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Littérature scientifique sur le sujet « Older people Medical care »

Auteur : Grafiati

Publié le 4 juin 2021

Mis à jour le 30 juillet 2024

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Articles de revues sur le sujet "Older people Medical care"

Tinker, Anthea, Victoria Berdugo, Michael Buckland, Lois Crabtree, Anistta Maheswaran, Andrea Ong, Jasmine Patel, Emilia Pusey, and Chandini Sureshkumar. "Volunteering with older people in a care home." Working with Older People 21, no. 4 (December 11, 2017): 229–35. http://dx.doi.org/10.1108/wwop-08-2017-0019.

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Purpose The purpose of this paper is to investigate the influence that volunteering before medical school with older people in a care home has on the perceptions of older people. Design/methodology/approach Eight medical students answered an anonymous questionnaire relating to their experiences of volunteering in a care home before medical school. This was combined with an analysis of the relevant literature. Findings All the students had initially volunteered to enhance their CV for medical school. After volunteering, they had a greater realisation of the variety of older people. They also gained a number of transferable skills related to communicating with older people, especially those with cognitive impairment. The greatest learning experience was around the issues to do with dementia. Research limitations/implications The research is based on eight students although they were from different areas. Practical implications It would be beneficial if care homes could be more proactive in encouraging prospective medical students to volunteer. Medical schools could also provide clearer advice or take a more active stance such as encouraging prospective students to volunteer with older people. Further research should be with a larger sample to gain insight into varying perspectives. It would also be useful to conduct research into older adults’ attitudes towards the contribution of potential medical students to their own lives and to the home. Social implications Volunteering before medical school should be encouraged as it will enhance the chances of getting a place as well as being an eye opening experience and equip them with lifelong skills. Originality/value Original.

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Meyer, Judy, and Maria Oliva. "Beware: The Gaps in Medical Care for Older People." American Journal of Nursing 85, no. 4 (April 1985): 490. http://dx.doi.org/10.2307/3425112.

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&NA;, &NA;. "Beware: The Gaps In Medical Care For Older People." AJN, American Journal of Nursing 85, no. 4 (April 1985): 490. http://dx.doi.org/10.1097/00000446-198504000-00055.

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Ryan, Davinia, and Joseph Harbison. "Stroke as a medical emergency in older people." Reviews in Clinical Gerontology 21, no. 1 (October 18, 2010): 45–54. http://dx.doi.org/10.1017/s095925981000033x.

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SummaryIn the last 20 years a realization has developed that acute stroke is a condition that benefits from early intensive investigation and treatment. Older people are historically less likely to receive such active management through a combination of limited evidence due to their exclusion from clinical trials and a level of ‘therapeutic nihilism’ regarding older subjects with severe, acute illness.There is increasing evidence that many acute therapies, including thrombolysis, benefit older stroke patients. Older subjects may not achieve as good results as younger groups but differential benefits are often comparable when expected outcomes are considered. Risk of haemorrhagic complications with thrombolysis is not substantially increased and older subjects are now receiving this therapy despite a dearth of relevant trial data.Intensive physiological monitoring and stroke unit care has been found to be of benefit to patients of all ages. Surgical options for intracerebral haemorrhage are limited, but there is little difference in the management of intracranial haemorrhage in older people. There is unlikely to be a benefit to surgical hemicraniectomy for cerebral infarction in those >60 years. In conclusion, active management for acute stroke in older people is frequently beneficial and age should not be a barrier to such care.

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Latimer, Joanna. "Socialising Disease: Medical Categories and Inclusion of the Aged." Sociological Review 48, no. 3 (August 2000): 383–407. http://dx.doi.org/10.1111/1467-954x.00222.

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When older peoples' troubles are categorised as social rather than medical, hospital care can be denied them. Drawing on an ethnography of older people admitted as emergencies to an acute medical unit, the article demonstrates how medical categories can provide shelter for older people. By holding their clinical identity on medical rather than social grounds, physicians who specialise in gerontology in the acute medical domain can help prevent the over-socialising of an older person's health troubles. As well as helping the older person to draw certain resources to themselves, such as treatment and care, this inclusion in positive medical categories can provide shelter for the older person, to keep at bay their effacement as ‘social problems'. These findings suggest that contemporary sociological critique of biomedicine may underestimate how medical categorising, as the obligatory passage through which to access important resources and life chances, can constitute a process of social inclusion.

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Kidana, Kiwami, Shinya Ishii, Itsuki Osawa, Ayu Yoneda, Kiyoshi Yamaguchi, Yumi Yamaguchi, Kanao Tsuji, Masahiro Akishita, and Takashi Yamanaka. "Medication prescription in older people receiving home medical care services." Geriatrics & Gerontology International 19, no. 12 (December 2019): 1292–93. http://dx.doi.org/10.1111/ggi.13793.

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Sanubari, Theresia Pratiwi Elingsetyo, and Rosiana Evarayanti Saragih. "Berbagi dengan Panti Wreda: Pemeriksaan Kesehatan untuk Menilik Kondisi Kesehatan Lansia." Magistrorum et Scholarium: Jurnal Pengabdian Masyarakat 1, no. 2 (January 29, 2021): 269–77. http://dx.doi.org/10.24246/jms.v1i22020p269-277.

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The shifting of population demography to older people groups encourage Indonesia government create integrative care’s policy. Unfortunately, the nursing home as long term care failed to bring integrative care. This aim of community services is to build integrative care for older people groups in nursing home. The first step to establish integrative care is older people’s mapping regarding their health condition and food management through medical check-up. The activities consist of two steps, which are medical check-up and nutrition education. The result shows older peoples have hypertension, normal blood sugar, mild cognitive condition, and average physical activity. The condition motivate nursing home to organize integrative care with other institutions. In addition, the community services also bring opportunity to regular services, especially to nutrition management and medical check-up.

