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1.
Lancet Oncol ; 22(1): e29-e36, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33387502

RESUMO

In 2011, the International Society of Geriatric Oncology (SIOG) published the SIOG 10 Priorities Initiative, which defined top priorities for the improvement of the care of older adults with cancer worldwide.1 Substantial scientific, clinical, and educational progress has been made in line with these priorities and international health policy developments have occurred, such as the shift of emphasis by WHO from communicable to non-communicable diseases and the adoption by the UN of its Sustainable Development Goals 2030. Therefore, SIOG has updated its priority list. The present document addresses four priority domains: education, clinical practice, research, and strengthening collaborations and partnerships. In this Policy Review, we reflect on how these priorities would apply in different economic settings, namely in high-income countries versus low-income and middle-income countries. SIOG hopes that it will offer guidance for international and national endeavours to provide adequate universal health coverage for older adults with cancer, who represent a major and rapidly growing group in global epidemiology.


Assuntos
Geriatria/normas , Acesso aos Serviços de Saúde/normas , Oncologia/normas , Neoplasias/terapia , Fatores Etários , Pesquisa Biomédica/normas , Consenso , Comportamento Cooperativo , Educação Médica/normas , Geriatria/educação , Humanos , Comunicação Interdisciplinar , Cooperação Internacional , Oncologia/educação , Neoplasias/diagnóstico , Neoplasias/epidemiologia , Formulação de Políticas , Prognóstico , Participação dos Interessados
3.
GMS J Med Educ ; 37(7): Doc89, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33364368

RESUMO

In the wake of the Covid-19 pandemic, people over 65 or suffering from certain conditions were deemed at high risk and asked to isolate themselves. This led to the simulated patient (SP) program at the University of Bern being depleted of middle-aged and elderly SP. Meanwhile, an OSCE had to be delivered using adapted cases that minimized physical contact between candidates and SP. Short of suitable cases at such short notice, the case of an elderly patient with postural instability had to be added to the exam blueprint. With elderly SP off the roster, it was decided to use makeup effects to achieve visual authenticity. A combination of wigs (grey hair, hairdo), 3D Probondo transfers (forehead wrinkles), old age stipple (crow's feet), and colouring (age spots) were used to achieve the old-age effects, while SPs wore scarves to cover their neckline. The lower face was covered with protective face masks in accordance with the exam's Covid-19 hygiene protocol. Case-related feedback from candidates and examiners was analysed for any direct or indirect remark attributable to the ageing effects. As no comment touched upon the subject of the appearance of age, this was interpreted as success, as any distracting effect from the SPs' appearance in this regard would surely have prompted remarks or even complaints. The SPs' feedback revealed how applying the ageing effects helped them adopt the octogenarian's role. This report explains how SP in their fifties were made fit for an octogenarian's case in an OSCE using makeup effects. The effort required for the ageing simulation was considerable, but it is hoped that in future, with more planning time, the amount of effort required can be reduced. The feedback obtained from the candidates suggest the appearance of SPs was not experienced as a distraction, which was the primary objective of this exercise. Adapting our approach to their own contexts allows educators to include cases with elderly patients in their OSCE that cannot be re-written for younger SP, so long as Covid-19 prevents elderly SP from participating.


Assuntos
/epidemiologia , Educação Médica/organização & administração , Avaliação Educacional/métodos , Geriatria/educação , Simulação de Paciente , Competência Clínica , Humanos , Pandemias
4.
Z Gerontol Geriatr ; 53(5): 382-388, 2020 Aug.
Artigo em Alemão | MEDLINE | ID: mdl-32647990

