Relevant bibliographies by topics / Geriatric assessment

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Geriatric assessment'

Author: Grafiati
Published: 4 June 2021
Last updated: 30 January 2023

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Journal articles on the topic "Geriatric assessment"

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WILLIAMS, MARK E. "Geriatric Assessment." Annals of Internal Medicine 104, no. 5 (May 1, 1986): 720. http://dx.doi.org/10.7326/0003-4819-104-5-720.

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Dubin, Shelly. "Geriatric Assessment." American Journal of Nursing 96, no. 5 (May 1996): 49–50. http://dx.doi.org/10.1097/00000446-199605000-00038.

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Palmer, Robert M. "GERIATRIC ASSESSMENT." Medical Clinics of North America 83, no. 6 (November 1999): 1503–23. http://dx.doi.org/10.1016/s0025-7125(05)70177-2.

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Incalzi, R. Antonelli. "Geriatric assessment." Topics in Geriatric Rehabilitation 9, no. 3 (March 1994): 8–15. http://dx.doi.org/10.1097/00013614-199403000-00005.

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Frolova, Elena V. "Geriatric medicine: achievements and prospects." Russian Family Doctor 25, no. 3 (November 18, 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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YAVUZER, Hakan, and Mahir CENGİZ. "Multidimensional Geriatric Assessment." Turkiye Klinikleri Journal of Internal Medicine 1, no. 1 (2016): 17–23. http://dx.doi.org/10.5336/intermed.2015-45643.

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Jirau-Rosaly, Wanda, Shilpa P. Brown, Elena A. Wood, and Nicole Rockich-Winston. "Integrating an Interprofessional Geriatric Active Learning Workshop Into Undergraduate Medical Curriculum." Journal of Medical Education and Curricular Development 7 (January 2020): 238212052092368. http://dx.doi.org/10.1177/2382120520923680.

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Purpose: The aging population in the United States poses a substantial challenge to our health care system, and particularly affects the training of physicians in geriatric care. To introduce undergraduate medical students to a variety of clinical skills and concepts emphasized in geriatrics, we created an interprofessional geriatric workshop and examined changes in student perceptions of working in interprofessional teams, knowledge regarding geriatric concepts, perceptions of the pre-work material, and suggestions for curricular improvement to enhance the workshop for future students. Methods: Second-year medical students participated in a 4-hour workshop with tasks that emphasized activities of daily living, geriatric physical assessment, end-of-life discussions, Beers Criteria, and a home health assessment. Pre- and post-surveys were administered including the Students Perceptions of Interprofessional Clinical Education–Revised (SPICE-R) survey and a knowledge assessment. Student perceptions of pre-work and overall program assessment were captured after the workshop. Descriptive statistics and paired t tests assessed for significant differences. Emerging themes were analyzed using the Glaser constant comparative method. Results: Of the 186 medical student participants, 178 students completed the SPICE-R survey, demonstrating significant increases in students’ perceptions of the value of interprofessional education ( P < .001). In addition, 111 students completed the pre- and post-test for the knowledge assessment, demonstrating significant gains in geriatric concepts ( P < .001). Overall, most students perceived the pre-work as useful and felt prepared to evaluate geriatric patients. Open-ended question analysis supported results, in which 34 students indicated that they felt most comfortable performing a home health assessment and emphasized the usage of the home health simulation. Conclusions: Introducing medical students to a variety of geriatric assessments and concepts in an interprofessional environment early in their career positively influences their perceptions of working as an interprofessional team member to deliver comprehensive care to older adults.
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Nishijima, Tomohiro F., Kazuo Tamura, Fumio Nagashima, Keisuke Aiba, Mitsue Saito, Toshiaki Saeki, Kumiko Karasawa, et al. "Landscape of education and clinical practice in geriatric oncology: a Japanese nationwide survey." Japanese Journal of Clinical Oncology 49, no. 12 (September 5, 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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Ozawa, Toshio. "Comrehensive Geriatric Assessment." Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics 35, no. 1 (1998): 1–9. http://dx.doi.org/10.3143/geriatrics.35.1.

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Rockwood, Kenneth, James L. Silvius, and Roy A. Fox. "Comprehensive geriatric assessment." Postgraduate Medicine 103, no. 3 (March 1998): 247–64. http://dx.doi.org/10.3810/pgm.1998.03.424.

