339 goals), Work and Leisure (n = 316 goals), Relationships (n = 199 goals), and Personal Growth (n = 170 goals). The most frequent themes pertained to family relationships, travel, staying healthy, and physical activity. Findings did not vary by participants' comorbidity status. Women have diverse aspirations as they age, including nurturing relationships, acquiring novel skills and experiences, and maintaining overall health and wellness. Gerontological nurses can better meet the needs of this population by expanding their awareness of patients' life goals and partnering with women to optimize health to achieve these goals. [Journal of Gerontological Nursing, 48(12), 25-33.].


Assuntos
Enfermagem Geriátrica , Geriatria , Humanos , Feminino , Idoso , Estudos Transversais , Objetivos , Exercício Físico
11.
Clin Med (Lond) ; 22(6): 553-558, 2022 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-36427889

RESUMO

INTRODUCTION: Meaningful ageing research across the UK is dependent on a network of engaged geriatricians. The research in geriatric specialty training (RGST) survey aimed to establish current research opportunities available to geriatric medicine specialty trainees in the UK. METHODS: The RGST survey was disseminated to UK higher specialist trainees in geriatric medicine in 2019 via the Geriatric Medicine Research Collaborative network. RESULTS: Among the 36.9% (192/521) of respondents, 44% (83/188) reported previous research involvement and 7% (n=8) held a PhD or MD. Of the respondents with no research experience to date, 59.0% (n=49) reported a desire to undertake a period of research. One-third (31%) of geriatric registrars surveyed felt that they had gained sufficient research experience during their training. Perceived encouragement and support to undertake research was low (30.7%). Enablers and barriers to research engagement were identified. CONCLUSION: Research opportunity and engagement in geriatric medicine training is lacking. This could jeopardise the future workforce of research-active geriatricians in the UK and limit patient access to emerging research and innovation. Interventions to promote research engagement among geriatric medicine trainees are needed to facilitate integration of research into routine clinical practice to improve the health and care of older people.


Assuntos
Geriatria , Humanos , Idoso , Geriatras , Gerociência , Recursos Humanos , Pessoal de Saúde
12.
Age Ageing ; 51(11)2022 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-36342760

RESUMO

Africa, the poorest and youngest populated region in the world, is set to see a rapid increase in the number of older persons in the coming three decades. While the expected increase in the prevalence of non-communicable diseases is already evident, sparse data exist on the geriatric syndromes. Healthcare systems vary considerably between the countries, with universal healthcare available in only a handful. Public healthcare is generally underfunded, overburdened and unprepared for the care of older persons and private care unaffordable. Training in Geriatric Medicine is limited to a small number of facilities in a few countries. Despite the African Union Policy Framework and Plan of Action on Ageing, there has been very little progress on the implementation of age-sensitive policies. There is an urgent need to improve care of older persons in the region.


Assuntos
Atenção à Saúde , Geriatria , Humanos , Idoso , Idoso de 80 Anos ou mais , Geriatria/educação , África/epidemiologia , Envelhecimento , Políticas
13.
Geriatr Gerontol Int ; 22(12): 991-996, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36321477

RESUMO

With the topical focus on the prevention of and countermeasures for frailty, scattered studies have subdivided its social elements and aspects as "social frailty." While the concepts and definition of "social frailty" are yet to be established, the purpose of using the term is to capture the attention of professionals using the social aspects of frailty to support older adults. The goal is to increase healthy life expectancy by recognizing that social factors are unlikely to pose a risk of functional decline in isolation, but may increase such a decline when combined with other factors. At feasible scopes of intervention, ways to address these factors should be pursued. Although social aspects are often expressed by frail people, or social factors with complex processes that can cause functional decline, there is no unified definition or indicator of social frailty. Further research and discussion are needed to clarify its academic significance and usefulness for disability prevention. Recognizing this, when the Japanese Socio-Gerontological Society's Study Committee on "Social Frailty" published its recommendations, it suggested that when using the term "social frailty" we should specify the significance of its use; consider the comprehensiveness of frailty; be mindful of the interrelationship of social activities and other social aspects; and consider environmental conditions such as a person's values, preferences and life course, social norms, systems, and government policies. High-risk individuals may need multidisciplinary approaches delivered by various professionals, including clinicians, in realizing a life in line with their unique values and preferences. In such cases, it is necessary to understand the background and process that led to frailty, from physical, psychological, and social perspectives, referring to the abovementioned four points. The introduction of social aspects as one of the assessment frameworks can significantly bridge the gap between medical care and the community. Geriatr Gerontol Int 2022; 22: 991-996.


Assuntos
Pessoas com Deficiência , Fragilidade , Geriatria , Humanos , Idoso , Idoso Fragilizado/psicologia , Vida Independente
14.
J Am Geriatr Soc ; 70(11): 3338, 2022 11.
Artigo em Inglês | MEDLINE | ID: mdl-36358000
15.
J Gerontol A Biol Sci Med Sci ; 77(11): 2149-2154, 2022 11 21.
Artigo em Inglês | MEDLINE | ID: mdl-36409829

RESUMO

Gerontology is viewed by many as a multidisciplinary field of inquiry, but which disciplines have had the greatest impact on research in the field? Combining data from a composite score incorporating multiple citation indicators with information on the highest degree, we examine the disciplinary origins of the 300 top-ranked scholars in gerontology. Despite efforts for gerontology to be distinct from geriatrics, more than 30 percent of the most influential scholars in gerontology during the past 6 decades hold a degree in medicine. Other fields of the leading contributors to gerontology include psychology, sociology, biology, biochemistry, and genetics. Although the disciplinary origins of gerontology will likely shift in the coming decades, we conclude that biomedical sciences are likely to remain core to the development of gerontology. To build on the scientific contributions of leading scholars in gerontology, future research should reflect conceptual precision and scientific innovation while prioritizing methodological rigor and transparency.


