Academic literature on the topic 'Geriatric'

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Journal articles on the topic "Geriatric"

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Waters, Leland, and Elyse Perweiler. "The Development of a Stakeholder Member Organization to Advocate for Geriatrics Education." Innovation in Aging 4, Supplement_1 (2020): 550–51. http://dx.doi.org/10.1093/geroni/igaa057.1801.

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Abstract The National Association of Geriatric Education Centers organization was established in 1990, to promote interdisciplinary geriatric education and to provide a unified voice for Geriatric Education Centers (GECs). In 2005, the GECs voted to form two non-profit organizations due to restrictions related to lobbying activities. An umbrella organization was created, the National Association for Geriatric Education, that includes all geriatric related education programs, and maintain a lobbyist in Washington DC to protect the GECs interests. It was a pivotal time, as we had a year (2006) without federal funding that summarily dismantled the DHHS-HRSA geriatrics programs, including the entire GEC network, the geriatric fellowship program, and Geriatric Academic Career Awards. This resulted in a GEC-wide and national geriatrics movement that succeeded in restoring the geriatrics line item in the President’s budget. Our advocacy efforts not only had the line item restored, but obtained an increase in funding for geriatrics.
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Frolova, Elena V. "Geriatric medicine: achievements and prospects." Russian Family Doctor 25, no. 3 (2021): 7–16. http://dx.doi.org/10.17816/rfd71284.

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The article is a lecture on the history of development and the current state of geriatric medicine. The purpose of the lecture is to consider the stages of the formation of geriatrics as a scientific and clinical discipline and to substantiate its significance. The lecture defines concepts such as holistic approach, complex geriatric assessment, geriatric syndrome. The role of the founders of international and domestic geriatrics, such as M. Warren, B. Isaac, D. Sheldon, I.I. Mechnikov, V.N. Anisimov, E.S. Pushkova, is described. Various directions of geriatric medicine are considered and the necessity of their study is justified. The results of scientific research in geriatrics are analyzed. The basic principles of the ortho-geriatric approach, which becomes crucial for the successful treatment of elderly patients with fractures, as well as the features of geriatric rehabilitation, geriatric cardiology, are described. In conclusion, the author offers several models for the development of geriatric medicine.
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Nishijima, Tomohiro F., Kazuo Tamura, Fumio Nagashima, et al. "Landscape of education and clinical practice in geriatric oncology: a Japanese nationwide survey." Japanese Journal of Clinical Oncology 49, no. 12 (2019): 1114–19. http://dx.doi.org/10.1093/jjco/hyz123.

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Abstract Objective The aim of this survey was to describe how geriatric oncology is integrated in undergraduate teaching and graduate training as well as in daily clinical oncology practice in Japan. Methods All schools of medicine in Japan are allied with graduate schools of medicine. We conducted a survey of all Japanese medical and graduate schools (n = 81), and designated cancer hospitals (n = 437) from July 2018 to August 2018. The survey of the schools asked about existence of geriatrics division and geriatric oncology service and if an education curriculum in geriatrics and geriatric oncology was used. The survey of designated cancer hospitals requested general hospital information and the current practice patterns of general geriatric and cancer patients. Results Forty-eight medical schools (59%) participated in this survey, and teaching in geriatrics and geriatric oncology was implemented in 23 schools and 1 school, respectively. Forty-two graduate schools of medicine (52%) responded; five had an education curriculum in geriatrics, but none provided geriatric oncology training. Among 151 participating hospitals (35%), 5 had a geriatrics division and 20 hospitals employed geriatricians. There was no geriatric oncology service or geriatric oncology specialists in any of the 151 hospitals. Seventy percent of the hospitals reported performing a geriatric assessment for at least some older adults with cancer. Conclusions This survey provides information on the current state of Japanese education and clinical practice in geriatric oncology. In Japan, a nation with among the largest population of older citizens in the world, education and training greatly need to be promoted to disseminate a core set of geriatrics knowledge and skills to students, trainees and healthcare professionals.
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Rostoft, Siri. "Geriatrics for geriatric oncology." Annals of Oncology 29 (October 2018): vii6. http://dx.doi.org/10.1093/annonc/mdy360.001.

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Shastry, Rajeshwari, Prabha M R Adhikari, Sheetal D Ullal, Mukta N. Chowta, and Sahana D Acharya. "IS DOSE TITRATION REQUIRED FOR ANTIHYPERTENSIVE AGENTS IN GERIATRIC DIABETIC PATIENTS?" Asian Journal of Pharmaceutical and Clinical Research 11, no. 12 (2018): 510. http://dx.doi.org/10.22159/ajpcr.2018.v11i12.29181.

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Objective: The objective of this study is to evaluate the antihypertensive drug usage and dosage differences between geriatric and non-geriatric diabetics with reference to the duration of hypertension and creatinine clearance (Crcl).Methods: In this observational study, patients with type 2 diabetes mellitus were grouped into geriatric (age ≥60 years) and non-geriatric (age <60 years). Patients’ demographic data, duration of hypertension, drugs prescribed, and serum creatinine were recorded after the patients had a stabilized antihypertensive dose for 6 months. Crcl was calculated using Cockcroft–Gault formula. The dosages of antihypertensives were converted into equivalent doses for easy comparison within a group. For angiotensin-converting enzyme inhibitors (ACEIs), enalapril was considered as prototype, and for angiotensin receptor blockers (ARBs) losartan, beta-blocker atenolol, and calcium channel blockers (CCBs), amlodipine was considered as prototype. Univariate analysis was done for comparison of drug doses between groups.Results: A total of 336 diabetics with hypertension were included, of which 252 were geriatric and 84 non-geriatric. Duration of hypertension was expectedly longer in the geriatric group (8.40±7.26 vs. 5.46±5.67; p=0.001). Systolic blood pressure was higher in geriatrics (137.14±13.51 vs. 133.38±12.49; p=0.01). When adjusted for the duration of hypertension and Crcl, there were no significant differences in the mean converted equivalent doses of beta-blockers, CCBs, ARBs, and hydrochlorothiazide between geriatrics and non-geriatrics. However, statistically significant lower converted equivalent doses of all ACEIs were needed in geriatrics compared to non-geriatrics, when adjusted for duration of hypertension and Crcl. Enalapril required 20.57% and ramipril required 18.36% dose reduction in geriatrics compared to non-geriatrics.Conclusion: A 20% dosage reduction is needed for ACEIs in the elderly.
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Waters, Leland, and Brian Lindberg. "Policy Series: The Role of a Stakeholder Member Group in Shaping Geriatric Policy: The National Association for Geriatric Education." Innovation in Aging 4, Supplement_1 (2020): 550. http://dx.doi.org/10.1093/geroni/igaa057.1799.

