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[PMID]:29235954
[Au] Autor:Flanagan NM
[Ad] Endereço:1 Assistant Professor, Decker School of Nursing, Binghamton University, Vestal, NY, USA.
[Ti] Título:Persistent Pain in Older Adults: Roy's Adaptation Model.
[So] Source:Nurs Sci Q;31(1):25-28, 2018 Jan.
[Is] ISSN:1552-7409
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Persistent pain in older adults is difficult to assess and therefore address consistently. The experience of pain is individual, and therefore a comprehensive way to assess pain is required. Roy's adaptation model offers a systematic way of evaluating pain in the older adult. In this column, the author shares some statistics about persistent pain and a case study using Roy's model as a system for assessment.
[Mh] Termos MeSH primário: Adaptação Psicológica
Dor Crônica/enfermagem
Geriatria/métodos
Modelos de Enfermagem
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Masculino
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE
[do] DOI:10.1177/0894318417741095


  2 / 13616 MEDLINE  
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[PMID]:29233292
[Au] Autor:Felton MA; Jarrett JB; Meyer SM
[Ad] Endereço:UPMC St. Margaret Department of Medical Education, 815 Freeport Road, Pittsburgh, PA 15215, United States. Electronic address: mariafelton7@gmail.com.
[Ti] Título:Geriatric care curriculum in US PharmD programs: What's happening?
[So] Source:Curr Pharm Teach Learn;9(3):504-509, 2017 May.
[Is] ISSN:1877-1300
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: Current Accreditation Council for Pharmacy Education (ACPE) Standards are not explicit regarding geriatrics content. The objective of this review is to describe published examples of how care for older adults is integrated into Doctor of Pharmacy (PharmD) curricula at accredited schools/colleges of pharmacy across the United States. METHODS: PubMed and Embase databases were searched. Manuscripts addressing care for older adults in pharmacy curriculum in the United States were included in the review. RESULTS: Thirteen PharmD programs have thirteen published examples of how geriatric care was integrated into their curriculum. The most common way geriatric care is integrated into PharmD programs is through Introductory Pharmacy Practice Experiences (IPPE) followed by existing course content and elective course content. CONCLUSION: There is a wide variety of curriculum strategies currently being utilized to incorporate geriatric education into PharmD programs in the United States. However, this may not be sufficient to support the care of the growing older adult population.
[Mh] Termos MeSH primário: Currículo
Educação de Pós-Graduação em Farmácia/métodos
Geriatria/educação
[Mh] Termos MeSH secundário: Seres Humanos
Assistência ao Paciente
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


  3 / 13616 MEDLINE  
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[PMID]:28467584
[Au] Autor:Rupprecht H; Heppner HJ; Wohlfart K; Türkoglu A
[Ad] Endereço:Department of General and Visceral Surgery, Klinikum Fürth, Fürth-Germany. holger.rupprecht@klinikum-fuerth.de.
[Ti] Título:The geriatric polytrauma: Risk profile and prognostic factors.
[So] Source:Ulus Travma Acil Cerrahi Derg;23(2):156-162, 2017 Mar.
[Is] ISSN:1306-696X
[Cp] País de publicação:Turkey
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In the German population, the percentage of elderly patients is increasing, and consequently there are more elderly patients among trauma cases, and particularly cases of polytrauma. The aim of this study was to present clinical results and a risk profile for geriatric polytrauma patients. METHODS: Review of 140 geriatric (over 65 years of age) polytrauma patients who received prehospital treatment was performed. Severity of trauma was retrospectively assessed with Hannover Polytrauma Score (HPTS). Age, hemoglobin (Hb) level, systolic blood pressure (BP), Glasgow Coma Scale (GCS) score, timing of and necessity for intubation were analyzed in relation to mortality and in comparison with younger patients. RESULTS: Geriatric polytrauma patients (n=140) had overall mortality rate of 65%, whereas younger patients (n=1468) had mortality rate of 15.9%. Despite equivalent severity of injury (HPTS less age points) in geriatric and non-geriatric groups, mortality rate was 4 times higher in geriatric group. Major blood loss with Hb <8 g/dL was revealed to be 3 times more fatal than moderate or minor blood loss (Hb ≥8 g/dL). GCS score <12 corresponded to double mortality rate (39% vs 83%). CONCLUSION: Age by itself is significant risk factor and predictor of increased mortality in polytrauma patients. Additional risk factors include very low GCS score and systolic BP <80 mm Hg, for instance, as potential clinical indicators of massive bleeding and traumatic brain injury. Such parameters demand early and rapid treatment at prehospital stage and on admission.
[Mh] Termos MeSH primário: Traumatismo Múltiplo
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Geriatria
Alemanha/epidemiologia
Seres Humanos
Traumatismo Múltiplo/diagnóstico
Traumatismo Múltiplo/epidemiologia
Traumatismo Múltiplo/fisiopatologia
Prognóstico
Estudos Retrospectivos
Fatores de Risco
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180209
[Lr] Data última revisão:
180209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.5505/tjtes.2016.77177