Assuntos
Geriatria , Previsões
17.
Age Ageing ; 51(10)2022 Oct 06.
Artigo em Inglês | MEDLINE | ID: mdl-36209783

RESUMO

Older adults in North America face similar challenges to successful ageing as other adults around the world, including an increased risk of geriatric syndromes and functional decline, limited access to healthcare professionals specialising in geriatrics and constraints on healthcare spending for Long-Term Services and Supports. Geriatrics as a specialty has long been established, along with the creation of a variety of screening tools for early identification of geriatric syndromes. Despite this, workforce shortages in all older adult care service areas have led to significant gaps in care, particularly in community settings. To address these gaps, innovative programs that expand the reach of geriatric specialists and services have been developed. Opportunities exist for further dissemination of these programs and services, as well as for expansion of an ageing capable workforce.


Assuntos
Geriatria , Idoso , Atenção à Saúde , Humanos , América do Norte , Síndrome , Recursos Humanos
18.
Ter Arkh ; 94(7): 914-919, 2022 Aug 12.
Artigo em Russo | MEDLINE | ID: mdl-36286952

RESUMO

The worlds older population is growing dramatically. At the same time, ensuring an appropriate high standard of living for the elderly by reducing of morbidity and disability of geriatric patients is one of the main objectives of the modern healthcare system. However, changes associated with body aging necessitate application of novel approaches to the correction of pharmacotherapy and usage of specialized dosage forms. Such medicinal products provide both an appropriate therapeutic effect and facilitate their use. Presented review considers several features of pharmacotherapy of geriatric patients.


Assuntos
Geriatria , Humanos , Idoso , Envelhecimento , Atenção à Saúde , Polimedicação
19.
BMJ Open ; 12(10): e062729, 2022 10 21.
Artigo em Inglês | MEDLINE | ID: mdl-36270763

RESUMO

OBJECTIVES: Comprehensive geriatric assessment (CGA) is a complex intervention applied to older people with evidence of benefit in medical populations. The aim of this systematic review was to describe how CGA is applied to surgical populations in randomised controlled trials. This will provide a basis for design of future studies focused on optimising CGA as a complex intervention. SETTING: A systematic review of randomised controlled trials. PARTICIPANTS: A systematic search was performed for studies of CGA in the perioperative period across Ovid MEDLINE, Ovid EMBASE, CINAHL and Cochrane CENTRAL, from inception to March 2021. INTERVENTIONS: Any randomised controlled trials of perioperative CGA versus 'standard care' were included. OUTCOME MEASURES: Qualitative description of CGA. RESULTS: 12 121 titles and abstracts were screened, 68 full-text articles were assessed for eligibility and 22 articles included, reporting on 13 trials. 10 trials focused on inpatients with hip fracture, with 7 of these delivering CGA on a geriatric medicine ward, 3 on a surgical ward. The remaining three trials were in elective general surgery all delivering CGA on a surgical ward. CGA components, duration of intervention and personnel delivering the intervention were highly variable across the different studies. Trials favoured postoperative delivery of CGA (11/13). Only four trials reported data on adherence to the CGA intervention. CONCLUSIONS: CGA as an intervention is variably described and delivered in randomised controlled trials in the perioperative setting. The reporting of both the intervention and standard care is often poor with little focus on adherence. Future research should focus on clearly defining and standardising the intervention as well as measuring adherence within trials. PROSPERO REGISTRATION NUMBER: CRD42020221797.


Assuntos
Geriatria , Fraturas do Quadril , Humanos , Idoso , Avaliação Geriátrica , Fraturas do Quadril/cirurgia , Assistência Perioperatória , Procedimentos Cirúrgicos Eletivos
20.
J Comp Eff Res ; 11(17): 1263-1276, 2022 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-36197003

RESUMO

Background & aim: The percentage of older people has been growing in all economically developed countries over the past several decades. The purpose of this research was to optimize the healthcare and social care model based on the in-depth study of social, hygienic and clinical characteristics of elderly individuals. Materials & methods: The authors' study included individuals aged 65 years and older. Results: The proportion of elderly and senile individuals increased from 15.3% in 2011 to 18.6% in 2020. The authors found that the existing healthcare system does not meet the needs of the aging population and thus developed a new organizational model for healthcare and social care services designed to integrate the activities of social welfare centers and local polyclinics. Conclusion: Implementation of the authors' model enables a range of healthcare and social care services and allows for management of a patient's health based on individual characteristics.


Assuntos
Geriatria , Idoso , Humanos , Atenção à Saúde , Seguridade Social , Apoio Social , Envelhecimento
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