Improving Acute Care For The Frail Elderly
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Improving Acute Care For The Frail Elderly
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Author : United States. Congress. House. Select Committee on Aging
language : en
Publisher:
Release Date : 1992
Improving Acute Care For The Frail Elderly written by United States. Congress. House. Select Committee on Aging and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992 with Medical categories.
Improving Acute Care For The Frail Elderly
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Author : United States. Congress. House. Select Committee on Aging
language : en
Publisher:
Release Date : 1992
Improving Acute Care For The Frail Elderly written by United States. Congress. House. Select Committee on Aging and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992 with Frail elderly categories.
Improving Acute Care For The Frail Elderly
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Author : United States. Congress. House. Select Committee on Aging
language : en
Publisher:
Release Date : 1992
Improving Acute Care For The Frail Elderly written by United States. Congress. House. Select Committee on Aging and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1992 with Medical categories.
Acute Care For Elders
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Author : Michael L. Malone
language : en
Publisher: Springer
Release Date : 2014-07-21
Acute Care For Elders written by Michael L. Malone and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-07-21 with Medical categories.
Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients.
Acute Medicine In The Frail Elderly
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Author : Henry Woodford
language : en
Publisher: CRC Press
Release Date : 2021-06-10
Acute Medicine In The Frail Elderly written by Henry Woodford and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021-06-10 with Medical categories.
Frail older people now contribute the majority of the acute emergency take both medical and surgical. Despite this there is often a lack of confidence and knowledge among doctors and nurses in treating older people in the Emergency Department and on Emergency Assessment Units.From the Preface Emergency care of frail older people is challenging but very rewarding. Older patients tend to be complex and therefore their assessment needs to be more extensive and include comprehensive geriatric assessment. It is the extras in their assessment that are not usually needed in younger patients, such as cognitive, functional and social evaluations that make the difference in achieving a better outcome. This book describes the key features of high quality care for frail elderly patients in acute hospital settings. With chapters on assessment and the characteristic non-specific ways that patients tend to present (such as 'confusion', 'collapse query cause' and 'off legs'), this practical guide is ideal to have on-hand. As well as common medical and surgical conditions, it also covers medication management, elder abuse, pressure ulcers and hypothermia, including the physiological changes seen in ageing and ways to define frail patients. Tables, diagrams and images are ideal for quick reference, and key points are summarised throughout the text to aid comprehension, providing doctors, nurses and therapists with both background and essential information to provide the excellent acute care older people deserve.
Geriatric Emergency Medicine
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Author : Christian Nickel
language : en
Publisher: Springer
Release Date : 2017-12-11
Geriatric Emergency Medicine written by Christian Nickel and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-12-11 with Medical categories.
This book discusses all important aspects of emergency medicine in older people, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. Particular attention is paid to the commonpitfalls in emergency management andmeans of avoiding them. Between 1980 and 2013, the number of older patients in emergency departmentsworldwide doubled. Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for adequate training and development in the field.
Physical Fitness In Hospitalized Frail Elderly Patients
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Author : Kristina Åhlund
language : en
Publisher: Linköping University Electronic Press
Release Date : 2020-04-07
Physical Fitness In Hospitalized Frail Elderly Patients written by Kristina Åhlund and has been published by Linköping University Electronic Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-04-07 with Electronic books categories.