RESUMO

BACKGROUND: Even though the effects of cultural activities on active and positive ageing have been extensively examined, spatial aspects have hardly been considered by research in this field. OBJECTIVES: Instead of understanding active ageing as a result of cultural education, this article focuses on practices of (active) ageing in cultural education programs for older adults. We examined the meanings of space and spatial arrangements in which cultural education takes place and how these spatial aspects limit or enable active ageing. MATERIAL AND METHODS: The article is based on six qualitative case studies of programs for cultural education for older adults. In programs, such as a yodel seminar or a theater workshop, data were collated by participatory observation and qualitative interviews with the participants and trainers of each program. All data were analyzed using situational analysis. RESULTS: We found that the spaces where the programs took place had a special meaning to the older participants. This was mainly because these spaces where not exclusively designed for target groups of older adults. The experience of the program was not only characterized by these meanings but also by how these spaces were used within the program. Active ageing was realized through the appropriation of new spaces and specific spatial arrangements. CONCLUSION: This article shows how spatial arrangements and the experience of (active) ageing are intertwined. To foster active ageing, cultural education programs need to provide spaces which can be used accordingly. For environmental gerontology, this paper highlights the necessity to consider the symbolic dimension of spaces and environments in research.


Assuntos
Envelhecimento/psicologia , Educação/métodos , Meio Ambiente , Geriatria/educação , Vida Independente/psicologia , Comportamento Espacial , Humanos , Pesquisa Qualitativa , Meio Social
5.
J Cross Cult Gerontol ; 35(3): 273-290, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32621107

RESUMO

This study investigated the differences between Japanese and Korean college students' images of the elderly. Japan is the most aged society worldwide, while South Korea has the highest rate of aging. Japan has a more advanced elderly welfare system than Korea. The datasets included responses from 320 Japanese students (collected in 2009) and 384 Korean students (collected in 2011). A semantic difference scale of 50 pairs of items was adopted. The chi-square test and logistic regression analyses were utilized. The five most prevalent images among Korean students were generally negative, whereas the most common images among Japanese participants were mostly neutral or positive. A greater degree of talking/good memories, activities with older adults, and experience of gerontological education showed positive relationships to favorable images, whereas living with grandparents and visiting facilities for the elderly did not yield the same results. It seems that greater interaction with grandparents and other senior citizens, as well as more extensive gerontology education, improved the images of the elderly in both countries, whereas merely visiting facilities for older adults seemed insufficient. The results also suggest that living with grandparents can lead to rather negative images of older adults.


Assuntos
Ageismo/etnologia , Geriatria/educação , Percepção Social , Estereotipagem , Feminino , Humanos , Japão , Masculino , República da Coreia , Estudantes , Inquéritos e Questionários , Universidades
6.
Int J Aging Hum Dev ; 91(4): 435-442, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32460524

RESUMO

Given trends in local, national, and global demographics, a need exists for educators in fields that serve older adults to provide innovative and engaging assignments that are relevant and applicable to the diverse contexts in which students are likely to find themselves as they pursue their careers. This article discusses a novel "elevator pitch" assignment that could be implemented in a number of ways to fit a variety of pedagogical methods and courses and further tailored to serve the needs of diverse student populations. For those working to actively and successfully recruit, train, and retain students in fields that serve older adults, such flexibility of assignments and delivery are likely to be acutely important as institutions, instructors, and students continue to adapt to rapidly changing developments such as those imposed by the COVID-19 pandemic.


Assuntos
Currículo , Geriatria/educação , Idoso , Betacoronavirus , Infecções por Coronavirus , Serviços de Saúde para Idosos , Humanos , Pandemias , Pneumonia Viral , Estudantes
7.
Soins Gerontol ; 25(142): 23-25, 2020.
Artigo em Francês | MEDLINE | ID: mdl-32331605

RESUMO

Health simulation has become widely used in training institutes and health care institutions in recent years. In geriatric/gerontology training, a device for simulating age-related limitations is used allowing the participant to experience the functional and sensory limitations experienced by older people.