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Abstract The National Association for Geriatric Education (NAGE) is a non-profit membership organization representing Geriatric Workforce Enhancement Programs (GWEPs), Geriatric Academic Career Awardees (GACAs) and other programs that provide education and training to health professionals in the areas of geriatrics and gerontology. Our work includes faculty training and fellowships, continuing education, and hands on experiences in the clinical setting. One of our priorities is to educate policy makers and the public about the need for health care professionals to receive geriatrics education so they will better serve the expanding older population. One of our goals is to provide a mechanism for policy development and dissemination to external audiences regarding the mission, goals and impact of geriatric education programs. Our policy objectives include providing guidance to the United States Public Health Service and other organizations in the development of programs to enhance the education of health care practitioners and others. Another objective is to educate Congress about necessary priorities in geriatric education. We serve as a voice for the goals and interests of the nation’s GWEPs, GACAs, and other groups providing education in geriatrics and gerontology. This symposium will first describe how geriatric educators inform policy. Then a historical perspective of how NAGE has influenced aging policy is provided. Recent efforts to increase funding for geriatric education will be shared, followed by future directions in policymaking.
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Naz, Hasan, Pinar Korkmaz, Esra Arslanal, Duru Mistanoğlu-Ozatag, and Hande Gurbuz. "Prospective Evaluation of Infections in Geriatric Patients in Intensive Care Units." Infectious Diseases and Clinical Microbiology 4, no. 4 (2022): 268–73. http://dx.doi.org/10.36519/idcm.2022.179.

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Objective: Nosocomial infections (NIs) are major health problems with morbidity and mortality. Geriatric patients require intensive care unit (ICU) admission more frequently, and serious challenges occur during treatment. We aimed to evaluate the risk factors of NI and mortality in geriatric patients admitted to the ICU. Materials and Methods: The study was conducted between April 2018 and April 2019 in two hospitals. We prospectively recorded the data on the forms prepared according to daily ICU visits. Results: During the study period, 600 patients were hospitalized in the ICUs. Geriatric patients constituted 446 (74.3%) of the total number. The NI rate was 59% in adult patients and 80% in geriatric patients. The most frequent NI in geriatric patients was pneumonia (42%). Furthermore, the need for mechanical ventilation support, prolongation of hospital stay, total parenteral nutrition, and tracheostomy were statistically higher in geriatric patients with NI. The mortality rate in geriatric patients was statistically higher than in non-geriatric. We found the rates of prolonged hospitalization, NI development, malignancy, and cerebrovascular disease diagnosis significantly higher in geriatric patients than in non-geriatric patients. Conclusion: NI and mortality rate are higher in geriatrics than in adult patients. Pneumonia is the most common type of NI in the ICU. Identification of risk factors regarding NI and mortality in geriatric patients in ICU will contribute to developing strategies for prevention. Keywords: Nosocomial infection, geriatrics, intensive care units.
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Amelia, Rinita, Dessy Abdullah, and Muhammad Luthfi. "Hubungan Nilai Ankle Brachial Index (ABI) dengan Fungsi Kognitif di Poli Geriatri RSI Ibnu Sina Bukittinggi." Health and Medical Journal 4, no. 1 (2021): 47–54. http://dx.doi.org/10.33854/heme.v4i1.946.