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Dissertations / Theses on the topic "Geriatric assessment"

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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
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.
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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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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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.
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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Stec, Sandra M. "Transition from Geriatric Assessment and Rehabilitation Units to home." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2001. http://www.collectionscanada.ca/obj/s4/f2/dsk3/ftp05/MQ62853.pdf.

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Åberg, Anna Cristina. "General motor function assessment and perceptions of life satisfaction during and after geriatric rehabilitation /." Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-3788.

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Reed, J. "All dressed up and nowhere to go : Nursing assessment in geriatric care." Thesis, University of Newcastle Upon Tyne, 1989. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.234416.

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Gordon, Adam L. "Does Comprehensive Geriatric Assessment (CGA) have a role in UK care homes?" Thesis, University of Nottingham, 2012. http://eprints.nottingham.ac.uk/12619/.

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UK care home residents are frail, dependent and multimorbid. General practitioners (GPs) provide their healthcare but there is evidence that existing provision fails to meet their needs. Comprehensive Geriatric Assessment (CGA) comprises comprehensive multidisciplinary assessment, goal setting and frequent review. This thesis considers a possible role for CGA in UK care homes through three research projects. The Care Home Literature Review (CHoLiR) was a systematic mapping review of randomized controlled trials (RCTs) in care homes. It found no evidence supporting CGA as a whole but described some CGA components supported by RCTs: advanced care planning; interventions to reduce prescribing; staff education around dementia and end-of-life; calcium/vitamin D and alendronate in preventing fractures and osteoporosis; vaccination/neuraminidase inhibitors in preventing influenza; functional incidental and bladder training for incontinence; and risperidone/olanzapine for agitation. The Care Home Outcome Study (CHOS) was a longitudinal cohort study recording dependency, cognition, behaviour, diagnoses, prescribing, nutrition and healthcare resource use in 227 residents across 11 care homes over six months. It reported high levels of dependency, cognitive impairment, malnutrition, multimorbidity and frequent behavioural disturbance. Polypharmacy and prescribing errors were common. Variability between homes and individuals was significant for most baseline and outcome measures. Staff Interviews in Care Homes (STICH) was a qualitative interview study of 32 staff working with care homes including: GPs; care home managers and nurses; NHS community nurses and specialist practitioners. It described care defined by discontinuity and lack-of-anticipation; driven by communication failure, inadequate training and expertise in frail older patients, and arbitrary boundaries between care homes and the NHS which interfered with care. Using the findings of these studies, the author proposes a model of care which is multidisciplinary, guided by comprehensive assessment, reinforced by frequent review and delivered by experts in the care of frail older patients: CGA has a role in UK care homes.
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Kalsi, Tania. "The impact of comprehensive geriatric assessment on tolerance to chemotherapy in older people." Thesis, King's College London (University of London), 2016. https://kclpure.kcl.ac.uk/portal/en/theses/the-impact-of-comprehensive-geriatric-assessment-on-tolerance-to-chemotherapy-in-older-people(e444b47c-535b-4df7-89c4-b010e14b2d4c).html.

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Background: This thesis evaluates the impact of geriatrician-delivered comprehensive geriatric assessment (CGA) interventions on chemotherapy toxicity and tolerance for older people with cancer. While comorbidities are identified in routine oncology practice, intervention plans for the co-existing needs of older people receiving chemotherapy are rarely made and have rarely been evaluated. Methods: Comparative study of two cohorts of older patients (aged 70+) undergoing chemotherapy in a London Hospital. The observational control group (N=70, October 2010 - July 2012) received standard oncology care. The intervention group (N=65, September 2011 - February 2013) underwent risk stratification using a patient-completed screening questionnaire; high risk patients received CGA. Impact of CGA interventions on chemotherapy tolerance outcomes and grade 3+ toxicity rate were evaluated. Outcomes were adjusted for age, comorbidity, metastatic disease and initial dose reductions. Results: Intervention participants undergoing CGA received a mean of 6.2+/-2.6 (range 0-15) CGA-based interventions. They were more likely to complete cancer treatment as planned (odds ratio (OR) 4.14 (95% CI 1.50-11.42), p=0.006) and fewer required treatment modifications (OR 0.34 (95% CI 0.16-0.73), p=0.006). Overall grade 3+ toxicity rate was 43.8% in the intervention group, 52.9% in the control (p=0.292). Conclusions: Geriatrician-led CGA identified many indications for interventions. This approach was associated with improved chemotherapy tolerance. Embedding CGA interventions in oncology practice merits further evaluation.
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Lea, Erin J. "Road map: The utility of cognitive assessments to predict the driving capacity of geriatric veterans." Case Western Reserve University School of Graduate Studies / OhioLINK, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=case1372441395.