Assuntos
Envelhecimento/fisiologia , Geriatria/educação , Treinamento por Simulação , Idoso , Difusão de Inovações , Humanos
9.
Nurse Educ Pract ; 42: 102684, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31931303

RESUMO

A growing older adult population requires educational programs which prepare nursing students to care for and increase their interest in working with this population. Faculty at a large public university developed a course specific to gerontology to address this need, including designing a service-learning intervention entitled Aging is Very Personal. The purpose of this study was to explore the impact of this course on student attitudes towards working with older adults. Using a convergent parallel mixed-methods design, 79 students completed pre-course and post-course quantitative surveys and open-ended questions using the Senses Framework survey. Quantitative data were analyzed using a paired-sample t-test. Qualitative data were analyzed using Krippendorff's method of qualitative content analysis. Participants showed statistically significant positive changes in attitudes towards working with older adults on 11 of 15 items. Qualitative findings included 5 themes: acknowledgement of preconceptions prior to course; positive shift in perceptions about older adults; growing interest in working with older adults; appreciation of gerontological nursing as a highly skilled profession; and service-learning as a valuable opportunity to form connections with older adults. A designated course in gerontology with a service-learning component can markedly improve student attitudes towards working with older adults.


Assuntos
Atitude do Pessoal de Saúde , Bacharelado em Enfermagem/normas , Geriatria/educação , Estudantes de Enfermagem/psicologia , Adolescente , Currículo/normas , Currículo/tendências , Bacharelado em Enfermagem/métodos , Bacharelado em Enfermagem/estatística & dados numéricos , Feminino , Geriatria/normas , Geriatria/estatística & dados numéricos , Humanos , Masculino , Estudantes de Enfermagem/estatística & dados numéricos , Adulto Jovem
10.
Curr Pharm Teach Learn ; 12(1): 95-102, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31843172

RESUMO

BACKGROUND AND PURPOSE: The increasing number of older adults worldwide challenges healthcare providers and policy makers to provide high quality care. To our knowledge, there has been little research on educational programs for community pharmacists on the provision of pharmaceutical care-based educational programs for elderly people, especially in Asian regions. The purpose of this study was to develop and describe the implementation of a structured educational program on geriatric care for community pharmacists. EDUCATIONAL ACTIVITY AND SETTING: Community pharmacists attended a one-day workshop, supplemented with comprehensive training materials which enabled participants to conduct similar sessions with their peers at their own time. The workshop, consisting of case study discussion and role plays, was designed to be an engaging and interactive program that combined traditional didactic sessions and experiential, discussion-based learning. A pre- and post-workshop questionnaire were administered immediately before and after the event to all attending participants. FINDINGS: Core concepts covered in the workshop included: (1) overview of an ageing population, (2) issues with ageing population, (3) medication review, and (4) dietary requirements and dosage forms in older adults. Participants' (n = 39) noted significant improvements in knowledge (mean score change 0.7, p < .001) and increased comfortability managing and caring for older adults (mean score change 0.3, p = .001). SUMMARY: The core concepts delivered helped participants to understand and appreciate the skills required in caring for older adults. The importance of communication in problem-solving was emphasized, as community pharmacists are one of the first health points of contact and account for the majority of encounters with elderly patients.


Assuntos
Educação/métodos , Geriatria/educação , Farmacêuticos/tendências , Idoso , Idoso de 80 Anos ou mais , Feminino , Geriatria/métodos , Pessoal de Saúde/educação , Humanos , Masculino , Avaliação de Programas e Projetos de Saúde/métodos , Inquéritos e Questionários
11.
Nurse Educ Pract ; 42: 102678, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31812785

RESUMO

Training nursing students in older patient education may be facilitated by the student elderly simulated-patient strategy. The purpose of this study was to determine the effects of simulation-based learning on students' skills in providing education to older patients. A quasi-experimental design with repeated measures was used. Nursing students enrolled in clinical courses in their semesters 7 and 8 of the program were randomly assigned to simulation-based learning (SBL) group (n = 35) or lecture-based learning (LBL) group (n = 35). In SBL, the student simulated-elderly patients equipped with devices for the age-related hearing loss, vision impairment, and neck, finger, and arm joint stiffness was trained to present the educational content to the students. Outcome (knowledge, attitudes, and skills) data were collected at pre-test, post-test, and one-month follow-up, using reliable measures. Data were analyzed with repeated measures analysis of variance. Students in the SBL and LBL groups were comparable at pre-test. All students demonstrated improvement in knowledge and skills in older patient education over time; however, students in the SBL group had larger and more durable improvements in these outcomes than those in the LBL group (all p's < .001). SBL is a promising instructional method, with long term benefits in improving students' skills.


