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Journal articles on the topic 'Geriatric hospital care'

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1

Gnanasekaran, Gowrishankar, and Narendrakumar Alappan. "HIGH-RISK ELDERLY SCREENING IN MEDICAL INTENSIVE CARE UNIT." Innovation in Aging 6, Supplement_1 (2022): 533. http://dx.doi.org/10.1093/geroni/igac059.2029.

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Abstract Geriatrics care in medical intensive care units (MICU) establishes a unique opportunity in early screening of High Risk Elderly (HRE) patients admitted for critical care. Many MICUs do not have a standard protocol to screen for HRE patients as part of their daily huddle. Our program is a quality improvement initiative to improve early identification of HRE patients in the MICU. HRE patients were identified based on nursing specific screening triggers at one of the Regional Hospitals of a large teaching hospital in Northeast Ohio.The program was designed as a part of geriatrics care ex
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Fox, Mary T., Souraya Sidani, Jeffrey I. Butler, and Deborah Tregunno. "Nurses’ Perspectives on the Geriatric Nursing Practice Environment and the Quality of Older People’s Care in Ontario Acute Care Hospitals." Canadian Journal of Nursing Research 49, no. 2 (2017): 94–100. http://dx.doi.org/10.1177/0844562117707140.

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Background Cultivating hospital environments that support older people’s care is a national priority. Evidence on geriatric nursing practice environments, obtained from studies of registered nurses (RNs) in American teaching hospitals, may have limited applicability to Canada, where RNs and registered practical nurses (RPNs) care for older people in predominantly nonteaching hospitals. Purpose This study describes nurses’ perceptions of the overall quality of care for older people and the geriatric nursing practice environment (geriatric resources, interprofessional collaboration, and organiza
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Yathindra, Chitra, and Sonia E. D’Souza. "Need analysis for geriatric care services in a tertiary care teaching hospital: a patient perspective analysis." International Journal Of Community Medicine And Public Health 11, no. 4 (2024): 1513–18. http://dx.doi.org/10.18203/2394-6040.ijcmph20240883.

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Background: In India, aging population is increasing every year. So, healthcare industry needs to set up a geriatric unit soon. Development of geriatrics and old-age care systems in India will make elderly people independent and improve their lifestyle, life expectancy, and quality of life while decreasing the cost of care. This study looks at the views of patients who are 60 years or older, as well as need for a full-fledged geriatric unit in a tertiary care hospital. Methods: This study used questionnaires to get information from patients about the need for a geriatric care service in the ch
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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 pa
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Flaherty, Joseph H., Miriam B. Rodin, and John E. Morley. "Changing Hospital Care For Older Adults: The Case for Geriatric Hospitals in the United States." Gerontology and Geriatric Medicine 8 (March 2022): 233372142211090. http://dx.doi.org/10.1177/23337214221109005.

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Hospital care of frail older adults is far from optimal. Although some geriatric models of care have been shown to improve outcomes, the effect size is small and models are difficult to fully implement, sustain and replicate. The two root causes for these shortcomings are competing interests (high revenue generating diseases, procedures and surgeries) and current hospital cultures (for example a culture of safety that emphasizes bed alarms and immobility rather than frequent ambulation). Geriatric hospitals would be hospitals completely dedicated to the care of frail older patients, a group wh
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Gnanasekaran, Gowrishankar, and Eduardo Mireles-Cabodevila. "GERIATRICS MICU CO-MANAGEMENT: INTEGRATING GERIATRIC ASSESSMENTS FOR CRITICALLY ILL PATIENTS." Innovation in Aging 3, Supplement_1 (2019): S448. http://dx.doi.org/10.1093/geroni/igz038.1681.

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Abstract Programs like orthogeriatrics, geriatric cardiology have shown to improve outcomes in hospitalized geriatric patients. Our Geriatrics MICU Co-management program is a quality improvement initiative that instigates a partnership approach with critical care medicine in integrating geriatric assessments and build foundation for interdisciplinary care of critically ill patients. MICU (Medical Intensive Care Unit) protocols do not have standard geriatrics assessments integrated in clinical care. An electronic dash-board identifies high risk elderly (HRE) patients admitted at a MICU in a lar
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Beynon, JH, and D. Padiachy. "The past and future of geriatric day hospitals." Reviews in Clinical Gerontology 19, no. 1 (2009): 45–51. http://dx.doi.org/10.1017/s0959259809990049.