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Livingston, Gill, Monica Manela, and Cornelius Katona. "Cost of community care for older people." British Journal of Psychiatry 171, no. 1 (July 1997): 56–59. http://dx.doi.org/10.1192/bjp.171.1.56.

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BackgroundThere has been no published study that considers actual costs in a representative sample of people aged ???? 65 years. The present study describes the financial cost of formal community services for elderly people with dementia, depression, anxiety disorders or physical disability.MethodPsychiatric morbidity, physical disability and services received were assessed by standardised questionnaire in randomly selected Islington enumeration districts. Subjects were interviewed at home (.=700).ResultsDementia was the most expensive disorder per sufferer in terms of formal services. Those with depression were also high users of health services. Despite presenting to health services, 90% were not treated with appropriate drugs. In contrast, social services were received by people who were activity-limited or with dementia. The highest service cost for the population as a whole was for the physically disabled. In multivariate analysis the significant predictors of high service costs were living alone, being physically ill, depression, dementia and increasing age.ConclusionsFailure to detect and treat depression and the anxiety disorders in older people, despite their presentation to medical services, may have major economic consequences as well as contributing to individual suffering.

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Shurgaya, Marina A., S. S. Memetov, and L. V. Silenko. "OLDER GENERATION: MEDICAL AND SOCIAL PROBLEMS." Medical and Social Expert Evaluation and Rehabilitation 20, no. 2 (June 15, 2017): 86–88. http://dx.doi.org/10.18821/1560-9537-2017-20-2-86-88.

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In an article there are presented results of a sociological survey of elderly people who underwent inpatient treatment at the State Budget Institution «Hospital for Veterans of Wars» in the Rostov Region in 2016. The survey was implemented according to a specially developed questionnaire. The respondents included 220 cases of elderly and senile age. The results of the survey showed the majority of elderly respondents, including disabled people, as to mention the main problems of elderly people as health problems and access to medical care as note a high level of anxiety.

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Yang, Wei. "UNDERSTANDING NON-MEDICAL COSTS FOR HEALTH CARE: EVIDENCE FROM INPATIENT CARE FOR OLDER PEOPLE IN CHINA." Innovation in Aging 3, Supplement_1 (November 2019): S733. http://dx.doi.org/10.1093/geroni/igz038.2686.

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Abstract Non-medical costs can constitute a substantial part of total health care costs, especially for older people. Costs associated with carers, travel, food and accommodation for family members accompanying and caring for older people during their medical visits can be hefty. This study seeks to examine the effects of non-medical costs on catastrophic health payments and health payment-induced poverty among older people in rural and urban China. Using data from the China Health and Retirement Longitudinal Survey 2015, this study finds that inpatient costs account for a significant proportion of household expenditure, and non-medical costs can account for approximately 18% of total costs. That share is highest for those who belong to the lowest wealth groups. Non-medical costs increase the chances of older people incurring catastrophic health payments and suffering from health payment-induced poverty. Such effects are more concentrated among the poor than the rich. The results also show that the rural population are more likely to incur catastrophic health payments and suffer from health payment induced poverty compared to the urban population. This paper urges policy makers to consider reimbursing the non-medical costs of patient care, improving health care systems in general and for the rural populations specifically.

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Thèses sur le sujet "Older people Medical care"

Clay, Olivio J. "Racial differences in health care utilization betwen older African American and Caucasian Medicare beneficiaries." Birmingham, Ala. : University of Alabama at Birmingham, 2007. https://www.mhsl.uab.edu/dt/2009r/clay.pdf.

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Thesis (Ph. D.)--University of Alabama at Birmingham, 2007. Title from PDF title page (viewed Sept. 21, 2009). Additional advisors: Richard M. Allman, Karlene K. Ball, Monika M. Safford, David E. Vance. Includes bibliographical references (p. 62-72).

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Chan, Mee-kie Maggie, and 陳美琪. "Protein-energy malnutrition among Chinese elderly medical patients in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2004. http://hub.hku.hk/bib/B31971489.

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Carron, Rebecca C. "Development of a nursing model for the implementation of spiritual care in adult primary health care settings." Laramie, Wyo. : University of Wyoming, 2006. http://proquest.umi.com/pqdweb?did=1246570031&sid=1&Fmt=2&clientId=18949&RQT=309&VName=PQD.

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Kung, Francis Tat-yan. "Chronic pain in older people." Connect to thesis Connect to thesis, 2001. http://adt1.lib.unimelb.edu.au/adt-root/public/adt-VU2001.0028/index.html.

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Newman, Edward 1957. "An analysis of utilization of health services by the elderly in Canada /." Thesis, McGill University, 1996. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=42108.

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Population aging in Canada is expected to result in a sharp increase in the use of health services by the aged. The purpose of this thesis, is to enhance the knowledge of the utilization of the health system by the elderly. For this, an analysis of the utilization of three health services was pursued, using data from two health surveys, and two general social surveys in a statistical examination; to describe age-use; identify the major determinants of utilization; and to discover the sources of change in use. The results show that the aged were the highest users of health services among all age groups. Use increased for some services, and decreased for others. Changes in how people were managed by the health system, and to a lesser extent a rise in disease prevalence, were the primary sources of variations in utilization. There was no conclusive evidence of the presence of supplier induced demand. Population aging was not a significant determinant of changes in health service use, but rather factors associated with the management of the elderly by the health system; this includes technological changes in medicine, and changes in treatment patterns.

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Carter, Holly R. "The Effects of Age, Sex, and Class Stratification and the Use of Health Care Services among Older Adults in the United Kingdom." Thesis, University of North Texas, 1999. https://digital.library.unt.edu/ark:/67531/metadc2256/.