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AbstrakPendahuluan: Gangguan fungsi kognitif merupakan faktor penyebab terbesar terjadinya ketidakmampuan dalam melakukan aktifitas yang dapat disebabkan aspek gangguan vaskular yang di tunjukan dari nilai Ancle Brachial Index (ABI). Tujuan: Penelitian ini bertujuan untuk mengetahui hubungan nilai ABI dan fungsi kognitif pada pasien geriatri di Poliklinik Geriatri RSI Ibnu Sina Bukittinggi. Metode: Jenis penelitian yang digunakan adalah observasi analitik studi dengan pendekatan cross-sectional. Populasi terjangkau dalam penelitian ini adalah lanjut usia yang berada di pasien poliklinik geriatri RSI Ibnu Sina Bukittingi periode 2020-2021 dengan 60 sampel menggunakan teknik random sampling. Analisa data univariat disajikan dalam bentuk distribusi frekuensi dan persentase dan analisa bivariat menggunakan uji chi-square dan pengolahan data menggunakan komputerisasi program SPSS versi 16.0. Hasil: Dari hasil penelitian didapatkan nilai ABI terbanyak adalah tinggi yaitu 36 orang (60,0%), fungsi kognitif terbanyak adalah normal yaitu 45 orang (75,0%) dan tidak terdapat hubungan nilai ABI dan fungsi kognitif pada pasien geriatri di Poliklinik Geriatri RSI Ibnu Sina Bukittinggi. (p=0,406). Kesimpulan: Dari hasil studi menunjukan tidak terdapat hubungan nilai ABI dan fungsi kognitif pada pasien geriatri di Poliklinik Geriatri RSI Ibnu Sina Bukittinggi.Katakunci — Nilai ABI, Fungsi kognitif MMSE, geriatri Abstract Introduction: Impaired cognitive function is the most significant contributing factor in the inability to perform activities caused by aspects of vascular disorders shown from the Ankle Brachial Index (ABI) value. Aims: To determine the relationship between the Ankle Brachial Index (ABI) and cognitive function in geriatric patients at the Geriatric outpatient clinic of Ibnu Sina Islamic Hospital Bukittinggi. Methods: This research is an analytic observatory study with a cross-sectional approach. The affordable population in this study was the elderly in the geriatric outpatient clinic of Ibnu Sina Islamic Hospital Bukittingi 2021, with 60 people using random sampling techniques. Univariate data analysis was presented in frequency distribution and percentage and bivariate analysis using the chi-square test and data processing using the SPSS version 16.0 computerized program. Results: The highest ABI value was 36 people (60.0%), the most cognitive function was normal, namely 45 people (75.0%), and there was no relationship between ABI values and cognitive function in geriatric patients at the Geriatric outpatient clinic of Ibnu Sina Islamic Hospital Bukittinggi. (p = 0.406). Conclusions: The conclusion in this study showed there was no relationship between ABI values and cognitive function in geriatric patients at the Geriatric Outpatient clinic of Ibnu Sina Islamic Hospital Bukittinggi. Keywords — ABI value, MMSE cognitive function, geriatric
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Subedi, L., and R. B. Sah. "Study of the health status of geriatric age group in Chitwan district of Nepal." Journal of Chitwan Medical College 5, no. 1 (2015): 11–17. http://dx.doi.org/10.3126/jcmc.v5i1.12560.

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Retirement, change in housing, illness or death of spouse greatly affect the physical and mental well-being of the geriatric person. This study aims to find out the health status of geriatric age group in chitwan district of Nepal. A cross sectional study was carried out among 300 geriatric people where 15.7% of the geriatric were living alone, 50.3 % and 39.7% of geriatrics gave history of regular use of tobacco and alcohol respectively. Co-morbidities were found in 63% of geriatrics who suffered from 2 or more diseases. In Total 44% were found to have Ophthalmic problems, 23% were found to have ENT problems, 5.33% were found to mental disorders, 33% were found to have CVS problems, 43% were found to have GI problems, 15.67 % were found to have Metabolic disorder. The study highlighted a high prevalence of morbidity and health related problems in geriatric age groups.DOI: http://dx.doi.org/10.3126/jcmc.v5i1.12560
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Walter, Nike, Markus Rupp, Susanne Bärtl, Claus Uecker, and Volker Alt. "The Definition of the Term “Orthogeriatric Infection” for Periprosthetic Joint Infections." Geriatric Orthopaedic Surgery & Rehabilitation 13 (January 2022): 215145932211116. http://dx.doi.org/10.1177/21514593221111649.

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Introduction In the background of the aging population, an increase of geriatric patients with specific age-related co-morbidities has already been seen over the years for proximal femur fractures in orthopaedic surgery as well as other medical disciplines. However, the geriatric aspect has not been well recognized in periprosthetic joint infection (PJI) patients so far. Therefore, this paper seeks to provide an overview on the co-morbidities of PJI patients with respect to the definition of geriatric patients. Material and methods In this single-center retrospective study, patients treated between 2007 and 2020 for PJI were included (n = 255). Patients were defined as geriatric according to the consensus definition criteria of the Federal Working Group of Clinical Geriatric Facilities e.V., the German Society for Geriatrics e.V. and the German Society for Gerontology and Geriatrics e.V. based on age (≤70 years), geriatric multimorbidity and the Barthel index (≤30). Results Applying the criteria defined 184 of the 255 (72.2%) PJI patients as geriatric infection patients. Regarding geriatric comorbidity, incontinence was most prevalent (38.1%), followed by immobility (25.6%). Comparing the geriatric infection patients with those classified as non-geriatric (n = 71) revealed that geriatric patients had a longer hospital stay and spent more days in the intensive care unit (ICU). Also, the amputation rate and the 5-year mortality rate was significantly increased (n = 15, 8.2% vs n = 1, 1.4%, P = .007 and n = 24, 13.0% vs n = 5, 7.0%, P = .005). The Barthel index showed a significant correlation with mortality ( r = −.22, P = .011). Discussion We propose to use the term orthogeriatric infection patients in those cases in order to focus treatment not only on the orthopaedic infections but also on the important geriatric aspects. Conclusion The inclusion of geriatric physicians into the multidisciplinary team approach for PJI patients might be beneficial.
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Dissertations / Theses on the topic "Geriatric"

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Júnior, Carlos Montes Paixão. "Uma revisão sobre instrumentos de avaliação do estado funcional do idoso." Universidade do Estado do Rio de Janeiro, 2001. http://www.bdtd.uerj.br/tde_busca/arquivo.php?codArquivo=2253.