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SummaryThe status of the geriatric day hospital within the National Health Service (NHS) in the UK has changed significantly over the past fifty years. We conducted a literature review starting from the inception of the geriatric day hospital, when it was viewed as the ‘shop front for geriatric services’ and was subsequently replicated in many western health systems, to the present uncertainty surrounding the model in terms of outcomes and cost effectiveness. The article also highlights the input of the Royal College of Physicians and the British Geriatric Society to the management and develop
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Rukmangathen, Rajalakshmi, and Vasundara Devi Brahmanapalli. "Pharmacovigilance study in geriatric patients of a tertiary care hospital." Journal of Pharmacovigilance and Drug Research 2, no. 2 (2021): 33–38. http://dx.doi.org/10.53411/jpadr.2021.2.2.7.

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Introduction: The aim was to assess, categorize and analyze the adverse drug reactions among geriatric patients in a tertiary care hospital. 
 Methods: All adverse drug reactions of geriatric patients reported at the Adverse Drug Reaction Monitoring Center, Sri Venkateswara Medical College, Tirupati, under the Pharmacovigilance programme of India, during September 2016 and January 2018 were identified and evaluated. A retrospective analysis was carried out for ADR pattern, drug groups, organ systems implicated in suspect ADR, demographic profile, causality (as per the WHO–UMC scale), seve
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Rukmangathen, Rajalakshmi, and Vasundara Devi Brahmanapalli. "Pharmacovigilance study in geriatric patients of a tertiary care hospital." Journal of Pharmacovigilance and Drug Research 2, no. 2 (2021): 28–33. https://doi.org/10.5281/zenodo.4987217.

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<strong>Abstract</strong> The aim was to assess, categorize and analyze the adverse drug reactions among geriatric patients in a tertiary care hospital.&nbsp;&nbsp;All adverse drug reactions of geriatric patients reported at the Adverse Drug Reaction Monitoring Center, Sri Venkateswara Medical College, Tirupati, under the Pharmacovigilance programme of India, during September 2016 and January 2018 were identified and evaluated. A retrospective analysis was carried out for ADR pattern, drug groups, organ systems implicated in suspect ADR, demographic profile, causality (as per the WHO&ndash;UMC
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Hidalgo A., Jaime. "¿Por qué son necesarias unidades geriátricas de agudos en el sistema de salud chileno?" Revista Hospital Clínico Universidad de Chile 26, no. 4 (2015): 306–14. http://dx.doi.org/10.5354/2735-7996.2015.71340.

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For centuries, man has been concerned about health, particularly to achieve successful aging. In this process of health and illness, often the elderly were dying in the attempt to improve, and those requiring more care, it was not possible to do at home, so they sought the help of others, most of whom were Monasteries, which later gave way to hospices, Nurse Homes and Hospitals. Given the growing senior population that required hospital care and elderly care was developing Geriatrics, along with a comprehensive model of confrontation and interdisciplinary intervention, soon found in geriatric
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CHITRA, YATHINDRA, and SONIA E. DSOUZA DR. "FEASIBILITY FOR SETTING UP GERIATRIC CARE SERVICES IN A TERTIARY CARE TEACHING HOSPITAL." International Journal for Research Trends and Innovation 9, no. 1 (2024): 423–32. https://doi.org/10.5281/zenodo.10675476.

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Introduction: The Healthcare industry has identified the need for specialized clinical care for the elderly people, given to the rise in the population. The vision of making the elderly population less dependent on their family has developed multiple facilities and specializations in their favor. However, establishment of a uniform Geriatric center may not be feasible across all the health care institutions. Careful analysis and assessment of the need and well as study of the feasibility of the same is very important. This will ensure that there is optimum utilization of the established unit.&
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Paulo de Almeida Tavares, João, Alcione Leite da Silva, Pedro Sá-Couto, Marie Boltz, and Elizabeth Capezuti. "Validation of Geriatric Care Environment Scale in Portuguese Nurses." Current Gerontology and Geriatrics Research 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/426596.

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The number of hospitalized older adults in Portugal necessitates a better understanding of the acute care environment for older adults. This study translated and examined the psychometric qualities of the Geriatric Care Environment Scale (GCES) among 1,068 Portuguese registered nurses (RNs). Four factors emerged from the exploratory factor analyses: resource availability, aging-sensitive care delivery, institutional values regarding older adults and staff, and continuity of care. The internal consistency of the GCES wasα=.919. The GCES was significantly associated with the variables of region,
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Nuss, Valentine, Jérémy Barben, Caroline Laborde, et al. "Factors Determining the Choice of a Career in Geriatrics among Students in Geriatric in-Hospital Training: A Prospective Study of 74 Medical Students." Geriatrics 5, no. 4 (2020): 87. http://dx.doi.org/10.3390/geriatrics5040087.