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As the population ages, providing health services for the growing number of older people will become an increasingly difficult problem. In countries where the health services are provided by the government, these problems are involved with complicated issues of finance and ethics. This is the case of the National Health Service, the government institution providing health care for the citizens of the United Kingdom. Knowing what social factors influence health care usage can be a link to match usage and funding. Literature has shown that health care utilization can be predicted by social factors, as well as the medical model, and from this orientation social variables were drawn from the 1994 General Household Survey. Social factors were analyzed to determine relationships that exist between certain types of health care use and these factors. Age, sex, and class, the three main factors shown in literature to affect usage, were then analyzed to determine if services are allocated on the basis of these factors or the basis of need from illness and disability. Results of the study show that of the predisposing variables, age, sex, and class, are associated with most types of health care use. From the enabling variables, both source of income and visits from friends and relatives are associated with most types of health care. Of the illness determinants, disability, limiting illness, restricted activity days and eyesight difficulty were all related to health care use. When intervening control variables were introduced, the intervening control variables of difficulty with activities of daily living and difficulty with instrumental activities of daily living had an explanatory effect on the use of home help, district nursing, consultations with a general practitioner at home, consultations with a general practitioner at a surgery or health clinic, and inpatient stays. These services were offered more according to need than the factors of age, sex, and class.

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Boone, Amanda Carrie. "Methodology for evaluating and reducing medication administration errors." Master's thesis, Mississippi State : Mississippi State University, 2003. http://library.msstate.edu/etd/show.asp?etd=etd-07202003-190139.

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Nguyen, Khang Pramote Prasartkul. "A study on hospital expenditure for aged population in Vietnam /." Abstract, 2004. http://mulinet3.li.mahidol.ac.th/thesis/2547/cd368/4638497.pdf.

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Wong, Nga-man, and 黃雅敏. "Quality evaluation of geriatric health information on Yahoo! Answers : a cross-cultural comparative study." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193007.

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Given the increases on global ageing population, popularity of social Q&A sites and the level of geriatric health concerns from family caregivers, it raises the uncertainty about the quality of health information on social Q&A sites for family caregivers of elderly. The purposes of this study are to evaluate the quality of geriatric health information on social Questions and Answers (Q&A) sites: Yahoo! Answers from registered nurses’ perspective, to identify the structural patterns of questions and answers vary in quality and to discover the cultural aspects in relation to the findings. A total of 60 question-answers set is retrieved from regional Yahoo! Answers sites, including Australia, Canada, UK & Ireland, US, Hong Kong, Mainland China and Taiwan. 126 English answers and 112 Chinese answers are examined. Through a mixed method approach, results show that the overall information quality provided in Chinese group is relatively poorer than those of English. About 40% of questioners form both groups are not capable of judging the best answer among choices. In terms of structural patterns, questioners from both language groups are less capable of asking questions with clear focuses. 4 structural patterns, including Chinese and English answers with good and poor quality, are identified. Furthermore, cultural differences are found to have a significant impact on the level of information quality in social Q&A site. Finally, recommendations to corresponding social sectors are made for improving the current information quality of social Q&A sites in future. published_or_final_version Library and Information Management Master Master of Science in Library and Information Management

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曾守衡 and Sau-hang Caroline Tsang. "Characteristics of non-attendance for re-enrollment in elderly health centres in Hong Kong: the role of socio-economic factors and self-perceived health." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B31970801.

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Livres sur le sujet "Older people Medical care"

Lesser, Harry. Justice for older people. Amsterdam ; New York, N.Y: Rodopi, 2012.

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Wade, Siân. Intermediate Care of Older People. New York: John Wiley & Sons, Ltd., 2006.

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Clinical Standards Board for Scotland. Older people in acute care: Clinical standards. Edinburgh: Clinical Standards Board for Scotland, 2002.

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Torrington, Judith. Care homes for older people. London: E & FN Spon, 1996.

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Gillick, Muriel R. Choosing medical care in old age: What kind, howmuch, when to stop. Cambridge, Mass: Harvard University Press, 1994.

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Snyder, Harry. Medicare/Medigap: The essential guide for older Americans and their families. Edited by Oshiro Carl and Consumer Reports Books. Mount Vernon, N.Y: Consumers Union, 1990.

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Napier, Kristine M. Unproven medical treatments lure elderly. [Rockville, MD: Food and Drug Administration, 1999.

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Foley, Lisa A. Care management: Policy considerations for original medicare. Washington, DC: AARP, 1999.

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Program, Serving Health Information Needs of Elders (SHINE) Health Insurance Counseling. Your Medicare expert. [Boston, Mass.]: Massachusetts Executive Office of Elder Affairs Insurance Counseling and Assistance Program-SHINE, 1998.

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Williams, Rebecca D. Medications and older adults. [Rockville, Md: Dept. of Health and Human Services, Public Health Service, Food and Drug Administration, 1999.

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Chapitres de livres sur le sujet "Older people Medical care"

Ivehammar, Margareta. "Social Aspects of Care and How They Relate with the Medical." In Long-Term Care for Frail Older People, 23–26. Tokyo: Springer Japan, 1999. http://dx.doi.org/10.1007/978-4-431-68503-6_5.

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Ribbe, Miel W. "Long-Term Care:The Need for Special Medical Supervision and Collaboration Between Health and Social Services." In Long-Term Care for Frail Older People, 103–10. Tokyo: Springer Japan, 1999. http://dx.doi.org/10.1007/978-4-431-68503-6_17.

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Helvik, Anne-S. "Older Adults in Hospitals: Health Promotion When Hospitalized." In Health Promotion in Health Care – Vital Theories and Research, 287–301. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_20.