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Conselho Nacional de Desenvolvimento Científico e Tecnológico<br>Este estudo visa avaliar, através de uma revisão, as qualidades conceituais e psicométricas dos instrumentos de avaliação do estado funcional do paciente idoso, e de suas adaptações para o contexto do Brasil. A dissertação está estruturada em três partes. A primeira é constituída de cinco seções que introduzem os temas do envelhecimento da população mundial e de países emergentes como o Brasil como razões de base para um estudo do atendimento do paciente idoso. Descreve-se o que se entende por estado funcional do paciente idoso no contexto da avaliação geriátrica interdisciplinar. A parte 2 se constitui no artigo da dissertação. Na seção de material e métodos descreve-se detalhadamente a revisão realizada e os bancos de dados utilizados. Nas últimas duas seções do artigo apresentam-se os resultados e a discussão, em que se verificam, em primeiro lugar, um bom número de instrumentos com propriedades psicométricas adequadas que avaliam as subdimensões do estado funcional. Dos 30 instrumentos escolhidos utilizando critérios explicitados pelos autores, apenas dois, o Multiple Outcomes Study SF-36 e o Health Assessment Questionnaire, possuem adaptação para 0 português. Entretanto, alguns dos instrumentos revisados vêm sendo utilizados em nosso meio sem adaptação formal prévia. Vários destes instrumentos possuem bons históricos em sua língua original, porém este fato ainda não despertou a preocupação da comunidade brasileira para adaptações formais dos mesmos. Também se constatam a escassez de estudos de adaptação e concepção de instrumentos desta dimensão no contexto brasileiro. Alguns aspectos deste problema são discutidos, além de possíveis caminhos para corrigi-lo. Na parte final desta dissertação são sucintamente descritos os instrumentos de cada subdimensão de estado funcional escolhidos como mais interessantes na parte 2. Em seguida, são indicadas outras dimensões consideradas pertinentes para um escrutínio semelhante. A conclusão geral sugere uma melhor utilização de medidas de saúde estruturadas no contexto da avaliação geriátrica no Brasil.<br>This study aims to evaluate, through a review, conceptual and psychometric qualities of the instruments to assess the functional status of elderly patients, and their adaptation to the context of Brazil. The dissertation is structured in three parts. The first consists of five sections that introduce the themes of global aging and emerging countries like Brazil reasons as the basis for a study of the care of elderly patients. Described what is meant by functional status of elderly patients in the context of interdisciplinary geriatric assessment. Part 2 constitutes the article dissertation. In the section of materials and methods are described in detail the review performed and the databases used. In the last two sections of the article presents the results and discussion, in which there are, firstly, a number of instruments with adequate psychometric properties that assess the subdimensions of functional status. Of the 30 instruments selected using the criteria described by the authors, only two, the Multiple Outcomes Study SF-36 and the Health Assessment Questionnaire, have adapted to 0 Portuguese. However, some of the reviewed instruments have been used in our midst without prior formal adaptation. Several of these instruments have good historical in its original language, but this fact has not aroused the concern of the Brazilian community for formal adaptations thereof. Also note the lack of studies of adaptation and design of instruments of this size in the Brazilian context. Some aspects of this problem are discussed, and possible ways to fix it. In the final part of this dissertation are briefly described the instruments of each sub dimension of functional status chosen as most interesting in part 2. Then, are indicated other dimensions deemed relevant to similar scrutiny. The general conclusion suggests a better use of health measures in the context of structured geriatric assessment in Brazil.
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Taylor, Gordon John. "Geriatric flow rate modelling." Thesis, University of Ulster, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.390071.

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Likens, Jacob Andrew. "Depression in Geriatric Facilities." Thesis, The University of Arizona, 2016. http://hdl.handle.net/10150/613231.

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Depression is a very serious issue and can be seen in all stages of life. The geriatric population is often an overlooked area when it comes to mental health. Many people assume depression is just a fact of life when you age. The problem addressed in this paper is whether depression in geriatric facilities can be attributed to perceived living arrangements. Using the Geriatric Depression Scale (1) I wished to determine whether living situations can affect overall performance on the test and also determine whether religion had any influence on the resident’s outlook. The results of the GDS scores do not support my hypothesis. There seems to be no correlation between living on independent or assisted living and GDS score. While the hypothesis was not supported, future studies should be conducted to focus on individual life courses and perhaps utilize a design that can evaluate different life histories.
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Rantakari, Minna-Kristiina. "Sjuksköterskans smärtidentifiering hos äldre med demenssjukdom." Thesis, Jönköping University, HHJ, Institute of Gerontology, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-1234.

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Halpin, Colleen Lynel. "Sleep Variability and Geriatric Depression." Thesis, The University of Arizona, 2015. http://hdl.handle.net/10150/579061.

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There are many studies documenting the positive association between depression and poor sleep. Most of this research, however, focuses on middle-aged or younger participants. The present study examined baseline data from a multi-site sleep study involving older adult participants (aged 60-80) to investigate the effects of variable sleeping patterns on depression in this population, using 14 days of sleep diaries and the Geriatric Depression Scale (GDS) 30. Using reference data provided Suh, Nowakowski, Bernert, Ong, Siebern, Dowdle, and Manber, (2012) as a standard, I calculated night-to-night variability by means of the nightly sleep diaries from 52 participants, and then examined the correlation between this variability score and mood disturbance symptoms using scores on the GDS of above 9 and above 11. No association was found between depression and sleep patterns in older adults, though this may be attributed to older adults mostly being "morning-type" people.
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Hall, Courtney D., Yuri Agrawal, Sharon H. Polensek, Anna K. Mirk, and David Friedland. "Dizziness in the Geriatric Patient." Digital Commons @ East Tennessee State University, 2018. https://dc.etsu.edu/etsu-works/5380.

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Clark, Leanne June. "Strong Minds, Gentle Hands: Training the Next Generation of “Gerontological Physicians”." Oxford, Ohio : Miami University, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=miami1091220109.

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Bramstedt, Katrina Andrea 1966. "Formulating a philosophy of just care for the geriatric population amid the opportunities of modern medicine." Monash University, Dept. of Community Medicine and General Practice, 2002. http://arrow.monash.edu.au/hdl/1959.1/8500.

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Estehag, Johannesson Anna. "Sjuksköterskors erfarenheter av att arbeta kliniskt med Comprehenssive Geriatric Assessment- CGA på en geriatrisk akutvårdsavdelning : En empirisk studie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-19973.