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To understand why students in the 2nd cycle of medical studies choose to complete a Diploma of Specialized Studies (DSS) in geriatrics, we conducted a study to identify the factors influencing the choice of a future specialty. In addition, we assessed the impact of clinical in-hospital training (CIHT) in a geriatric hospital on the students’ selection of their future specialty. We included all students who completed CIHT in the geriatric facility of our University Hospital between 1 May and 31 October 2018. Data were collected using a two-part questionnaire: one part was given before CIHT and
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Backman, Chantal, Anne Harley, Liam Peyton, et al. "Development of a Path to Home Mobile App for the Geriatric Rehabilitation Program at Bruyère Continuing Care: Protocol for User-Centered Design and Feasibility Testing Studies." JMIR Research Protocols 7, no. 9 (2018): e11031. http://dx.doi.org/10.2196/11031.

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Background As the population ages, the need for appropriate geriatric rehabilitation services will also increase. Pressures faced by hospitals to reduce length of stay and reduce costs have driven the need for more complex care being delivered in the home or community setting. As a result, a multifaceted approach that can provide geriatric rehabilitation patients with safe and effective person- and family-centered care during transitions from hospital to home is required. We hypothesize that a technology-supported person- and family-centered care transition could empower geriatric rehabilitati
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Elsorady, Khalid Elsayed, Rania Ahmed Hassan, Dalia Hosni Abdelhamid, and Mohamed Abd El-Mohsen. "Antibiotics use and its association with Multi-Drug Resistance in a Tertiary Care Geriatrics Hospital in Egypt." Journal of Infection in Developing Countries 16, no. 12 (2022): 1860–69. http://dx.doi.org/10.3855/jidc.17257.

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Introduction: Multi-Drug Resistance (MDR) is common in hospitalized geriatric patients. The study aims to investigate the pattern of antibiotic use and determine its association with MDR in hospitalized geriatric patients. Methodology: A retrospective cohort study including 193 geriatric patients admitted to a Geriatric Intensive Care Unit (GICU) in a tertiary care Geriatrics hospital in Egypt, throughout a consecutive 6 months duration. A review of medical records was done to extract clinical, socio-demographic, and prescribing data on antibiotics throughout admission. The presence of MDR org
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Mahwish, Rabiah, Muhammad Ali, Arham Hussain, and Kanwal Manzoor. "Morbidity Patterns and Health Needs of the Geriatric patients in a Tertiary Care Hospital." Pakistan Journal of Medical and Health Sciences 16, no. 3 (2022): 50–53. http://dx.doi.org/10.53350/pjmhs2216350.

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Background: The aged population of the world is increasing. Old age is associated with increased risk of morbidity and mortality. This puts burden on health services, both financially and in terms of workload. Aim: To determine the morbidity patterns and health needs of this age group. Methods: A descriptive cross¬-sectional study was conducted among the geriatric patients presenting in the outdoor department of services hospital Lahore. The sample size was 220, calculated using the WHO statistical software S size. Nonprobability convenient sampling technique was used. The confidence interval
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Mahmud, Md Shohel, Most Khadija Begum, and Jabin Akhter. "Knowledge and attitude of senior staff nurses regarding geriatrics health care in a tertiary public hospital." Asian Journal of Medical and Biological Research 6, no. 3 (2020): 431–39. http://dx.doi.org/10.3329/ajmbr.v6i3.49791.

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There is proportionate increase in the health problems along with increase in geriatric population in Bangladesh. Nurses need to be well equipped with knowledge and should also have a positive attitude regarding geriatric care. The current cross sectional study conducted with an aim to assess the knowledge and attitude of senior staff nurses and associated factors regarding geriatrics health care. This cross-sectional study was conducted among 384 nurses working at a tertiary public hospitals in the Rangpur city of Bangladesh from January 2019 to December, 2019. Participants were selected usin
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Kumar, Dr Vinaya. "Assessing the Impact of Surgical Volume on Survival Outcomes in Geriatric Emergency Surgery Patients." International Journal of Dermatopathology and Surgery 5, no. 2 (2019): 9–13. https://doi.org/10.26452/ijds.v5i2.1546.

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As the global aging population continues to grow, ensuring high-quality surgical care for older adults has become a critical healthcare priority. This study investigates the relationship between hospital surgical volume and postoperative survival rates among geriatric patients undergoing emergency general surgery (EGS). A total of 200 cases were analyzed at care hospital focusing on ten emergency surgical procedures. The study employed a beta-logistic generalized linear regression model to assess the impact of hospital procedural volume on in-hospital mortality rates. The findings revealed tha
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Pravitasari, Pravitasari, Ratna Indrawati, and Anastina Tahjoo. "The Relationship of Integrated Geriatric Assessment and Effective Communication Towards Holistic Nursing Care With Caring Nurse Behavior as an Intervening Variable at Islamic Hospital Siti Khadijah Palembang City." NUCLEUS 4, no. 1 (2023): 11–32. http://dx.doi.org/10.37010/nuc.v4i1.1257.