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AbstractThe population of older adults (≥60 years) is currently growing. Thus, in the years to come it is expected that a high proportion of patients hospitalized will be in the older age range. In western countries, the proportion of older inpatients is about 40% in the medical and surgical hospitals units. Older people with illness is vulnerable to both physical and cognitive impairments as well as depression. Therefore, a health-promoting perspective and approach are highly warranted in clinical nursing care of older adults in medical hospitals. This chapter focuses on health promotion related to depressive symptoms, impairment in activities of daily living, and cognitive impairment in older hospitalized adults.

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Villar, Feliciano, Rodrigo Serrat, Annette Bilfeldt, and Joe Larragy. "Older People in Long-Term Care Institutions: A Case of Multidimensional Social Exclusion." In International Perspectives on Aging, 297–309. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-51406-8_23.

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AbstractLiving in a long-term care (LTC) institution provides older people experiencing health and social problems with a comprehensive range of support services that address their quality of life. Despite access to such services, challenges arise in relation to their participation in key activities both within and outside the institution. This chapter examines such challenges, reviewing and describing ways to prevent exclusion along various domains, specifically social relationships, civic participation and socio-cultural life. Firstly, we discuss ways in which bio-medical models of care and the quality control systems, which are dominant in LTC services, standardise care, tending to put decisions exclusively in hands of staff, taking away residents’ autonomy, and ultimately curtailing rights and citizenship status. Secondly, we examine how LTC services might prevent such exclusion and promote older people’s participation in at least four respects: (1) prompting and supporting residents’ ability to take decisions on their own care, (2) favouring the maintenance and creation of social relationships, (3) enabling residents’ participation in the activities and management of the institution, and (4) guaranteeing residents’ rights and full access to citizenship. We discuss the impact and limitations of recent initiatives put into practice in these areas of practice.

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Brent, Louise, Lina Spirgienė, Niamh O’Regan, and Brid Diggin. "The Nursing Role in Orthogeriatric Comprehensive Geriatric Assessment (CGA)." In Perspectives in Nursing Management and Care for Older Adults, 95–110. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-33484-9_6.

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AbstractOlder people with fragility fractures are a diverse group, and their care needs are complex. Although some have comparatively few health problems, many have several interconnected illnesses alongside psychological and social problems, requiring a range of interventions. The primary focus of care is to meet these needs throughout the care pathway and ensure that they receive the same high standard of specialist care within orthopaedic services as they would within a setting specialising in the care of older people. The central philosophy is holistic care with a person-centred approach that brings the various aspects of specialist care together.‘Geriatric syndrome’ is a term often used to refer to common health problems in older adults that do not fit into distinct organ-specific disease categories and that have multifactorial causes. This includes frailty, cognitive impairment, delirium, incontinence, malnutrition, falls, gait disorders, pressure ulcers, sleep disorders, sensory deficits, fatigue and dizziness. These are common in older adults and can have a major impact on quality of life (QoL) and disability.Identifying problems specific to ageing so that interventions can be tailored to meet the needs of patients with fragility fractures needs a detailed and comprehensive assessment that can help clinicians manage these conditions and prevent or delay their complications. This needs to be a collaboration of the whole interdisciplinary team so that the skills of each team member can contribute to building a picture of the patient’s needs. Nursing assessment is a significant part of this whole.A term often used in relation to the assessment of older people with medical needs is comprehensive geriatric assessment (CGA). The aim of this chapter is to explore the nature of comprehensive geriatric assessment (CGA) for the patient with a fragility fracture and discuss how this can be applied to nursing assessment and care.

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Kröger, Teppo. "Long-Term Care Systems and Care Poverty." In Care Poverty, 181–200. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-97243-1_8.

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AbstractThis chapter discusses the relations between care poverty and long-term care systems of different countries. Comparative evidence on care poverty is still very weak, as reliable international datasets that have large enough samples of older respondents with care needs are not available. The few existing Europe-wide studies suggest high rates of care poverty especially in Eastern and Southern European countries, the evidence regarding Southern Europe being less consistent, though. A handful of two-country studies exist, and they support the importance of formal home care provisions in reducing care poverty, and this conclusion is echoed in local and national studies. Well-coordinated and well-resourced universal formal care systems (e.g. Sweden) seem to be the most effective way to eradicate care poverty. On the other hand, American studies show that the Medicaid programme has in the United States played a major role in cutting down care poverty, being targeted at older people who are at the highest risk. In the absence of a universal long-term care system, a targeted system can thus be a good second choice: it will not fully eradicate care poverty, but it can still succeed at substantially alleviating it.

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Körükcü, Öznur, and Kamile Kabukcuoğlu. "Health Promotion Among Home-Dwelling Elderly Individuals in Turkey." In Health Promotion in Health Care – Vital Theories and Research, 313–27. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-63135-2_22.

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AbstractAlthough the social structure of Turkish society has changed from a broad family order to a nuclear family, family relations still hold an important place, where traditional elements dominate. Still, elderly people are cared for by their family in their home environment. Thus, the role of family members is crucial in taking care of elderly individuals. In Turkey, the responsibility of care is largely on women; the elderly’s wife, daughter, or daughter-in-law most often provides the care. Family members who provide care need support so that they can maintain their physical, psychological and mental health. At this point, Antonovsky’s salutogenic health model represents a positive and holistic approach to support individual’s health and coping. The salutogenic understanding of health emphasizes both physical, psychological, social, spiritual and cultural resources which can be utilized not only to avoid illness, but to promote health.With the rapidly increasing ageing population globally, health expenditures and the need for care are increasing accordingly. This increase reveals the importance of health-promoting practices in elderly care, which are important for the well-being and quality of life of older individuals and their families, as well as cost effectiveness. In Turkey, the emphasis on health-promoting practices is mostly focused in home-care services including examination, treatment, nursing care, medical care, medical equipment and device services, psychological support, physiotherapy, follow-up, rehabilitation services, housework (laundry, shopping, cleaning, food), personal care (dressing, bathroom, and personal hygiene help), 24-h emergency service, transportation, financial advice and training services within the scope of the social state policy for the elderly 65 years and older, whereas medical management of diseases serves elderly over the age of 85. In the Turkish health care system, salutogenesis can be used in principle for two aims: to guide health-promotion interventions in health care practice, and to (re)orient health care practice and research. The salutogenic orientation encompasses all elderly people independently of their position on the ease-/dis-ease continuum. This chapter presents health-promotion practices in the care of elderly home-dwelling people living in Turkey.