  4 / 13616 MEDLINE  
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[PMID]:28457053
[Au] Autor:Katz I; Katz D; Shoenfeld Y; Porat-Katz BS
[Ad] Endereço:Zabludowicz Center for Autoimmune Diseases, Sheba Medical Center, Tel Hashomer, Israel.
[Ti] Título:Clinical Evidence for Utilizing Cannabinoids in the Elderly.
[So] Source:Isr Med Assoc J;19(2):71-75, 2017 Feb.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Mh] Termos MeSH primário: Canabinoides/farmacologia
Cognição/efeitos dos fármacos
Dissonias/tratamento farmacológico
Doença de Parkinson/tratamento farmacológico
Desempenho Psicomotor/efeitos dos fármacos
[Mh] Termos MeSH secundário: Idoso
Agonistas de Receptores de Canabinoides/farmacologia
Demência/tratamento farmacológico
Demência/metabolismo
Demência/psicologia
Dissonias/metabolismo
Endocanabinoides/metabolismo
Geriatria/métodos
Seres Humanos
Doença de Parkinson/metabolismo
Doença de Parkinson/fisiopatologia
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Cannabinoid Receptor Agonists); 0 (Cannabinoids); 0 (Endocannabinoids)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171130
[Lr] Data última revisão:
171130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170501
[St] Status:MEDLINE


  5 / 13616 MEDLINE  
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[PMID]:28958363
[Au] Autor:Brooks SE; Peetz AB
[Ad] Endereço:Geriatric Trauma Unit, Division of Trauma, Surgical Critical Care, Acute Care Surgery, Department of Surgery, John A. Griswold Trauma Center, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430, USA; Pediatric Intensive Care Unit, Division of Trauma, Surgical Critical Care, Acute Care Surgery, Department of Surgery, John A. Griswold Trauma Center, Texas Tech University Health Sciences Center, 3601 4th Street MS 8312, Lubbock, TX 79430, USA. Electronic address: Steven.Brooks@ttuhsc.edu.
[Ti] Título:Evidence-Based Care of Geriatric Trauma Patients.
[So] Source:Surg Clin North Am;97(5):1157-1174, 2017 Oct.
[Is] ISSN:1558-3171
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The doubling of the geriatric population over the next 20 years will challenge the existing health care system. Optimal care of geriatric trauma patients will be of paramount importance to the health care discussion in America. These patients warrant special consideration because of altered anatomy, physiology, and the resultant decreased ability to tolerate the stresses imposed by traumatic insult. Despite increased risk for worsened outcomes, nearly half of all geriatric trauma patients will be cared for at nondesignated trauma centers. Effective communication is crucial in determining goals of care and arriving at what patients would consider a meaningful outcome.
[Mh] Termos MeSH primário: Ética Médica
Geriatria/métodos
Ferimentos e Lesões/terapia
[Mh] Termos MeSH secundário: Fatores Etários
Idoso/fisiologia
Prática Clínica Baseada em Evidências
Idoso Fragilizado
Avaliação Geriátrica
Seres Humanos
Futilidade Médica/ética
Traumatologia/ética
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170930
[St] Status:MEDLINE