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In the world of health, Holistic Nursing Care is a standard with a multi-disciplinary approach through integrated and holistic assessment. Geriatric patients have complex needs that must be identified to address the needs that must be met by a hospital service to provide patient survival, quality of life and satisfaction. Holistic nursing care is influenced by several variables such as integrated geriatric assessment and effective communication. In addition to these two variables, there are other variables that can affect this relationship, one of which is the caring behavior of nurses. The pu
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Choe, Young Suk, and Yang Gyeong Yoo. "Moderated moderation effect of empathy and resilience on the relationship between geriatric care-related stress and geriatric nursing practice among secondary hospital nurses: A cross-sectional study." Journal of Korean Gerontological Nursing 25, no. 1 (2023): 89–101. http://dx.doi.org/10.17079/jkgn.2023.25.1.89.

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Purpose: This study aimed to investigate whether empathy and resilience moderate the relationship between geriatric care-related stress and geriatric nursing practice among secondary hospital nurses.Methods: Data were collected from three secondary hospitals in J province from July 20, 2022, to August 10, 2022. Nurses with at least three months of employment were convenience sampled, and a structured questionnaire was used. A total of 218 questionnaires were included in the analysis. The collected data were analyzed using the IBM SPSS Statistics 24.0 software.Results: Geriatric nursing practic
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Bogdanova, Tatiana, Olga Khodakova, and Olga Tretyakova. "PROJECT "ORGANIZATION OF GERIATRIC ROOMS IN MULTIDISCIPLINARY HOSPITALS": ORGANIZATIONAL AND METHODOLOGICAL BASIS." Social Aspects of Population Health 70, S5 (2024): 2. https://doi.org/10.21045/2071-5021-2024-70-s5-2.

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Significance. The article describes is the process of implementing a project approach to the implementation of a model for organizing geriatric rooms in the conditions of multidisciplinary hospitals as new organizational solutions in the provision of medical care to elderly and senile patients. Taking into account the aging trend of the population, the specifics of the provision and the increasing need for medical care for patients with age-associated conditions, it is necessary to develop and implement new organizational technologies for the provision of medical care. Purpose: assessment of t
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Ali, Sathi Binte, and Mohammad Asraful Alam. "Health Care Facilities for Senior Citizens in Selected Tertiary Hospitals During Covid-19 Pandemic." Journal of Preventive and Social Medicine 40, no. 1 (2022): 51–58. http://dx.doi.org/10.3329/jopsom.v40i1.56691.

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Background: To assess the health care facilities provided for senior citizens in selected tertiary hospitals. Methods: This descriptive type of cross-sectional study was carried out among service providers (doctors and nurses) and hospital administrators within the period of January to December 2020. A total of 305 respondents was selected purposively. Semi structured questionnaire and observational checklist was used to collect data. Data was collected by face to face interview and observation. Data was analyzed by using SPSS (Statistical Package for Social Science) software version 25. Resul
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Lella, Meenakshi, Chandrakala Kambar, Susmitha Vemu, P. Kamala Subhashini, and Hima Bindu Gujjarlamudi. "Pattern of Adverse Drug Reactions in Extremes of Age Group Reported to a Tertiary Care Hospital." Asian Journal of Pharmaceutical Research and Health Care 16, no. 3 (2024): 272–80. http://dx.doi.org/10.4103/ajprhc.ajprhc_5_24.

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ABSTRACT Background: The World Health Organization (WHO), defined adverse drug reactions (ADRs) as “any noxious and unintended response to a drug, which occurs at doses normally used in humans for prophylaxis, diagnosis and treatment of the disease or for the modification of physiological functions.” Pediatrics (≤12 years) and geriatrics (≥65 years) are the extreme age groups that are more vulnerable for ADRs. Aim and Objectives: To determine ADRs time-plausible relationship, clinical spectrum, causality, and severity in extreme age group patients. Materials and Methods: All the ADRs reported
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Schwartz, Vered. "Respite Care in a Geriatric Rehabilitation Hospital." Social Work in Health Care 18, no. 3-4 (1993): 193–200. http://dx.doi.org/10.1300/j010v18n03_18.

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Hogan, David B., Janet M. Hogan, Judy Ferneyhough, et al. "Interdisciplinary care in a geriatric day hospital." Topics in Geriatric Rehabilitation 7, no. 2 (1991): 22–32. http://dx.doi.org/10.1097/00013614-199112000-00005.

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C, Shinu, Masouda TK, and Jusaina . "Effect of Polypharmacy on Adverse Drug Reaction Among Geriatric Patients at Tertiary Care Hospital." International Journal of Science and Healthcare Research 8, no. 1 (2023): 317–22. http://dx.doi.org/10.52403/ijshr.20230144.