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Nischelwitzer, Alexander, Klaus Pintoffl, Christina Loss, and Andreas Holzinger. "Design and Development of a Mobile Medical Application for the Management of Chronic Diseases: Methods of Improved Data Input for Older People." In HCI and Usability for Medicine and Health Care, 119–32. Berlin, Heidelberg: Springer Berlin Heidelberg, 2007. http://dx.doi.org/10.1007/978-3-540-76805-0_10.

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Kokkinakis, Dimitrios. "eHealth Literacy and Capability in the Context of the Pandemic Crisis." In International Perspectives on Aging, 109–29. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-78063-0_9.

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AbstractThe rapidly increasing size of the ageing population, and in particular older adults living alone, requires the incorporation of eHealth into social and healthcare services, in order to choose the best way to manage their needs and demands for health and medical care. The purpose of this brief scoping study is to describe and identify an important dimension in this context, namely eHealth literacy (eHL) and its relation to health-promoting behaviours among older adults within the capability theoretical framework. The chapter examines some aspects of eHL and recent research highlighting the importance of eHL and the direct correlation between eHL and quality of life for older adults within the capability context. To make this more specific and explicit, this study takes into consideration outstanding circumstances, such as those caused by a pandemic crisis, namely the coronavirus disease 2019 (COVID-19). Since the COVID-19 pandemic has required urgent action and rapid containment, it offers a unique opportunity to test and evaluate the readiness of healthcare systems and to rapidly develop, scale up and enhance eHealth for the benefit of older people. However, this comes with a price, which is the necessity to quickly and effectively navigate complex information environments and manage behavioural changes and health.

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Meslé, France, and Jacques Vallin. "Causes of Death at Very Old Ages, Including for Supercentenarians." In Demographic Research Monographs, 69–84. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-49970-9_7.

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AbstractThe causes of death reported on the death certificates of the oldest old are generally seen as unreliable, and as thus providing little useful information on the process leading to death. However, in advanced countries, a majority of the people who die each year are relatively old, and the level of detail provided on medical certificates about the causes of death among this older population is improving. At the same time, scholars are becoming increasingly interested in studying not just the initial cause of death, but multiple causes of death, thereby taking all of the information reported on the certificate into account. This study demonstrates that in a country like France, the cause-of-death pattern evolves regularly until around age 105. The share of people dying of circulatory diseases tends to be quite stable over the age range, while the share of individuals dying of cancer is declining, and the share of people dying of respiratory/infectious diseases is rising. Furthermore, among people who die at very old ages, a typology of multiple causes of death highlights the growing importance of ill-defined causes, while opening the door to an interesting discussion about the concept of cause of death in the supercentenarian population. Instead of representing an ill-defined cause, senility could be considered an actual cause of death. This suggests that daily care is more crucial to the survival of the oldest old than any conventional medical care or treatment. Supercentenarians tend to be so frail that any minor health event or brief lapse of attention on the part of their caregivers can be lethal.

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Actes de conférences sur le sujet "Older people Medical care"

McDonnell, Ronan, and Jane Grimson. "Identifying requirements and features for communications systems between older people in care settings." In 2010 IEEE 23rd International Symposium on Computer-Based Medical Systems (CBMS). IEEE, 2010. http://dx.doi.org/10.1109/cbms.2010.6042626.

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Duque, M. "11 Back to medical authority: how trust defines the way older people in Sao Paulo search for health information and care." In Negotiating trust: exploring power, belief, truth and knowledge in health and care. Qualitative Health Research Network (QHRN) 2021 conference book of abstracts. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/bmjopen-2021-qhrn.11.

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Zilidou, Vasiliki, and Panagiotis Bamidis. "EXERGAMING AND EXERDANCING ENHANCE THE WELL-BEING OF OLDER ADULTS." In INTERNATIONAL SCIENTIFIC CONGRESS “APPLIED SPORTS SCIENCES”. Scientific Publishing House NSA Press, 2022. http://dx.doi.org/10.37393/icass2022/59.

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ABSTRACT The digital age and advances in technology are introducing a new attitude to medical care, bringing about significant technologies such as exergames, enhancing the promotion of active and healthy aging. This study aimed to investigate possible differences in perceived quality of life factors between older adults participating in traditional dance and physical training using new technologies, comparing them with sedentary people (control group). The study involved 84 women, with an average age of 67.6 years from Day Care Centers of the Municipality of Thessaloniki, Greece. The program duration was six months (24 weeks) with a frequency of twice a week and each session lasted 75 minutes. An evaluation was performed both before and after the end of the interventions with specialized tools that assess the physical status and functional capacity of the individuals, as well as questionnaires that assess the quality of life indicators. Regarding the usability of the systems, integrated the System Usability Scale (SUS). Statistical analysis was performed with the statistical package SPSS 26. According to the results, the intervention groups compared to the initial measurement showed a statistically significant improvement in variables that assess strength, balance, aerobic capacity, gait to avoid falls, stress, depression, and quality of life in general, in comparison with the control group (p ≤ .05). The SUS scores ranged around 80 for both systems, so it seems that the practical implementation of the programs has the potential to provide the expected results. In conclusion, these innovative technological solutions in collaboration with expert health professionals, can improve the quality of life of older adults, remain autonomous and independent, but at the same time active members of society for a long time.