Assuntos
Geriatria/educação , Educação de Pacientes como Assunto/métodos , Treinamento por Simulação/normas , Estudantes de Enfermagem/estatística & dados numéricos , Adulto , Feminino , Geriatria/métodos , Humanos , Irã (Geográfico) , Masculino , Educação de Pacientes como Assunto/estatística & dados numéricos , Treinamento por Simulação/métodos , Treinamento por Simulação/estatística & dados numéricos
12.
Gerontol Geriatr Educ ; 41(2): 219-232, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-31564226

RESUMO

Preparing a healthcare workforce able to respond to the growing complexity of health issues facing older adults is a critical issue for interprofessional educators. Students are in need of experiences promoting confidence and skill in communicating with older adults with cognitive issues. Student emotional and cognitive responses to an interprofessional Music and Memory® project in long term care facilities were evaluated. Forty-eight students met with assigned adults weekly to develop personalized music playlists and complete a journal entry. Student participants demonstrated improved interpersonal connections, enhanced professional skills, and increased empathy toward clients. Results are explored within the context of Kolb's Learning Theory and application of the evaluation outcomes for interprofessional education.


Assuntos
Demência/terapia , Geriatria/educação , Aprendizagem Baseada em Problemas/métodos , Estudantes de Ciências da Saúde/psicologia , Adulto , Idoso , Feminino , Humanos , Comunicação Interdisciplinar , Estudos Interdisciplinares , Masculino , Musicoterapia/métodos , Adulto Jovem
13.
Acad Med ; 95(4): 540-545, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-31599756

RESUMO

In 1995, the Texas Department of Family and Protective Services: Adult Protective Service Agency began a partnership with the Baylor College of Medicine geriatrics program to form the Texas Elder Abuse and Mistreatment (TEAM) Institute. The medical school-state agency partners overcame institutional and bureaucratic barriers to work collaboratively on mutually beneficial projects, including research and publications. Interprofessional students gained first-hand experience about abuse and neglect cases. As of 2019, there are 4 divisions: Clinical and Forensic Evaluation, Education and Outreach, Research and Program Evaluation, and Senior Justice. TEAM members have published numerous articles and chapters, educated members from multiple disciplines, and served thousands of mistreated older patients. In 2017, TEAM launched the first statewide telecommunication program for elder mistreatment to improve practice for the entire state. Perseverance, teamwork, and dedication to the mission of the intervention and prevention of elder mistreatment have sustained this program for over 30 years. This article describes the steps to forming TEAM, the institute's early struggles, and the subsequent community and academic contributions of this medical school-state agency collaboration.


Assuntos
Comportamento Cooperativo , Maus-Tratos ao Idoso/terapia , Geriatria/organização & administração , Órgãos Governamentais/organização & administração , Desenvolvimento de Programas , Idoso , Maus-Tratos ao Idoso/prevenção & controle , Medicina Legal , Geriatria/educação , Visita Domiciliar , Humanos , Faculdades de Medicina/organização & administração , Governo Estadual , Texas
14.
Gerontol Geriatr Educ ; 41(2): 175-185, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30001187

RESUMO

The aim of this study was to assess undergraduate students' perceptions of older adults over the semester in an interprofessional service-learning course that implemented a health promotion program called Bingocize® at community facilities for older adults. Students were surveyed at the beginning of the semester, at midterm, and at the conclusion of the course. Quantitative and qualitative data were collected to assess the students' perceptions and experiences. Results suggest that a course on aging that includes interprofessional service-learning in geriatric settings is associated with a significant increase in positive perceptions of the older adult population. Further research, however, is warranted to validate the findings.