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BACKGROUND: Polypharmacy and Drug -related problems (DRPs) have been shown to prevail in hospitalized patients. We evaluated the prevalence of polypharmacy and investigated relationship between polypharmacy and adverse drug reaction occur with it. The present study was designed to identify the adverse drug reactions occur due to polypharmacy. METHODOLOGY: This observational study was conducted for 6 months in the various department of a tertiary care Super speciality Hospital at Malabar region of Kerala. The patients were selected based on inclusion and exclusion criteria. RESULTS: A total of
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Leite, Homero Teixeira, Alex C. Manhães, Luisa A. Antunes, Tevy Chan, Guy Hajj-Boutros, and José A. Morais. "The Implementation of a Geriatrics Co-Management Model of Care Reduces Hospital Length of Stay." Healthcare 10, no. 11 (2022): 2160. http://dx.doi.org/10.3390/healthcare10112160.

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(1) Background: Older adults comprise a large proportion of hospitalized patients. Many are frail and require complex care. Geriatrics has developed models of care specific to this inpatient population. Our objective was to demonstrate the effect of a geriatric co-management team on clinical administrative indicators of care in Clinical Teaching Units (CTUs) that have adopted the Age-friendly Hospital (AFH) principles in Brazilian hospitals. (2) Methods: Following 3 months of implementation of the AFH principles in CTUs, two periods of the same 6 months of two consecutive years were compared.
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Thillainadesan, Janani, Sarah Aitken, Sue Monaro, et al. "Geriatric Comanagement Reduces Hospital-Acquired Geriatric Syndromes in Older Vascular Surgery Inpatients." Innovation in Aging 5, Supplement_1 (2021): 324. http://dx.doi.org/10.1093/geroni/igab046.1261.

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Abstract Aims Based on our meta-analysis, surveys and qualitative studies of geriatricians in Australia and New Zealand, we designed and implemented a novel inpatient model to co-manage older vascular surgical inpatients at a tertiary academic hospital in Sydney. This model, called Geriatrics co-management of older vascular surgery patients (Gerico-V), embedded a geriatrician into the vascular surgery unit who introduced a range of interventions targeting older people. Here we evaluated this model of care. Methods We undertook a prospective before-and-after study of consecutive patients aged ≥
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Vu, Huyen Thi Thanh, Long Hoang Nguyen, Thanh Xuan Nguyen, et al. "Knowledge and Attitude Toward Geriatric Palliative Care among Health Professionals in Vietnam." International Journal of Environmental Research and Public Health 16, no. 15 (2019): 2656. http://dx.doi.org/10.3390/ijerph16152656.

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This study assessed the knowledge and attitude toward palliative care for the elderly among health professionals in a tertiary geriatric hospital in Vietnam and explored their determinants. Cross-sectional data were obtained on 161 geriatric health professionals at the National Geriatric Hospital. Modified-Palliative Care Knowledge Test and Frommelt Attitudes Toward Care of the Dying instruments were used to measure knowledge and attitude toward geriatric palliative care. As a result, 40.5% physicians and 74.2% nurses showed insufficient knowledge about geriatric palliative care (p &lt; 0.05).
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Condo, Angela, Abigail Baim-Lance, and Nathan Golstein. "BRINGING GERIATRIC CARE INTO THE HIV PRIMARY CARE CLINIC: A COMBINED HIV/GERIATRIC MULTIDISCIPLINARY CLINIC MODEL." Innovation in Aging 7, Supplement_1 (2023): 117–18. http://dx.doi.org/10.1093/geroni/igad104.0382.

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Abstract Persons living with HIV (PLWH) experience accelerated and accentuated aging, developing co-morbidities at earlier ages and with higher frequencies than those without HIV. Older persons with HIV (OPWH) also experience geriatric syndromes. In 2020 we developed a combined HIV/geriatrics multidisciplinary clinic at Mount Sinai Hospital in New York where a geriatrician and multidisciplinary team including a nurse, pharmacist, and social worker are embedded in an HIV primary care clinic. Patients are referred for comprehensive geriatric assessments. We conducted a retrospective chart review
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Oxman, Thomas E. "Geriatric Psychiatry at the Interface of Consultation-Liaison Psychiatry and Primary Care." International Journal of Psychiatry in Medicine 26, no. 2 (1996): 145–53. http://dx.doi.org/10.2190/nr4r-xq0l-55y5-vbtj.