Demographic research shows that the proportion of older people in society is increasing. More people age well, but there are also more people getting old with disability and multimorbidity. The large diversity in functioning illustrates the heterogeneity of aging. Accelerated aging may lead to frailty, which is a geriatric syndrome, often used as a marker of biologic age and associated with decreased physiologic reserves, increased vulnerability and the risk of adverse health out- comes. Frail elderly people are frequent visitors within emergency hospital care and physical decline is common. Unfortunately, elderly patients with substantial multimorbidity are often excluded from clinical trials. Physical fitness comprises a set of measurable health- and skill-related outcomes, such as cardiorespiratory endurance and muscle strength. A decrease in physical fitness may affect the prognosis negatively. However, previous research indicates that it may be possible to reverse frailty and improve physical fitness. It is therefore of the utmost interest to identify frailty and study how care is best provided, in order to prevent, reduce and postpone adverse health consequences. The overall aim of this thesis is to study physical fitness in a group of frail elderly patients, within clinical hospital health care. The patients’ physical fitness will be evaluated and compared in different care settings during and after hospitalization. The aim is also to study the long-term consequences of changes in physical fitness in relation to mortality. To better understand the underlying factors for partici- pation in physical activity and exercise, patients’ perceptions of the phenomena will be explored. This thesis consists of four papers based on two studies comprising frail elderly patients with substantial multimorbidity, in connection with an in-hospital episode. Paper 1 was an observational study with a cross-sectional design (n=408). Different components of physical fitness were measured during an index hospital stay and the results showed that hospitalized frail elderly patients performed below previously described age-related reference values. Furthermore, physical fitness was associated with the degree of frailty, rather than the chronological age. Paper 2 was a prospective controlled trial, with two parallel groups. The patients included in the intervention group (n=206) were cared for at an emergency medical care unit providing care according to Comprehensive Geriatric Assessment and care (CGA). The control group (n=202) was cared for at conventional emergency medical care units. The multi-professional care approach at the CGA unit was shown to be beneficial, in terms of a greater proportion of patients who preserved or improved their function during the first three months after discharge from hospital, compared with conventional care. Paper 3 had a prospective approach when evaluating the association between physical fitness and oneyear mortality in those 390 patients discharged alive from a hospital care episode. The results showed that physical fitness during in-hospital care and the change in physical fitness during the first months after discharge were associated with one-year mortality. In Paper 4, the patients’ perspective in terms of physical activity and exercise was explored. The theme of “Meaningfulness and risk of harm in an aging body” emerged, followed by the three categories of physical activity as part of daily life, goals of physical activity and exercise and prerequisites for physical activity and exercise. These studies highlight the importance of a greater focus on physical fitness in hospitalized elderly patients. A careful assessment and a multi-professional approach may lead to beneficial results and better survival even in a group of frail elderly patients with severe multimorbidity. To increase physical activity and exercise in this group of patients, health care probably needs to improve the means of communicating the benefits and goals of exercise and facilitating them so that the risk of harm is reduced.
Long Term Care For Frail Older People
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Author : John C. Campbell
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Long Term Care For Frail Older People written by John C. Campbell and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
The aging of society is a growing concern in all advanced nations, and at the forefront of concern is long-term care for frail older people. Enactment of a new public long-term care insurance program by the Japanese government in 1997 provided an excellent opportunity for a conference focusing on an ideal long-term care system for frail older people. The conference was organized around four major themes: Social aspects, including family dynamics and the role of formal providers; Clinical aspects, including effective treatments for physical and mental disabilities; Macroeconomic and macropolitical settings for public policy; Program design and management issues. With contributions from the fields of medicine, nursing, social work, gerontology, political science, economics, and sociology, this volume provides an overview of key problems and possible solutions in programs for frail older people from a unique international perspective.
Comprehensive Geriatric Assessment
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Author : Alberto Pilotto
language : en
Publisher: Springer
Release Date : 2017-12-29
Comprehensive Geriatric Assessment written by Alberto Pilotto and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-12-29 with Medical categories.
This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.
Care For The Older Adult In The Emergency Department An Issue Of Clinics In Geriatric Medicine E Book
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Author : Michael Malone
language : en
Publisher: Elsevier Health Sciences
Release Date : 2018-07-28
Care For The Older Adult In The Emergency Department An Issue Of Clinics In Geriatric Medicine E Book written by Michael Malone and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2018-07-28 with Medical categories.
This issue of Clinics in Geriatric Medicine, guest edited by Drs. Michael Malone and Kevin Biese, is devoted to Care for the Older Adult in the Emergency Department. Articles in this outstanding issue include: Approach to the Older Patient in the Emergency Department; Ten Best Practices for Older Adults in the Emergency Department; Delirium and Dementia; Falls and Geriatric Trauma; Older Adults in the Emergency Department with Frailty; Communication Strategies to Better Care for Older Individuals in the Emergency Department; Systems-based Practice to Improve Care Within and Beyond the Emergency Department; Common Medication Management Approaches for Older Adults in the Emergency Department; Elder Abuse and Neglect; Care of those with end-of-life needs / Advanced illnesses in the Emergency Department; Behavioral Health Needs of Older Adults in the Emergency Department; and Pain Management Strategies for Older Adults.