Assuntos
Geriatria/educação , Relação entre Gerações , Aprendizagem Baseada em Problemas/métodos , Estudantes de Ciências da Saúde/psicologia , Currículo , Feminino , Humanos , Comunicação Interdisciplinar , Masculino , Projetos Piloto , Avaliação de Programas e Projetos de Saúde , Inquéritos e Questionários , Adulto Jovem
15.
Gerontol Geriatr Educ ; 41(2): 142-155, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-29533168

RESUMO

Service-learning is a widely used pedagogical practice that integrates community involvement and civic engagement into the classroom. Benefits of service-learning in gerontology include an increased sense of personal growth, greater knowledge of aging, and enhanced interest in aging-related careers. However, relatively little research has specifically explored the challenges associated with intergenerational service-learning. A focus group documented the experiences of 19 students who were required to participate in at least 20 hours of intergenerational service-learning for an introductory gerontology course. Because an administrative error prevented students from knowing about the service-learning requirement until they were enrolled, these participants were well qualified to discuss the challenges and positive aspects of their experiences. In addition to confirming known benefits of service-learning, three major themes regarding challenges emerged: lack of communication, the need for guidance, and creating meaningful relationships. This study provides suggestions for further development of "best practice" guidelines unique to intergenerational service-learning.


Assuntos
Geriatria/educação , Relação entre Gerações , Aprendizagem Baseada em Problemas/normas , Estudantes/psicologia , Adolescente , Currículo/normas , Feminino , Grupos Focais , Humanos , Masculino , Desenvolvimento de Programas , Avaliação de Programas e Projetos de Saúde , Universidades , Adulto Jovem
16.
Gerontol Geriatr Educ ; 41(2): 156-168, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-29595370

RESUMO

One way to increase student learning about older adults and aging family issues is to engage in community-based field experiences. Results from pre- and post-surveys with 29 Bachelors of Social Work students enrolled in a year-long practicum course to assess their change in the level of contact, comfort, and attitudes with older adults and grandfamilies (i.e., grandparents/kin and the children in their home) are discussed. Students who met with grandfamilies (n = 9) were compared to students who met with older adults in a nursing home (n = 6) and students who met with children from an afterschool program or child treatment facility (n = 9). One-way ANOVA's revealed group differences in contact and quality of contact with grandfamilies. No significant differences were found for contact with older adults or comfort working with older adults and grandfamilies, or for attitudes toward older adults between the three groups. As a result of this project, educators should develop learning opportunities for students to increase their contact and comfort with older adults and aging families.


Assuntos
Avós , Aprendizagem Baseada em Problemas/métodos , Serviço Social/educação , Estudantes/psicologia , Características da Família , Feminino , Geriatria/educação , Humanos , Masculino , Inquéritos e Questionários , Adulto Jovem
17.
Gerontol Geriatr Educ ; 41(2): 169-174, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-29608415

RESUMO

Most research on intergenerational service-learning has focused on the benefits for college students, with fewer studies examining the benefits to older adults. The present study was designed to assess the impact on older adults of participating in Working Together: Intergenerational Student/Senior Exchange, a brief intergenerational service-learning program that brings together college students and older adults as equal partners to promote intergenerational understanding and communication. Older adults from an assisted living community met up to six times with students enrolled in aging-related courses to discuss a variety of topics and get to know one another. Results showed brief intergenerational service-learning benefits older adults with significant increases in generativity from pre-to post-program assessment. Additionally, a large percentage of the participants expressed interest in participating again and a willingness to refer others to the program. Limitations and future directions are discussed.


Assuntos
Envelhecimento/psicologia , Relação entre Gerações , Aprendizagem Baseada em Problemas/métodos , Idoso , Idoso de 80 Anos ou mais , Moradias Assistidas , Currículo , Feminino , Geriatria/educação , Humanos , Masculino , Pessoa de Meia-Idade , Avaliação de Programas e Projetos de Saúde , Estudantes , Inquéritos e Questionários
18.
Gerontol Geriatr Educ ; 41(2): 242-249, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-29737957