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Syftet var att granska sjuksköterskans dokumentation avseende intagningsorsak, andra identifierade problem/behov utefter CGA och vilka åtgärder det ledde till samt beskriva sjuksköterskans erfarenheter av att använda instrumentet CGA. Metod: Studien har en beskrivande design med kvantitativ och kvalitativ ansats. Totalt granskades 50 bedömningsinstrument och datajournaler. Frågeformulär utformades och 13 sjuksköterskor valde att delta. Journalgranskningarna utfördes med kvantitativ retrospektiv analys och frågeformulären analyserades enligt kvalitativ manifest innehållsanalys. Resultat: Under journalgranskningen framkom 11 olika intagningsorsaker där försämrat allmäntillstånd var den största gruppen. Totalt identifierades 205 problem/behov och 186 initierade åtgärder varav 7 åtgärder/person var högsta antal. Flest initierade åtgärder fanns inom nutrition, social bakgrund och fallrisk. Sjuksköterskornas erfarenheter av att använda CGA var att det fanns behov av tydliga arbetsrutiner gällande CGA, att CGA fungerade bra som checklista men var tidskrävande. De upplevde att CGA gav dubbelarbete men viljan fanns att använda CGA men däremot svårt att få det att fungera i arbetet samt att sjuksköterskorna identifierade problem/behov utan att använda CGA. Sjuksköterskorna upplevde inte att omhändertagandet förändrades men däremot fick teamet helhetsperspektiv på patientens livssituation. Samverkan med anhöriga och kommunen var viktigt. Slutsats: Studiens resultat visade att förutom inskrivningsorsak fanns även andra identifierade problem/behov utefter CGA som hade stor betydelse för att den äldre skulle uppleva hälsa. Sjuksköterskorna upplevde brister inom rutinen runt CGA samt erfor att sjuksköterskornas omhändertagande av den geriatriska patienten inte förändrades efter implementeringen av CGA.<br>Aim was to examine nurses documentation regarding admission cause, other identified problems/needs by the CGA and the actions that led to and describe nurses experiences of using the instrument CGA. Method: The study has a descriptive design with quantitative and qualitative approach. Total audited 50 assessment instruments and data records. Questionnaires were designed and 13 nurses chose to participate. Journal audits performed by quantitative retrospective analysis and the questionnaires were analyzed by the inspiration of qualitative manifest content analysis. Results: In the journal audit identified 11 different admission causes which reduced general condition was the largest group. Total identified 205 problems/needs and 186 initiated measures which 7 action/person was the highest number. Most measures were initiated in nutrition, social background and risk of falling. Nurses experiences of using the CGA was that there was a need for clear work procedures regarding the CGA, the CGA worked well as a checklist but was time consuming. They felt that the CGA gave duplication but the desire was to use the CGA but hard to make it work at work and the nurses identified problems / needs without using the CGA. The nurses did not feel that the care was changed but got the team holistic view of the patients life situation. Collaboration with families and the municipality was important. Conclusion: The study results showed that in addition the cause enrollment were other identified problems/needs along the CGA that had great importance for the elderly would experience health. The nurses experienced deficiencies in routine around the CGA and required that the nurses taking care of the geriatric patient did not change after the implementation of CGA.
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Gawley, Sarah Pamela. "A study of geriatric day hospitals." Thesis, Queen's University Belfast, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.335967.

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Books on the topic "Geriatric"

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M, Middleton A., and Wilcock G. K, eds. Geriatric medicine. 2nd ed. Blackwell Scientific, 1989.

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Bartlett, Stephen, Mary Marian, Douglas Taren, and Myra L. Muramoto. Geriatric. Springer Netherlands, 1997. http://dx.doi.org/10.1007/978-94-011-6912-7.

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K, Gammack Julie, and Morley John E, eds. Geriatric medicine. Saunders, 2006.

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H, Calhoun Karen, and Eibling David E, eds. Geriatric otolaryngology. Taylor & Francis, 2006.

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C, Goldstein Jerome, Kashima H. K, and Koopman Charles F, eds. Geriatric otorhinolaryngology. B.C. Decker, 1989.

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C, Allen S., ed. Geriatric medicine for students. 3rd ed. Churchill Livingstone, 1987.

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Irvine, R. E. The older patient: An introduction to geriatric nursing. 4th ed. Hodder and Stoughton, 1986.

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1949-, Forciea Mary Ann, Lavizzo-Mourey Risa, Raziano Donna Brady, and Schwab Edna P, eds. Geriatric secrets. 3rd ed. Hanley & Belfus, 2004.

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1944-, Rowe John W., and Besdine Richard W. 1940-, eds. Geriatric medicine. 2nd ed. Little, Brown, 1988.

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Geriatric neurology. John Wiley & Sons, Inc., 2014.

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Book chapters on the topic "Geriatric"

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Bartlett, Stephen, Mary Marian, Douglas Taren, and Myra L. Muramoto. "Geriatric Nutrition." In Geriatric. Springer Netherlands, 1998. http://dx.doi.org/10.1007/978-94-011-6912-7_1.

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Bensard, Denis D., Kathryn M. Beauchamp, Ryan T. Hurt, et al. "Geriatric Trauma." In Encyclopedia of Intensive Care Medicine. Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_417.

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Wilberger, Jack, and Diana J. Jho. "Geriatric Neurotrauma." In Geriatric Trauma and Critical Care. Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4614-8501-8_23.

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Patterson, Roger L. "Geriatric Populations." In International Handbook of Behavior Modification and Therapy. Springer US, 1990. http://dx.doi.org/10.1007/978-1-4613-0523-1_28.