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Objective: This article describes the evolution of a primary care geriatric psychiatry program which serves clinical, educational, and research functions. Methods: Program development proceeded through stages of liaison using research, focusing on primary care attendings, and developing the common interest of geriatrics. Results: Collaborative research with external funding has continued. A geriatric psychiatry primary care fellowship program was established. Clinical activity is based on consultation-liaison work in nursing homes, an outpatient dementia clinic, a general hospital medical serv
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Chong, Mei Sian, Esmiller F. Empensando, Yew Yoong Ding, and Thai Lian Tan. "A Subacute Model of Geriatric Care for Frail Older Persons: The Tan Tock Seng Hospital Experience." Annals of the Academy of Medicine, Singapore 41, no. 8 (2012): 354–61. http://dx.doi.org/10.47102/annals-acadmedsg.v41n8p354.

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Introduction: The subacute care unit in Tan Tock Seng Hospital (TTSH) was set up in May 2009. We examined its impact on the transitions at the nexus between hospital and community sectors, patients’ discharge destination and functional performance. Materials and Methods: We studied patients admitted during the initial 6-month period (May to October 2009). Differences in demographics, length of stay (LOS), comorbidity and severity of illness measures, functional outcomes (modified Barthel Index (MBI)) according to discharge destinations were obtained. We also studied the impact of LOS on the ge
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Tabassum, Rehana, Umar Hafiz, Syed Sajad Hussain, Asma Shah, and Afshan Shabir. "Utilization pattern of drugs among patients attending geriatric outpatient department in a tertiary care hospital in Kashmir." International Journal of Research in Medical Sciences 8, no. 1 (2019): 33. http://dx.doi.org/10.18203/2320-6012.ijrms20195625.

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Background: Quality and safety of prescribing in older people remains a global healthcare concern and inappropriate prescribing is a major public health issue because of its direct association with morbidity, mortality and wastage of health resources in this age group. Very limited data is available on the drug utilization pattern in geriatric population and the present study was carried out to see the prescription pattern in geriatric population in this part of the world.Methods: The present study was conducted by the department of pharmacology in outpatient department of geriatrics in a tert
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Murdaca, Giuseppe, Sara Banchero, Marco Casciaro, et al. "Multiparametric Evaluation of Geriatric Patients Admitted to Intermediate Care: Impact on Geriatric Rehabilitation." Diagnostics 13, no. 18 (2023): 2906. http://dx.doi.org/10.3390/diagnostics13182906.

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Optimizing the functional status of patients of any age is a major global public health goal. Rehabilitation is a process in which a person with disabilities is accompanied to achieve the best possible physical, functional, social, intellectual, and relational outcomes. The Intermediate Care Unit within the O.U. of Geriatrics and Gerontology of the San Martino Hospital in Genoa is focused on the treatment and motor reactivation of patients with geriatric pathologies. The objective of this study was to identify which factor, among the characteristics related to the patient and those identified
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DeLa'O, Connie M., Aurelio Rodriguez, Justin Boer, Thomas Simunich, and Russell Dumire. "From Trauma Quality Improvement Project to the Geriatric Trauma Institute: Developing an Innovative Care Model for the Coming Storm." Panamerican Journal of Trauma, Critical Care & Emergency Surgery 3, no. 3 (2014): 105–8. http://dx.doi.org/10.5005/jp-journals-10030-1100.

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ABSTRACT Background The US geriatric population is projected to steadily increase to approximately 20% by 2030, thereby significantly increasing the burden to trauma services. This study sought to transform the geriatric trauma care model into one more effective, efficient, financially sustainable, and capable of absorbing the anticipated increased demand. Study design The goals were to improve the geriatric trauma care process—for patient and hospital, detail its evolution, and provide a formative evaluation of the result. A multidisciplinary team, internal and external to the hospital, was a
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Amoateng, Emmanuel, Wireko Bannor Manasseh, Augustine Yaw Assah, and Henry Sakyi Opare-Addo. "Assessment of Effective Geriatric Care Services Among Health Care Practitioners in Ashanti Region Protocol of a Cross-sectional Study." Journal of Science and Technology (Ghana) 1, no. 1 (2024): 62–69. http://dx.doi.org/10.4314/just.v1i1.5s.

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BackgroundIn Africa, the elderly population is increasing at the fastest rate and this has become a burden as the rate is not proportional to the investment in health to meet their deteriorating health needs. Together with poor health care services, this creates discrepancies in access to health due to the financial limitations of the aged. Poor care services are related to poor knowledge, and bad perception hence this study seeks to explore the health practitioners’ level of knowledge, attitude, practice (KAP), and perception toward geriatric care.MethodsUsing a convenient sampling technique,
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Chow, Stephanie, Audrey Chun, Lizette Munoz, et al. "Building a Framework for Care of Older Patients in an Academic Setting: High Risk Geriatrics Ambulatory Care Program." Innovation in Aging 4, Supplement_1 (2020): 522. http://dx.doi.org/10.1093/geroni/igaa057.1684.