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Hansebo, Görel. "Assessment of patients' needs and resources as a basis in supervision for individualised nursing care in nursing home wards : evaluation of an intervention study /." Stockholm, 2000. http://diss.kib.ki.se/2000/91-628-4531-4/.

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Books on the topic "Geriatric assessment"

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Gloria, Picariello, ed. Practical geriatric assessment. London: Greenwich Medical Media, 1998.

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Pilotto, Alberto, and Finbarr C. Martin, eds. Comprehensive Geriatric Assessment. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-62503-4.

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

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1937-, Reichel William, and Andersen Lillian, eds. Handbook of geriatric assessment. Rockville, Md: Aspen Publishers, 1988.

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Hurria, Arti. Geriatric Oncology: Treatment, Assessment and Management. Boston, MA: Springer-Verlag US, 2009.

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Rubenstein, L. Z. Geriatric assessment technology: The state of the art. New York: Springer, 1995.

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Hales, Robert E., Dan G. Blazer, Narriman C. Shahrokh, and David C. Steffens, eds. Self-Assessment in Geriatric Psychiatry. Arlington, VA: American Psychiatric Publishing, Inc., 2009. http://dx.doi.org/10.1176/appi.books.9781585623273.

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Canada. National Advisory Council on Aging. Geriatric assessment, the Canadian experience: Topical texts on geriatric assessment in Canada : papers. Ottawa: National Advisory Council on Aging, 1989.

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Thomas, Hadjistavropoulos, ed. An assessment guide to geriatric neuropsychology. Mahwah, N.J: L. Erlbaum Associates, 1998.

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Zembrzuski, Cora D. Clinical companion for assessment of the older adult. Australia: Delmar Thomson Learning, 2001.

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Book chapters on the topic "Geriatric assessment"

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Extermann, Martine. "Geriatric Assessment." In Management of Hematological Cancer in Older People, 219–37. London: Springer London, 2014. http://dx.doi.org/10.1007/978-1-4471-2837-3_13.

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Rahman, Shibley, and Henry J. Woodford. "Geriatric Assessment." In Geriatric Medicine, 108–14. Boca Raton: CRC Press, 2021. http://dx.doi.org/10.1201/9781003097556-7.

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Bartlett, Stephen, Mary Marian, Douglas Taren, and Myra L. Muramoto. "Nutritional Status Assessment." In Geriatric, 9–49. Dordrecht: Springer Netherlands, 1998. http://dx.doi.org/10.1007/978-94-011-6912-7_2.

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Fleeman, Jennifer Anne. "Psychosocial Assessment." In Geriatric Rehabilitation, 33–47. Boca Raton, FL : CRC Press/Taylor & Francis Group, 2017.: CRC Press, 2017. http://dx.doi.org/10.1201/9781315373904-3.

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Dharmarajan, Kumar, and Kenneth L. Minaker. "Geriatric Nutritional Assessment." In Geriatric Gastroenterology, 107–17. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-1623-5_12.

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Dharmarajan, T. S., T. S. Dharmarajan, T. S. Dharmarajan, and T. S. Dharmarajan. "Comprehensive Geriatric Assessment." In Geriatric Gastroenterology, 55–69. New York, NY: Springer New York, 2012. http://dx.doi.org/10.1007/978-1-4419-1623-5_7.

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Dharmarajan, T. S. "Comprehensive Geriatric Assessment." In Geriatric Gastroenterology, 201–46. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-30192-7_8.

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Dharmarajan, T. S. "Comprehensive Geriatric Assessment." In Geriatric Gastroenterology, 1–46. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-319-90761-1_8-1.

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Hirsch, Calvin H., and Tricia K. W. Woo. "Comprehensive Geriatric Assessment." In Geriatric Psychiatry, 27–46. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-67555-8_2.