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Zamboni, Mauro, Elena Zoico, Simona Budui, and Gloria Mazzali. "Geriatric Obesity." In Clinical Management of Overweight and Obesity. Springer International Publishing, 2015. http://dx.doi.org/10.1007/978-3-319-24532-4_11.

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Salzman, Carl. "Geriatric Psychopharmacology." In The Practitioner’s Guide to Psychoactive Drugs. Springer US, 1998. http://dx.doi.org/10.1007/978-1-4615-5877-4_8.

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Bradbury, Nicola. "Geriatric medicine." In Health Psychology. Springer US, 1989. http://dx.doi.org/10.1007/978-1-4899-3228-0_15.

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Seritan, Andreea L., and Randall Espinoza. "Geriatric Psychiatry." In International Medical Graduate Physicians. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-39460-2_14.

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Zimmer, Ben, and George Grossberg. "Geriatric Psychopharmacology." In Handbook of Neuropsychology and Aging. Springer US, 1997. http://dx.doi.org/10.1007/978-1-4899-1857-4_32.

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Hogan, Teresita M. "Geriatric Emergencies." In Geriatric Medicine. Springer New York, 1997. http://dx.doi.org/10.1007/978-1-4757-2705-0_11.

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Conference papers on the topic "Geriatric"

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Aries, Wanarani. "How to Applicate Comprehensive Geriatric Assessment in Geriatric Rehabilitation." In The 11th National Congress and The 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association. SCITEPRESS - Science and Technology Publications, 2019. http://dx.doi.org/10.5220/0009062100480053.

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Hefner, G. "11 Psychopharmacotherapy in geriatric patients." In XIVth Symposium of the Task Force Therapeutic Drug Monitoring of the AGNP. © Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1710119.

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Sim, Jae-Kyeong, Hyungtai Kim, Geon Ha Kim, and Mun-Taek Choi. "Supervised Classification of Geriatric Anxiety." In the 2019 4th International Conference. ACM Press, 2019. http://dx.doi.org/10.1145/3321454.3321457.

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Hansen, Sean W., Janis L. Gogan, and Ryan J. Baxter. "Distributed Cognition in Geriatric Telepsychiatry." In 2012 45th Hawaii International Conference on System Sciences (HICSS). IEEE, 2012. http://dx.doi.org/10.1109/hicss.2012.223.

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Rölker-Denker, Lars, and Andreas Hein. "Abstract Information Model for Geriatric Patient Treatment - Actors and Relations in Daily Geriatric Care." In 10th International Conference on Health Informatics. SCITEPRESS - Science and Technology Publications, 2017. http://dx.doi.org/10.5220/0006106902220229.

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Krishnan, Anand, Jon Sligh, Eric Tinsley, et al. "Causal Association Mining from Geriatric Literature." In 2014 IEEE International Conference on Bioinformatics and Bioengineering (BIBE). IEEE, 2014. http://dx.doi.org/10.1109/bibe.2014.44.

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L, Akhila, Megha B S, Nikhila M. Santhoshlal, et al. "IoT-enabled Geriatric Health Monitoring System." In 2021 Second International Conference on Electronics and Sustainable Communication Systems (ICESC). IEEE, 2021. http://dx.doi.org/10.1109/icesc51422.2021.9532781.

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Nikolaeva, M. A., A. I. Agadullina, and M. I. Dolganov. "Risk Analysis System in Geriatric Care." In Proceedings of the 21st International Workshop on Computer Science and Information Technologies (CSIT 2019). Atlantis Press, 2019. http://dx.doi.org/10.2991/csit-19.2019.35.

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Pattinson, Joanne, Jocelyn Mjojo, and Adrian Blundell. "0034 A Pilot Simulation In Geriatrics: Can It Be Used To Teach Comprehensive Geriatric Assessment (cga)?" In Association for Simulated Practice in Healthcare Annual Conference 11–13 November 2014 Abstracts. The Association for Simulated Practice in Healthcare, 2014. http://dx.doi.org/10.1136/bmjstel-2014-000002.87.

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Kuo, Nai-Wen. "A Decision Support System in Geriatric Care." In 2010 Sixth International Conference on Intelligent Information Hiding and Multimedia Signal Processing (IIH-MSP). IEEE, 2010. http://dx.doi.org/10.1109/iihmsp.2010.174.

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Reports on the topic "Geriatric"

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Gilham, Donna. Assessment of hearing sensitivity by use of the acoustic reflex in the geriatric population. Portland State University Library, 2000. http://dx.doi.org/10.15760/etd.2281.

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Muller, R. P. Feasibility Study for Life Enhancement of Military Aircraft Through Re-Squeezing Joints with Geriatric Aircraft. Defense Technical Information Center, 2001. http://dx.doi.org/10.21236/ada399037.

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Lassell, Marie. Audiological in-service regarding hearing impairment and its impact on communication in the geriatric population. Portland State University Library, 2000. http://dx.doi.org/10.15760/etd.5953.

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Boyes, Allison, Jamie Bryant, Alix Hall, and Elise Mansfield. Barriers and enablers for older people at risk of and/or living with cancer to accessing timely cancer screening, diagnosis and treatment. The Sax Institute, 2022. http://dx.doi.org/10.57022/ieoy3254.