  6 / 13616 MEDLINE  
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[PMID]:28885815
[Ti] Título:CQGS releases preliminary standards for quality surgical care for older adults.
[So] Source:Bull Am Coll Surg;102(6):64-6, 2017 06.
[Is] ISSN:0002-8045
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Geriatria/normas
Qualidade da Assistência à Saúde/normas
Procedimentos Cirúrgicos Operatórios/normas
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171010
[Lr] Data última revisão:
171010
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE


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[PMID]:28884807
[Au] Autor:Leff B; Lundjeberg NE; Brangman SA; Dubow J; Levine S; Morgan-Gouveia M; Schlaudecker J; Lynn L; McDonald FS; and the Geriatric Medicine Board of the American Board of Internal Medicine (ABIM)
[Ad] Endereço:The Johns Hopkins University School of Medicine, Baltimore, Maryland.
[Ti] Título:Co-creation by the ABIM Geriatric Medicine Board and the AGS - Helping Move Geriatrics Forward.
[So] Source:J Am Geriatr Soc;65(10):2318-2321, 2017 Oct.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The American board of internal medicine (ABIM) establishes standards for physicians. The American geriatrics society (AGS) is a not-for-profit membership organization of nearly 6,000 health professionals devoted to improving the health, independence, and quality of life of all older people. Beginning in 2013, ABIM redesigned its governance structure, including the role of the specialty boards. Specialty boards are charged with responsibilities for oversight in four main areas: (1) the assessments used in initial certification and maintenance of certification (MOC); (2) medical knowledge self-assessment and practice assessment in the specialty; (3) building relationships with relevant professional societies and other organizational stakeholders; and (4) issues related to training requirements for initial certification eligibility within the specialty. The aim of this paper is to inform the geriatrics community regarding the function of geriatric medicine board (GMB) of the ABIM, and to invite the geriatrics community to fully engage with and leverage the GMB as a partner to: (1) develop better certification examinations and processes, identifying better knowledge and practice assessments, and in establishing appropriate training and MOC requirements for geriatric medicine; (2) leverage ABIM assets to conduct applied research to guide the field in the areas of training and certification and workforce development in geriatric medicine; (3) make MOC relevant for practicing geriatricians. Active engagement of the geriatrics community with ABIM and the GMB will ensure that certification in geriatric medicine provides the greatest possible value and meaning to physicians, patients, and the public.
[Mh] Termos MeSH primário: Geriatria/organização & administração
Medicina Interna/organização & administração
Sociedades Médicas/organização & administração
Conselhos de Especialidade Profissional/organização & administração
[Mh] Termos MeSH secundário: Previsões
Geriatria/normas
Seres Humanos
Medicina Interna/normas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170909
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.15019


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[PMID]:28802465
[Au] Autor:Kogan M; Cheng S; Rao S; DeMocker S; Koroma Nelson M
[Ad] Endereço:Center for Integrative Medicine, George Washington University, School of Medicine, 908 New Hampshire Avenue, Suite 200, Washington, DC 20037, USA. Electronic address: mkogan@mfa.gwu.edu.
[Ti] Título:Integrative Medicine for Geriatric and Palliative Care.
[So] Source:Med Clin North Am;101(5):1005-1029, 2017 Sep.
[Is] ISSN:1557-9859
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:More than 80% of people in the United States who are older than 65 years have 1 or more chronic medical problems, and 50% have 2 or more. The cost of care for the elderly is at least 3 to 4 times that of younger populations and is rapidly growing, mostly because of a lack of preventive approaches and overly medicalized and fragmented care. This article summarizes the most up-to-date evidence for specific integrative modalities for common geriatric conditions, including falls, frailty, osteoporosis, and end-of-life palliative care.
[Mh] Termos MeSH primário: Acidentes por Quedas/prevenção & controle
Terapias Complementares/métodos
Geriatria
Medicina Integrativa/métodos
Cuidados Paliativos/métodos
Assistência Terminal/métodos
[Mh] Termos MeSH secundário: Acidentes por Quedas/estatística & dados numéricos
Dieta
Suplementos Nutricionais
Exercício
Comportamentos Relacionados com a Saúde
Seres Humanos
Força Muscular/fisiologia
Osteoporose
Manejo da Dor/métodos
Conforto do Paciente
Fitoterapia/métodos
Equilíbrio Postural/fisiologia
Fatores de Risco
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170823
[Lr] Data última revisão:
170823
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170814
[St] Status:MEDLINE