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Abstract BACKGROUND: Traditional models of geriatric medicine and health system reimbursement structure often force ambulatory care teams to function as high-volume delivery programs, thereby dis-servicing our most vulnerable and frail older patients. This “high cost and high needs” labeled demographic requires uniquely adapted plans from medical and social work providers. METHODS: To better examine opportunities for improved framework for geriatric ambulatory care, the Acute Life Interventions, Goals &amp; Needs (ALIGN) Program has launched several inter-professional pilot programs, each with
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Montgomery, Patrick R., and Wendy M. Fallis. "South Winnipeg Integrated Geriatric Program (SWING): A Rapid Community-Response Program for the Frail Elderly." Canadian Journal on Aging / La Revue canadienne du vieillissement 22, no. 3 (2003): 275–81. http://dx.doi.org/10.1017/s0714980800003895.

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ABSTRACTThe objective of this study was to compare enhanced access to geriatric assessment and case management to usual home care service provision for the frail elderly. This was a demonstration project, with randomized allocation to control or intervention groups of frail elderly persons who had been referred to the Home Care service in Winnipeg. Of the 164 persons who were randomized, 78 intervention and 74 control patients were evaluated. Intervention subjects received a multidimensional assessment as soon as possible by a specially trained coordinator, who had enhanced access to geriatric
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Flaherty, Ellen, and Terry Fulmer. "IMPLEMENTING THE 4MS IN PRIMARY CARE: BUILDING AN AGE-FRIENDLY HEALTH SYSTEM." Innovation in Aging 3, Supplement_1 (2019): S769. http://dx.doi.org/10.1093/geroni/igz038.2828.

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Abstract The Age Friendly Health Systems initiative is a culture change movement funded by the John A. Hartford Foundation in collaboration with the Institute for Health Care Improvement. Transforming clinical training environments into integrated geriatrics and primary care systems to become Age-Friendly Health Systems must incorporate the principles of value-based care and alternative-payment models. This symposium will discuss how the implementation of the Geriatric Interprofessional Team Transformation in Primary Care (GITT-PC) model and the Reducing Avoidable Facility Transfer Model (RAFT
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Koppala, Ravi Babu, Sherry P. Mathew, and Seema Ramesh Chawan. "Need for Aged Care Hubs." Research in Health Science 5, no. 3 (2020): p1. http://dx.doi.org/10.22158/rhs.v5n3p1.

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Background: The present study was undertaken to access the current availability and utilization of health care services by geriatric population and to find the need for specialized geriatric care hubs.Methods: This is questionnaire-based survey conducted among 300 subjects of geriatric population for a period of 3 months in Bengaluru hospital set-up.Results: Majority of study subjects were belonged to age group of 60-75 years. 81% were married; while 1.30% un-married, 2.30% divorced, 15.30% were widow. Majority of study subjects in our study, i.e., 30.30% were graduates followed by 28.70% and
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Geetha, S., and Deepa Patil. "Prescription Audit among Geriatric Patients Admitted in a Tertiary Care Hospital." International Journal of Preclinical and Clinical Research 3, no. 1 (2022): 7–10. http://dx.doi.org/10.51131/ijpccr/v3i1.22_16.

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This study aims to evaluate the drug utilization pattern in terms of defined daily dose (DDD) among geriatric patients admitted in medical intensive care unit (MICU) of a tertiary care hospital. Retrospective medical record analysis was performed for the geriatric patients (age ≥65 years) admitted in MICU from 1st June 2021 and 31st December 2021. The relevant data were collected in a proforma. The drugs were categorized by anatomical therapeutic classification and their DDD was calculated. Diabetes mellitus was the most common cause for admission. Parenteral preparations (51.12%) constituted
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Tan, Rachel Rui Qi, Hui Jin Toh, Philip Lin Kiat Yap, Nana Jiao, and Wenru Wang. "90-Day Hospital Readmissions of Patients in a Geriatric Acute Care Ward in Singapore." Clinical Nursing Research 29, no. 3 (2018): 200–209. http://dx.doi.org/10.1177/1054773818801483.

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The objective of the study is to examine the 90-day readmission rate and identify the predictors for 90-day readmissions at a geriatric ward in a tertiary hospital in Singapore. A secondary analysis of case–control data was performed. Data of patients discharged from a geriatric ward between January 2015 and January 2016 were retrieved from an existing data set. Out of 564 index admissions involving older adults, the 90-day geriatric readmission rate was 10.1%. Activities of daily living dependency (odds ratio [OR]: 0.988, 95% confidence interval [CI]: [0.978, 0.999]) and living with the spous
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Knebl, Janice, Jennifer Severance, and Sara Murphy. "WORKFORCE ENHANCEMENTS FOR HEALTHY AGING AND INDEPENDENT LIVING: COLLABORATION TO IMPROVE HEALTH CARE." Innovation in Aging 8, Supplement_1 (2024): 22. https://doi.org/10.1093/geroni/igae098.0065.