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• Older adults have complex and unique needs that can influence how and when cancer is diagnosed, the types of treatment that are offered, how well treatment is tolerated and treatment outcomes. • This Evidence Check review identified 41 studies that specifically addressed barriers and enablers to cancer screening, diagnosis and treatment among adults aged 65 years and older. • Question 1: The main barriers for older people at risk of and/or living with cancer to access and participate in timely cancer screening relate to lack of knowledge, fear of cancer, negative beliefs about the consequences of cancer, and hygiene concerns in completing testing. The main enablers to participation in timely cancer screening include positive/helpful beliefs about screening, social influences that encourage participation and knowledge. • Question 2: The main barriers for older people at risk of and/or living with cancer to access and/or seek timely cancer diagnosis relate to lack of knowledge of the signs and symptoms of cancer that are distinct from existing conditions and ageing, healthcare accessibility difficulties, perceived inadequate clinical response from healthcare providers, and harmful patient beliefs about risk factors and signs of cancer. The main enablers to accessing and/or seeking a timely cancer diagnosis include knowledge of the signs and symptoms of cancer, and support from family and friends that encourage help-seeking for symptoms. • Question 3: The main barriers for older people at risk of and/or living with cancer in accessing and completing cancer treatment include discrimination against patients in the form of ageism, lack of knowledge, patient concern about the adverse effects of treatment, predominantly on their independence, healthcare accessibility difficulties including travel and financial burden, and patients’ caring responsibilities. The main enablers to accessing and completing cancer treatment are social support from peers in a similar situation, family and friends, the influence of healthcare providers, and involving patients in treatment decision making. • Implications. The development of strategies to address the inequity of cancer outcomes in people aged 65 years and older in NSW should consider: ­ Increasing community members’ and patients’ knowledge and awareness by providing written information and decision support tools from a trusted source ­ Reducing travel and financial burden by widely disseminating information about existing support schemes and expanding remote patient monitoring and telehealth ­ Improving social support by promoting peer support, and building the support capacity of family carers ­ Addressing ageism by supporting patients in decision making, and disseminating education initiatives about geriatric oncology to healthcare providers ­ Providing interdisciplinary geriatric oncology care by including a geriatrician as part of multidisciplinary teams and/or expanding geriatric oncology clinics.
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Hauer, Klaus, Ilona Dutzi, Christian Werner, Jürgen M. Bauer, and Phoebe Ullrich. Implementation of intervention programs specifically tailored for patients with CI in early rehabilitation during acute hospitalization: a scoping review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, 2022. http://dx.doi.org/10.37766/inplasy2022.10.0067.

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Review question / Objective: What is the current status of implementation of interventional programs on early functional rehabilitation during acute, hospital-based medical care, specifically tailored for older patients with CI and what are the most appropriate programs or program components to support early rehab in this specific population? This study combines a systematic umbrella review with a scoping review. While an umbrella review synthesizes knowledge by summarizing existing review papers, a scoping review aims to provide an overview of an emerging area, extracting concepts and identify the gaps in knowledge. The study focuses on older hospitalized adults (&gt;65 yrs.) receiving ward based early rehabilitation. The focus within this review is on study participants with cognitive impairment or dementia. The study targets at controlled trials independent of their randomization procedure reporting on an early functional rehabilitation during hospitalization. Trials that were conducted in different or mixed settings (e.g. inpatient and aftercare intervention) without a clear focus on hospital based rehabilitation were excluded. The study aim is to identify the presence of CI specific features for early rehabilitation including: CI/dementia assessment, sub-analysis of results according to cognitive status, sample description defined by cognitive impairment, program modules specific for geriatric patients CI.
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Hollevoet, Catherine. A study of the relationship between visual short term memory and speechreading in hearing impaired geriatrics. Portland State University Library, 2000. http://dx.doi.org/10.15760/etd.2783.

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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, et al. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), 2021. http://dx.doi.org/10.23970/ahrqepctb40.

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Background. Timely discharge of hospitalized patients can prevent patient harm, improve patient satisfaction and quality of life, and reduce costs. Numerous strategies have been tested to improve the efficiency and safety of patient recovery and discharge, but hospitals continue to face challenges. Purpose. This Technical Brief aimed to identify and synthesize current knowledge and emerging concepts regarding systematic strategies that hospitals and health systems can implement to reduce length of stay (LOS), with emphasis on medically complex or vulnerable patients at high risk for prolonged LOS due to clinical, social, or economic barriers to timely discharge. Methods. We conducted a structured search for published and unpublished studies and conducted interviews with Key Informants representing vulnerable patients, hospitals, health systems, and clinicians. The interviews provided guidance on our research protocol, search strategy, and analysis. Due to the large and diverse evidence base, we limited our evaluation to systematic reviews of interventions to decrease hospital LOS for patients at potentially higher risk for delayed discharge; primary research studies were not included, and searches were restricted to reviews published since 2010. We cataloged the characteristics of relevant interventions and assessed evidence of their effectiveness. Findings. Our searches yielded 4,364 potential studies. After screening, we included 19 systematic reviews reported in 20 articles. The reviews described eight strategies for reducing LOS: discharge planning; geriatric assessment or consultation; medication management; clinical pathways; inter- or multidisciplinary care; case management; hospitalist services; and telehealth. All reviews included adult patients, and two reviews also included children. Interventions were frequently designed for older (often frail) patients or patients with chronic illness. One review included pregnant women at high risk for premature delivery. No reviews focused on factors linking patient vulnerability with social determinants of health. The reviews reported few details about hospital setting, context, or resources associated with the interventions studied. Evidence for effectiveness of interventions was generally not robust and often inconsistent—for example, we identified six reviews of discharge planning; three found no effect on LOS, two found LOS decreased, and one reported an increase. Many reviews also reported patient readmission rates and mortality but with similarly inconsistent results. Conclusions. A broad range of strategies have been employed to reduce LOS, but rigorous systematic reviews have not consistently demonstrated effectiveness within medically complex, high-risk, and vulnerable populations. Health system leaders, researchers, and policymakers must collaborate to address these needs.
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MacFarlane, Andrew. 2021 medical student essay prize winner - A case of grief. Society for Academic Primary Care, 2021. http://dx.doi.org/10.37361/medstudessay.2021.1.1.