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Mocanu, Irina, and Ovidiuandrei Schipor. "A SERIOUS GAME FOR IMPROVING ELDERLY MOBILITY BASED ON USER EMOTIONAL STATE." In eLSE 2017. Carol I National Defence University Publishing House, 2017. http://dx.doi.org/10.12753/2066-026x-17-154.

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Many studies highlight the relationship between emotional state and behaviour. Emotions influence elderly people especially on physical activity and their mobility. It was shown that people with positive emotions perform more physical activity and have less difficulty in walking. Thus we can say that positive emotions can be associated with mobility in case of older people. Some older people may develop fear of moving, leading to reduce the outdoor mobility. An active lifestyle can maintain or improve everyday life, delaying different types of disabilities and mental health disease through elderly people. Also, emotions play a primary role into the structure and experience of Serious Games. The linkage between emotions and actions is extremely relevant in learning processes - learning is viewed as a process of participatory appropriation, where the learner acts and actively participates in doing within specific routinized contexts. The purpose of this paper is to present the development of an application as a serious game that aims to help elderly people to learn how to perform physical exercises in order to maintain a healthy lifestyle in their homes. A personalized program has as main advantage a higher flexibility, as it offers the patient the possibility of adjusting his training schedule according to his preferences and daily activities. In this sense, there is need for a sustainable platform designed specifically for performing physical exercises at home that would promote increasing mobility, especially for elderly people. An efficient method to accomplish this purpose is through the development of a cheap, accessible and easy to use a serious game, based on the motion capture technology. The exercises that need to be performed by the patient are automatically selected according to his profile, medical condition and acquired progress. By using the Kinect motion capture device, our application analyses the user's movements and compares them to those of a trainer character, by taking into account the performance and efficiency parameters. Also, the type of the exercise will be adjusted based on emotions, and the motivation of the user in performing physical exercises will be increased. Emotions are recognised using facial features (Facial Action Coding System) extracted from the user face using Microsft.Kinect and Microsoft.Kinect.Face libraries. Our system has been tested with several users who acquired a certain degree of progress. Therefore, we conclude that the presented solution can be successfully used for stimulating the physical activity and improving the mobility of elderly people, representing a great contribution to the field.

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Tobis, Slawomir. "OPINIONS ABOUT ROBOTS IN CARE FOR OLDER PEOPLE." In 4th SGEM International Multidisciplinary Scientific Conferences on SOCIAL SCIENCES and ARTS Proceedings. STEF92 Technology, 2017. http://dx.doi.org/10.5593/sgemsocial2017/33/s12.056.

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Cho, Gwilae, Sarah Jeong, Margaret McMillan, Jane Conway, Isabel Higgins, and Kyoungja Kwon. "Future Directions for Care of Older People in Residential Aged Care Facilities in South Korea: Nation-wide data:categorization of Long-Term Care Insurance benefits for older people." In 1st Annual Worldwide Nursing Conference (WNC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2315-4330_wnc13.49.

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Kim, Gi-Soo, Young Suh Hong, Tae Hoon Lee, Myunghee Cho Paik, and Hongsoo Kim. "Bandit-supported care planning for older people with complex health and care needs." In 2023 IEEE 5th International Conference on Artificial Intelligence Circuits and Systems (AICAS). IEEE, 2023. http://dx.doi.org/10.1109/aicas57966.2023.10168530.

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Noori, Farzan Majeed, Zia Uddin, and Jim Torresen. "Robot-Care for the Older People: Ethically Justified or Not?" In 2019 Joint IEEE 9th International Conference on Development and Learning and Epigenetic Robotics (ICDL-EpiRob). IEEE, 2019. http://dx.doi.org/10.1109/devlrn.2019.8850706.

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Mitchell, Kimberly, Xiaopeng Zhao, Robert Bray, Luke Macdougall, Ella Hosse, and Matt Rightsell. "Co-Designing a Friendly Robot to Ease Dementia." In 14th International Conference on Applied Human Factors and Ergonomics (AHFE 2023). AHFE International, 2023. http://dx.doi.org/10.54941/ahfe1003141.

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Currently the majority of care provided to a person living with Alzheimer’s disease or related dementia (ADRD) is from a family caregiver. There are approximately 55 million older adults in the world living with AD [1]. By 2030, there is estimated to be 8.4 million Americans living with Alzheimer’s [2]. Due to impaired memory and cognitive function, persons with ADRD often face pressing challenges such as loneliness, social isolation, anxiety, depression, and stress, which in turn accelerate cognitive and functional decline, increase premature mortality, and significantly reduce quality of life in these persons [3-6]. Our project aims to develop a scalable, personalized, accessible tool, named friendly robot to ease dementia (FRED), to engage with persons with ADRD and alleviate their challenges. Using state-of-the-art artificial intelligence (AI) and robotics techniques, FRED will assist with cognitive enrichment and physical activity to improve activities of daily living and quality of life for persons with ADRD and their care partners.By incorporating human centered design methods, our research engages the caregiving and Alzheimer and dementia community in the design of a non-drug intervention. Our paper will share results from our participatory focus group, which included people with ADRD and their caregivers (n12), in the assistance of the design and interactions of FRED.A thinking-aloud protocol was adopted once we had a prototype of FRED to share, where users were able to express freely any problems and/or concerns during interaction. Insights from the thinking-aloud results were used to improve the user interface design to enable the users and robot to interact and collaborate in an effective, natural way. Additional focus groups with our improved design are forthcoming.From our first stakeholder focus group, we have identified that ADRD patients need structure, organization, and routine. Initial reactions of the social robot were positive and supportive. Feedback from the focus group was carefully documented and the results will be shared in our paper.[1] World Health Organization, Dementia, 09/20/2022, Available from https://www.who.int/news-room/fact-sheets/detail/dementia [2] J. Resendez, S. Monroe, A Vision for Equity in Alzheimer’s Research in 2020, UsAgainstAlzheimer’s; [02/20/2022], Available from https://www.usagainstalzheimers.org/blog/vision-equity-alzheimers-research2020. [3] E.B. Larson, C. Stroud, Meeting the Challenge of Caring for Person’s Living with Dementia and their Care Partners and Caregivers: A Way Forward, Washington, DC: The National Academies Press, 2021. [4] P.N. Bennett, W. Wang, M. Moore, C.Nagle, Care Partner: A Concept Analysis, Nursing Outlook, Vol. 65, No. 2, pp. 184-194, 2017 [5] National Institute on Aging. Basics of Alzheimer’s Disease and Dementia, Available from https://www.nia.nih.gov/health/what-is-dementia [6] A. Atri, The Alzheimer’s Disease Clinical Spectrum: Diagnosis and Management. Medical Clinics, Vol. 103, No 2, pp. 263-293, 2019