RESUMO

Despite widespread reforms in medical education across China, nationally there has been no mandate or movement toward systemically incorporating geriatrics into curricula. To what degree medical students are trained and have exposure to geriatric topics remains unclear. We surveyed 190 medical students during their final year of medical school at a Chinese medical university, graduating from reformed and also traditional curricula. The survey was comprised of a subjective assessment of attitudes and reported knowledge, as well as an objective assessment of knowledge via a multiple choice test. Student attitudes were favorable toward geriatrics, with 91% supporting the addition of specialized clinical experiences to the curriculum. Students generally reported low exposure to geriatrics, with no statistically significant differences between reform and traditional curricula. There was a statistically significant difference in performance on the multiple choice test between curricula but at a degree unlikely to be practically significant. Students had very favorable attitudes toward geriatrics as a field and specialty; however scored poorly on competency exams, with the lowest performance around diagnosis and treatment of specific geriatric conditions. Our results suggest that there is a need and desire for increased geriatric-oriented learning at Chinese medical schools.


Assuntos
Educação de Graduação em Medicina , Geriatria/educação , Faculdades de Medicina , Estudantes de Medicina/psicologia , Adulto , Atitude do Pessoal de Saúde , China , Currículo , Avaliação Educacional , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Aprendizagem , Masculino , Inquéritos e Questionários , Universidades
19.
Gerontol Geriatr Educ ; 41(1): 100-108, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-29927729

RESUMO

Elderly, multi-morbid patients are at high risk for suffering adverse drug events. Safe medication management is a key process in preventing these adverse events, and requires interprofessional teamwork. We performed a needs assessment survey of graduating medical students and faculty to evaluate student training in medication management, in particular students' preparedness in the three minimum geriatrics competencies pertaining to medication management, interprofessional educational opportunities, and optimal learning methods. Response rates were 45/105 (43%) for students and 38/93 (41%) for faculty. The majority of students felt that they did not receive sufficient training in medication management in older adults. Faculty either agreed with students or were unsure whether students received sufficient training. Neither students nor faculty felt that students were extremely prepared to carry out the three minimum geriatrics competencies at the time of medical school graduation. Students and faculty identified direct patient care experiences as the optimal learning method, and inappropriate medications as the highest priority topic. Students and faculty felt that students do not receive sufficient interprofessional educational opportunities. The results of this study are currently being used to create customized interprofessional educational experiences for medical students related to medication management in older adults.


Assuntos
Educação de Graduação em Medicina/métodos , Geriatria/educação , Conduta do Tratamento Medicamentoso/educação , Determinação de Necessidades de Cuidados de Saúde , Adulto , Idoso , Atitude do Pessoal de Saúde , Docentes de Medicina/psicologia , Feminino , Humanos , Relações Interprofissionais , Masculino , Pessoa de Meia-Idade , Estudantes de Medicina/psicologia , Inquéritos e Questionários
20.
Gerontol Geriatr Educ ; 41(2): 250-257, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-30554557

RESUMO

Background: Dementia training for Brazilian general practitioners (GPs) is underdeveloped. We investigated knowledge and attitudes to dementia management among Brazilian GPs and compared these with previous UK findings to inform future decisions about how training is structured.Methods: A total of 115 Brazilian GPs were asked to complete a Portuguese translation of a questionnaire previously used in the UK. This comprised a 14-item multiple-choice knowledge quiz, and a 5-point Likert-scale questionnaire assessing attitudes across 10 dementia management domains. Exploratory factorial analysis was conducted for attitudes.Results: Attitudes toward dementia demonstrated the same underlying factor structure, "heartsink" and "heartfelt" factors, in Brazil as in previous UK studies, explaining 61.6% of variance in responses. Knowledge scores were negatively correlated with heartfelt and heartsink factors.Conclusions: Greater knowledge about dementia was associated with some pessimism about dementia care. The similarity in the structure of attitudes toward dementia management between Brazilian and UK GPs provides a starting point for shared educational approaches targeting attitudes.


Assuntos
Atitude do Pessoal de Saúde , Demência/terapia , Clínicos Gerais/psicologia , Geriatria/educação , Conhecimentos, Atitudes e Prática em Saúde , Adulto , Brasil , Competência Clínica , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários , Reino Unido
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