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As a student undertaking a Longitudinal Integrated Clerkship (LIC)1 based in a GP practice in a rural community in the North of Scotland, I have been lucky to be given responsibility and my own clinic lists. Every day I conduct consultations that change my practice: the challenge of clinically applying the theory I have studied, controlling a consultation and efficiently exploring a patient's problems, empathising with and empowering them to play a part in their own care2 – and most difficult I feel – dealing with the vast amount of uncertainty that medicine, and particularly primary care, presents to both clinician and patient. I initially consulted with a lady in her 60s who attended with her husband, complaining of severe lower back pain who was very difficult to assess due to her pain level. Her husband was understandably concerned about the degree of pain she was in. After assessment and discussion with one of the GPs, we agreed some pain relief and a physio assessment in the next few days would be a practical plan. The patient had one red flag, some leg weakness and numbness, which was her ‘normal’ on account of her multiple sclerosis. At the physio assessment a few days later, the physio felt things were worse and some urgent bloods were ordered, unfortunately finding raised cancer and inflammatory markers. A CT scan of the lung found widespread cancer, a later CT of the head after some developing some acute confusion found brain metastases, and a week and a half after presenting to me, the patient sadly died in hospital. While that was all impactful enough on me, it was the follow-up appointment with the husband who attended on the last triage slot of the evening two weeks later that I found completely altered my understanding of grief and the mourning of a loved one. The husband had asked to speak to a Andrew MacFarlane Year 3 ScotGEM Medical Student 2 doctor just to talk about what had happened to his wife. The GP decided that it would be better if he came into the practice - strictly he probably should have been consulted with over the phone due to coronavirus restrictions - but he was asked what he would prefer and he opted to come in. I sat in on the consultation, I had been helping with any examinations the triage doctor needed and I recognised that this was the husband of the lady I had seen a few weeks earlier. He came in and sat down, head lowered, hands fiddling with the zip on his jacket, trying to find what to say. The GP sat, turned so that they were opposite each other with no desk between them - I was seated off to the side, an onlooker, but acknowledged by the patient with a kind nod when he entered the room. The GP asked gently, “How are you doing?” and roughly 30 seconds passed (a long time in a conversation) before the patient spoke. “I just really miss her…” he whispered with great effort, “I don’t understand how this all happened.” Over the next 45 minutes, he spoke about his wife, how much pain she had been in, the rapid deterioration he witnessed, the cancer being found, and cruelly how she had passed away after he had gone home to get some rest after being by her bedside all day in the hospital. He talked about how they had met, how much he missed her, how empty the house felt without her, and asking himself and us how he was meant to move forward with his life. He had a lot of questions for us, and for himself. Had we missed anything – had he missed anything? The GP really just listened for almost the whole consultation, speaking to him gently, reassuring him that this wasn’t his or anyone’s fault. She stated that this was an awful time for him and that what he was feeling was entirely normal and something we will all universally go through. She emphasised that while it wasn’t helpful at the moment, that things would get better over time.3 He was really glad I was there – having shared a consultation with his wife and I – he thanked me emphatically even though I felt like I hadn’t really helped at all. After some tears, frequent moments of silence and a lot of questions, he left having gotten a lot off his chest. “You just have to listen to people, be there for them as they go through things, and answer their questions as best you can” urged my GP as we discussed the case when the patient left. Almost all family caregivers contact their GP with regards to grief and this consultation really made me realise how important an aspect of my practice it will be in the future.4 It has also made me reflect on the emphasis on undergraduate teaching around ‘breaking bad news’ to patients, but nothing taught about when patients are in the process of grieving further down the line.5 The skill Andrew MacFarlane Year 3 ScotGEM Medical Student 3 required to manage a grieving patient is not one limited to general practice. Patients may grieve the loss of function from acute trauma through to chronic illness in all specialties of medicine - in addition to ‘traditional’ grief from loss of family or friends.6 There wasn’t anything ‘medical’ in the consultation, but I came away from it with a real sense of purpose as to why this career is such a privilege. We look after patients so they can spend as much quality time as they are given with their loved ones, and their loved ones are the ones we care for after they are gone. We as doctors are the constant, and we have to meet patients with compassion at their most difficult times – because it is as much a part of the job as the knowledge and the science – and it is the part of us that patients will remember long after they leave our clinic room. Word Count: 993 words References 1. ScotGEM MBChB - Subjects - University of St Andrews [Internet]. [cited 2021 Mar 27]. Available from: https://www.st-andrews.ac.uk/subjects/medicine/scotgem-mbchb/ 2. Shared decision making in realistic medicine: what works - gov.scot [Internet]. [cited 2021 Mar 27]. Available from: https://www.gov.scot/publications/works-support-promote-shared-decisionmaking-synthesis-recent-evidence/pages/1/ 3. Ghesquiere AR, Patel SR, Kaplan DB, Bruce ML. Primary care providers’ bereavement care practices: Recommendations for research directions. Int J Geriatr Psychiatry. 2014 Dec;29(12):1221–9. 4. Nielsen MK, Christensen K, Neergaard MA, Bidstrup PE, Guldin M-B. Grief symptoms and primary care use: a prospective study of family caregivers. BJGP Open [Internet]. 2020 Aug 1 [cited 2021 Mar 27];4(3). Available from: https://bjgpopen.org/content/4/3/bjgpopen20X101063 5. O’Connor M, Breen LJ. General Practitioners’ experiences of bereavement care and their educational support needs: a qualitative study. BMC Medical Education. 2014 Mar 27;14(1):59. 6. Sikstrom L, Saikaly R, Ferguson G, Mosher PJ, Bonato S, Soklaridis S. Being there: A scoping review of grief support training in medical education. PLOS ONE. 2019 Nov 27;14(11):e0224325.
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