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Hukins, Deborah G., Una Macleod, and Jason W. Boland. "173 Identifying inappropriate prescribing in older people with dementia: a systematic review." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.200.

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Rapports d'organisations sur le sujet "Older people Medical care"

Schmidt-Sane, Megan, Tabitha Hrynick, Elizabeth Benninger, Janet McGrath, and Santiago Ripoll. The COVID-19 YPAR Project: Youth Participatory Action Research (YPAR) to Explore the Context of Ethnic Minority Youth Responses to COVID-19 Vaccines in the United States and United Kingdom. Institute of Development Studies, October 2022. http://dx.doi.org/10.19088/ids.2022.072.

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Despite progress in COVID-19 vaccination rates overall in the US and UK, vaccine inequity persists as young people from minoritised and/or deprived communities are often less likely to be vaccinated. COVID-19 ‘vaccine hesitancy’ is not just an issue of misinformation or lack of information. ‘Vaccine hesitancy’ among young people is reflective of wider issues such as mistrust in the state or the medical establishment and negative experiences during the pandemic. This report is based on case study research conducted among young people (ages 12-18) in Cleveland, Ohio, US and the London borough of Ealing, UK. Whilst public discourse may label young people as ‘vaccine hesitant,’ we found that there were differences based on social location and place and this labelling may portray young people as ‘ignorant.’ We found the greatest vaccine hesitancy among older youth (15+ years old), particularly those from minoritised and deprived communities. Unvaccinated youth were also more likely to be from families and friend groups that were unvaccinated. While some expressed distrust of the vaccines, others reported that COVID-19 prevention was not a priority in their lives, but instead concerns over food security, livelihood, and education take precedence. Minoritised youth were more likely to report negative experiences with authorities, including teachers at their schools and police in their communities. Our findings demonstrate that COVID-19 vaccine hesitancy is embedded in a context that drives relationships of mistrust between minoritised and deprived communities and the state, with implications for COVID-19 vaccine uptake. Young people’s attitudes toward vaccines are further patterned by experiences within their community, school, family, and friend groups.

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Schmidt-Sane, Megan, Elizabeth Benninger, Tabitha Hrynick, and Santiago Ripoll. Youth COVID-19 Vaccine Engagement in Cleveland, Ohio, United States. Institute of Development Studies, June 2022. http://dx.doi.org/10.19088/ids.2022.040.

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Despite overall progress in COVID-19 vaccination rates in Cleveland, vaccine inequity persists as young people from minority communities are often less likely to be vaccinated. COVID-19 vaccine hesitancy is not just an issue of misinformation or lack of information. Vaccine hesitancy among young people is reflective of wider issues such as mistrust in the state or the medical establishment and negative experiences during the pandemic. This report is based on case study research conducted among minority youth (ages 12-18) in Cleveland, Ohio. While public discourse may label young people as “vaccine hesitant,” we found that there were hesitation differences based on social location and place. We found the greatest vaccine hesitancy among older youth (15+ years old), particularly those from minoritized communities. Unvaccinated youth were also more likely to be from families and friend groups that were unvaccinated. While some expressed distrust of the vaccines, others reported that COVID-19 prevention was not a priority in their lives. Instead, concerns over food security, livelihood, and education take precedence. Minority youth were more likely to report negative experiences with authorities, including teachers at their schools and police in their communities. Our findings demonstrate that COVID-19 vaccine hesitancy is embedded in a context that drives relationships of mistrust between minority communities and authorities, with implications for COVID-19 vaccine uptake. Young people’s attitudes toward vaccines are further patterned by experiences within their community, school, family, and friend groups.

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Schmidt-Sane, Megan, Tabitha Hrynick, Southall Community Alliance SCA, Charlie Forgacz-Cooper, and Steve Curtis. Youth COVID-19 Vaccine Engagement in Ealing, London, United Kingdom. Institute of Development Studies, June 2022. http://dx.doi.org/10.19088/ids.2022.039.

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Despite progress in COVID-19 vaccination rates overall in Ealing, vaccine inequity persists as young people from minority communities are often less likely to be vaccinated. COVID-19 ‘vaccine hesitancy’ is not just an issue of misinformation or lack of information. ‘Vaccine hesitancy’ among young people is reflective of wider issues such as mistrust in the state or the medical establishment and negative experiences during the pandemic. This report is based on case study research conducted among minority youth (from ages 12-19) in the London borough of Ealing. While public discourse may label young people as “vaccine hesitant,” we found that there were differences based on social location and place. We found the greatest vaccine refusal among older youth (15+ years old), which in the context of this study were from minoritised communities who have experienced deprivation across the life course. Unvaccinated youth were also more likely to be from families and friend groups that were unvaccinated. While some expressed distrust of the vaccines, others reported that COVID-19 prevention was not a priority in their lives, but instead concerns over food security, livelihood, and education take precedence. Minoritised youth were more likely to report negative experiences with authorities, including teachers at their schools and police in their communities. Our findings demonstrate that COVID-19 vaccine hesitancy is embedded in a context that drives relationships of mistrust between minority communities and authorities, with implications for COVID-19 vaccine uptake. Young people’s attitudes toward vaccines are further patterned by experiences within their community, school, family, and friend groups.