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Repetto, Lazzaro, and Angela Marie Abbatecola. "Comprehensive Geriatric Assessment." In Cancer and Aging Handbook, 459–73. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2013. http://dx.doi.org/10.1002/9781118312513.ch29.

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Conference papers on the topic "Geriatric assessment"

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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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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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Mazumder, Oishee, Soumya Tripathy, Sangheeta Roy, Kingshuk Chakravarty, Debatri Chatterjee, and Aniruddha Sinha. "Postural sway based geriatric fall risk assessment using kinect." In 2017 IEEE SENSORS. IEEE, 2017. http://dx.doi.org/10.1109/icsens.2017.8234214.

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Linner, Thomas, Nora Eibisch, and Thomas Bock. "Strategy for the Development of Assistive Environments Based on Geriatric Assessment." In 28th International Symposium on Automation and Robotics in Construction. International Association for Automation and Robotics in Construction (IAARC), 2011. http://dx.doi.org/10.22260/isarc2011/0123.

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Capelle, H., G. Hache, P. Caunes, N. Poletto, P. Bertault-Peres, P. Villani, JN Argenson, P. Tropiano, A. Daumas, and S. Honoré. "4CPS-245 Implementing clinical pharmacy practices in the comprehensive geriatric assessment performed by the mobile geriatric multidisciplinary team in orthopaedic units." In Abstract Book, 23rd EAHP Congress, 21st–23rd March 2018, Gothenburg, Sweden. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/ejhpharm-2018-eahpconf.335.

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Jung, Dawoon, Mau Dung Nguyen, Mina Park, Miji Kim, Chang Won Won, Jinwook Kim, and Kyung-Ryoul Mun. "Walking-in-Place Characteristics-Based Geriatric Assessment Using Deep Convolutional Neural Networks." In 2020 42nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) in conjunction with the 43rd Annual Conference of the Canadian Medical and Biological Engineering Society. IEEE, 2020. http://dx.doi.org/10.1109/embc44109.2020.9176069.

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Urosevic, Vladimir, Paolo Paolini, and Christos Tatsiopoulos. "Configurable interactive environment for hybrid knowledge- and data-driven geriatric risk assessment." In 2017 25th International Conference on Software, Telecommunications and Computer Networks (SoftCOM). IEEE, 2017. http://dx.doi.org/10.23919/softcom.2017.8115520.

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Papageorgiou, Elpiniki I., Antonis S. Billis, Christos Frantzidis, Evdokimos I. Konstantinidis, and Panagiotis D. Bamidis. "A preliminary fuzzy cognitive map - based desicion support tool for geriatric depression assessment." In 2013 IEEE International Conference on Fuzzy Systems (FUZZ-IEEE). IEEE, 2013. http://dx.doi.org/10.1109/fuzz-ieee.2013.6622485.

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Martinez, J., L. V. Calderita, A. Bandera, J. P. Bandera, A. Romero-Garces, C. Suarez, R. Marfi, et al. "Towards a robust robotic assistant for Comprehensive Geriatric Assessment procedures: updating the CLARC system*." In 2018 27th IEEE International Symposium on Robot and Human Interactive Communication (RO-MAN). IEEE, 2018. http://dx.doi.org/10.1109/roman.2018.8525818.

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Lafaie, Ludovic, Cécile Duvillard, Elodie De Magalhaers, Souad Bezzeghoud, Sandrine Accassat, Paul-Benoît Poble, Pierre-Benoît Bonnefoy, Claire Tulane, Thomas Celarier, and Laurent Bertoletti. "Implementation of a systematic comprehensive geriatric assessment for elderly patients suspected of pulmonary hypertension." In ERS International Congress 2020 abstracts. European Respiratory Society, 2020. http://dx.doi.org/10.1183/13993003.congress-2020.1471.

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Reports on the topic "Geriatric assessment"

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

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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, October 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 (>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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Tipton, Kelley, Brian F. Leas, Nikhil K. Mull, Shazia M. Siddique, S. Ryan Greysen, Meghan B. Lane-Fall, and Amy Y. Tsou. Interventions To Decrease Hospital Length of Stay. Agency for Healthcare Research and Quality (AHRQ), September 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, July 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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