  9 / 13616 MEDLINE  
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[PMID]:28801975
[Au] Autor:Tan HJ; Litwin MS; Chamie K; Saliba D; Hu JC
[Ad] Endereço:Department of Urology, University of North Carolina, Chapel Hill, North Carolina.
[Ti] Título:Trends in Aging-Related Services During Nephrectomy: Implications for Surgery in an Aging Population.
[So] Source:J Am Geriatr Soc;65(10):2290-2296, 2017 Oct.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To characterize the extent to which geriatric and related healthcare services are provided to older adults undergoing surgery for kidney cancer, a potential growth area in geriatrics and oncology. DESIGN: Population-based observational study. SETTING: Surveillance, Epidemiology, and End Results cancer data linked with Medicare claims. PARTICIPANTS: Adults aged 65 and older with kidney cancer treated surgically from 2000 to 2009 (N = 19,129). MEASUREMENTS: Receipt of geriatric consultation, medical comanagement during the surgical hospitalization, inpatient physical or occupational therapy (PT/OT), and postacute PT/OT during the surgical care episode. Multivariable, mixed-effects models were used to identify associated participant and hospital characteristics, examine trends over time, and characterize hospital-level variation. RESULTS: Geriatric consultation occurred rarely in the perioperative period (2.6%). Medical comanagement (15.8%), inpatient PT/OT (34.2%), and postacute PT/OT (15.6%) occurred more frequently. In our mixed-effects models, participant age and comorbidity burden appeared to be consistent determinants of use of services, although hospital-level variation was also noted (P < .001). Use of geriatric consultation increased modestly in the latter years of the study period (P < .05). In contrast, medical comanagement (183%), inpatient PT/OT (73%), and postacute PT/OT (71%) increased substantially over the study period (P < .001). CONCLUSION: Although geriatric consultation remained sparse, use of medical comanagement and rehabilitation services has grown considerably for older adults undergoing surgery for kidney cancer. Efforts to reorganize cancer and surgery care should explore reasons for variation and the potential for these service elements to meet the health needs of an aging population.
[Mh] Termos MeSH primário: Assistência ao Convalescente/tendências
Geriatria/tendências
Neoplasias Renais/cirurgia
Nefrectomia/tendências
Oncologia Cirúrgica/tendências
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Envelhecimento
Feminino
Hospitalização/tendências
Seres Humanos
Pacientes Internados/estatística & dados numéricos
Masculino
Medicare
Terapia Ocupacional/tendências
Modalidades de Fisioterapia/tendências
Programa de SEER
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171019
[Lr] Data última revisão:
171019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170813
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.15046


  10 / 13616 MEDLINE  
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[PMID]:28799293
[Au] Autor:Pincus HA; Pike KM; Spaeth-Rublee B; Elinson L
[Ad] Endereço:Department of Psychiatry, Columbia University, New York, New York.
[Ti] Título:Health and Aging Policy Fellows Program: Shaping a Healthy Future for Older Americans.
[So] Source:J Am Geriatr Soc;65(9):2088-2093, 2017 Sep.
[Is] ISSN:1532-5415
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As the size of the elderly population increases, so do the challenges of and barriers to high-quality, affordable health care. The Health and Aging Policy Fellows (HAPF) Program is designed to provide health and aging professionals with the skills and experience to help lead the effort in reducing these barriers and shaping a healthy and productive future for older Americans. Since its inception in 2008, the program has affected not only the fellows who participate, but also the field of health and aging policy. Work needs to be done to sustain this program so that more fellows can participate and sound policies for the elderly population can continue to be shaped and improved. This report describes the HAPF Program, including its background (rationale, description, partners, progress, effect), lessons learned, challenges and solutions, and policy implications.
[Mh] Termos MeSH primário: Envelhecimento
Bolsas de Estudo
Geriatria/educação
Política de Saúde
[Mh] Termos MeSH secundário: Educação Continuada
Fundações/economia
Seres Humanos
Avaliação de Programas e Projetos de Saúde
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170812
[St] Status:MEDLINE
[do] DOI:10.1111/jgs.15036



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