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Abstract There are 48 Geriatric Workforce Enhancement Programs (GWEP) funded by the Health Resources and Services Administration in 2019 to integrate geriatrics education into primary care training, increase patient and family engagement, and improve health outcomes. The University of North Texas Health Science Center (UNTHSC) GWEP collaborates with a county hospital, a private university, an Area Agency on Aging, and other community-based organizations to align education and training enhancements and activities with community needs. Using a multipronged strategy focused on engaging local prim
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Sultana, Ruqiya, Shobia Naaz, Mir S. Adil, Sara Fatima, and Mariya Khabita. "EVALUATION OF GERIATRIC PRESCRIPTIONS APPLYING BEERS CRITERIA IN A TERTIARY CARE HOSPITAL." Indian Research Journal of Pharmacy and Science 6, no. 2 (2019): 1852–60. http://dx.doi.org/10.21276/irjps.2019.6.2.4.

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Philip, I., A. Goddard, N. Connell, J. Bray, A. Metcalfe, and G. Turner. "Introducing structured assessment into acute hospital geriatric care." Age and Ageing 22, suppl 2 (1993): P8—P9. http://dx.doi.org/10.1093/ageing/22.suppl_2.p8-d.

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Kashiwagi, Deanne T. "Geriatric inpatient care: what should hospital clinicians know?" Hospital Practice 48, sup1 (2020): 1–2. http://dx.doi.org/10.1080/21548331.2020.1723354.

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Berggren, Monica, Åsa Karlsson, Nina Lindelöf, et al. "Effects of geriatric interdisciplinary home rehabilitation on complications and readmissions after hip fracture: a randomized controlled trial." Clinical Rehabilitation 33, no. 1 (2018): 64–73. http://dx.doi.org/10.1177/0269215518791003.

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Objective: This pre-planned secondary analysis of geriatric interdisciplinary home rehabilitation, which was initially found to shorten the postoperative length of stay in hospital for older individuals following hip fracture, investigated whether such rehabilitation reduced the numbers of complications, readmissions, and total days spent in hospital after discharge during a 12-month follow-up period compared with conventional geriatric care and rehabilitation. Design: Randomized controlled trial. Setting: Geriatric department, participants’ residential care facilities, and ordinary housing. S
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Alshiakh, Safinaz, Dhari Alroudan, Samah Alghamd, et al. "Geriatric Burn Injuries: Prevalence, Management and Clinical Outcome." Journal of Healthcare Sciences 02, no. 12 (2022): 541–46. http://dx.doi.org/10.52533/johs.2022.21206.

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Burns are a significant public health issue that result in more than 180 000 fatalities annually. For specialized burn care, the geriatric burn population is a sensitive and usually challenging group. Despite the fact that all age groups have shown advances in burn care, geriatrics still have worse survival rates. Burn severity, treatment, and outcomes are impacted in geriatrics because of the physiological differences between them and younger adult burn patients. The atrophic skin of the elderly results in deeper burns, or a higher ratio of full-thickness total body surface area compared to y
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Amin, Ruhul, Pran Pratim Saikia, S. Renuka Singh, et al. "A Study of Drug Prescribing Pattern in Geriatric Patients in the Department of Medicine in a Tertiary Care Hospital in North East India." Biomedicine 44, no. 2 (2024): 216–21. https://doi.org/10.51248/v44i2.48.

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INTRODUCTION AIM: Geriatrics, or geriatric medicine, provides care for the unique health needs of older adults. Treating geriatric patients is a very challenging task for healthcare providers. The present study was carried out to analyze the prescription pattern of drugs used to treat different diseases in geriatric patients. MATERIAL AND METHODS: A hospital-based prospective, observational, and cross-sectional study involving patients aged 65 years and above was planned for three months, from June 2023 to August 2023. RESULTS: A total of 125 patients aged 65 years and above were analyzed. Eig
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Louca, Milton, and Peter Gonski. "The Pupil’s P’s: An Alliterative Tool and Practical Framework for Managing Older Patients." International Journal of Medical Students 13, no. 1 (2025): 105–9. https://doi.org/10.5195/ijms.2025.2590.

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Geriatrics encompasses all specialties of medicine. Therefore, medical students must be aware of many factors during their geriatrics rotation. Herein, we distil our reflections from medical school into employment to create a practical framework using an novel alliteration in: The Pupil’s P’s. We acknowledge and complement existing mnemonics devices, which are largely based on diagnosis, to introduce medical students to major geriatric topics to assist management whilst they round on their patients – Peculiar Presentations, Psychological Pertubations, Peristaltic Products, Profound Pain, Polyp
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