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Lloyd-Sherlock, Peter, Karla Cristina Giacomin, Poliana Fialho de Carvalho, and Lucas Sempé. Programa Maior Cuidado: An Integrated Community-Based Intervention on Care for Older People. Inter-American Development Bank, February 2024. http://dx.doi.org/10.18235/0005535.

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This report presents an overview of a novel community-based intervention for older people living in deprived neighbourhoods in the Brazilian city of Belo Horizonte: Programa Maior Cuidado (PMC). Since 2011 PMC has been jointly run by the municipal Departments of Health and Social Assistance to support dependent older people living in vulnerable families. These families receive up to 20 hours of support a week from professional family care support workers. Health centres and social assistance posts hold joint monthly case reviews and work closely with family care support workers to anticipate and respond to new problems. Between 2011 and December 2022, 3,062 families had received support or were continuing to do so. Drawing on a set of qualitative and quantitative evaluations, we show that PMC operates effectively and appears to generate a range of positive effects. These effects include enhanced health and wellbeing of older people, reducing the stress and burden of family carers and improving the efficiency of outpatient and inpatient health service use. PMC also provides a valuable livelihood opportunity for the caregivers it employs. A cost analysis estimates that the monthly per capita cost of PMC in April 2023 was 916.2 reais (US$173), which is substantially less than alternative interventions. These positive evaluations have led Belo Horizonte municipality to extend the scheme and the Federal Ministry of Health to support similar pilots in new cities. Future evaluations of these pilot schemes will add to the available evidence about PMC and its potential suitability for other parts of Brazil and similar countries.

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Costa, Dora. Long-Term Declines in Disability Among Older Men: Medical Care, Public Health, and Occupational Change. Cambridge, MA: National Bureau of Economic Research, March 2000. http://dx.doi.org/10.3386/w7605.

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Thomas, Owen, Sarah Alderson, and Su Wood. Prescribing for older people with reduced kidney function in primary care – a systematic scoping literature review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, September 2023. http://dx.doi.org/10.37766/inplasy2023.9.0054.

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Sudore, Rebecca, Dean Schillinger, Aiesha Volow, Ying Shi, John Boscardin, Janet Shim, Mary Katen, et al. Preparing Spanish-Speaking Older Adults for Advance Care Planning and Medical Decision Making -- The PREPARE Trial. Patient-Centered Outcomes Research Institute (PCORI), July 2020. http://dx.doi.org/10.25302/07.2020.cdr.130601500.

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Sudore, Rebecca, Dean Schillinger, Aiesha Volow, Ying Shi, John Boscardin, Janet Shim, Mary Katen, et al. Preparing Spanish-speaking Older Adults for Advance Care Planning and Medical Decision-Making—The PREPARE Trial. Patient-Centered Outcomes Research Institute® (PCORI), May 2020. http://dx.doi.org/10.25302/05.2020.cdr.130601500.

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Carvalho, Rita, João Tavares, and Liliana Sousa. Instruments for assessing loneliness in older people in Portugal: a Scoping Review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2021. http://dx.doi.org/10.37766/inplasy2021.10.0002.

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Review question / Objective: The objective of this scoping review is to map the instruments validate for the Portuguese older population (65+ years old) that assess loneliness; and to identify their psychometric properties and contexts where they have been in use. The questions for this scoping review are: What are the validated instruments for Portugal that assess loneliness in the older individuals? What are the psychometric properties of those instruments? In which contexts were the loneliness assessment instruments used? Eligibility criteria: Participants – This scoping review will consider all studies that included older adults with 65 years and over. Concept – This review will be included studies that assess loneliness or cover loneliness by validated instruments that address different dimensions, including, but not limited to, emotional or social. Context – This scoping review will consider studies that used validated instruments the loneliness in Portuguese older adults including, but not limited to the context of community, intermediate care, long-term care or acute care. Types of sources - This scoping review will consider quantitative and mixed-method studies. In the quantitative designs include experimental, quasi-experimental, observational and analytical observational studies including prospective and retrospective cohort studies, case-control studies, and analytical cross-sectional studies will be considered for inclusion. This review will also consider descriptive observational study designs including case series, individual case reports, and descriptive cross-sectional studies for inclusion.

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Cations, Monica, Bethany Wilton-Harding, Brian Draper, Kate Laver, Henry Brodaty, and Lee-Fay Low. Psychiatric service delivery for older people with mental disorders and dementia in hospitals and residential aged care. The Sax Institute, December 2021. http://dx.doi.org/10.57022/piul1022.

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This Evidence Check aimed to summarise the evidence on effective models of psychiatry service delivery for older people in four types of hospital and residential / long-stay care services. The review found that hospital mental health wards for older people were effective in improving neuropsychiatric symptoms, mood, anxiety and quality of life. Specialist consultations and liaison services enhanced the quality of hospital care and the adoption of best practice approaches by clinicians. They also reduced hospital stay and carer stress, and increased patient satisfaction with care. The authors compared outcomes for older people being treated in dedicated mental health services with mainstream (or ‘ageless’) mental health services and identified a gap in evidence. The review found the need for more research on psychiatric services in residential and long-stay care settings, and effective care models in particular populations, such as Aboriginal and Torres Strait Islander peoples.

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