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Tytuł:
Comprehensive Geriatric Assessment (CGA) in qualification for palliative chemotherapy
Autorzy:
Kryszczyszyn-Musialik, Katarzyna
Słomian, Grzegorz
Jośko-Ochojska, Jadwiga
Powiązania:
https://bibliotekanauki.pl/articles/1035683.pdf
Data publikacji:
2019
Wydawca:
Medical Education
Tematy:
CGA
Comprehensive Geriatric Assessment
geriatric oncology
Opis:
More than a half of new cancer cases affects elderly people. The number of patients in that group is constantly raising. Geriatric patients with cancer are very ununiform group with their biological age, comorbidities and conditions. The risk of the treatment’s toxicity in that group is increased due to loss of organ reserves. Based not only on metrical age or performance status but using precise assessment aids with choosing proper treatment this lowers the complication rate. Comprehensive Geriatric Assessment (CGA) is a multidimensional tool that helps assess elderly patients including daily living, physical status, cognitive functions, depression, nutrition and comorbidities. The following describes utility of CGA in 77-year-old male with colon cancer being qualified for palliative chemotherapy
Źródło:
OncoReview; 2019, 9, 3; 64-67
2450-6125
Pojawia się w:
OncoReview
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The incidence of falls among geriatric outpatients in relation to the number and types of drugs taken
Autorzy:
Kamińska, Magdalena
Brodowski, Jacek
Karakiewicz, Beata
Powiązania:
https://bibliotekanauki.pl/articles/552788.pdf
Data publikacji:
2016
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
elderly
falls
geriatric pharmacotherapy.
Źródło:
Family Medicine & Primary Care Review; 2016, 2; 123-127
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Dilemmas and challenges of senior policy. Geriatric care – support – social services
Autorzy:
Elżbieta, Trafiałek,
Powiązania:
https://bibliotekanauki.pl/articles/893448.pdf
Data publikacji:
2020-01-03
Wydawca:
Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej. Wydawnictwo APS
Tematy:
senior policy
geriatric
social services
Opis:
The text indicates the main and expected directions of senior policy in conditions of the increasing population ageing. The article draws attention to the condition of the institutional support network and geriatric care deficits, which are exacerbated by the further changes in the health system. The text highlights the importance of activity, gerontological knowledge, and social services in the shaping of senior-friendly living arrangement for the elderly.
Źródło:
Praca Socjalna; 2017, 32(3); 128-140
0860-3480
Pojawia się w:
Praca Socjalna
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Treatment of acute appendicitis in geriatric patients – literature review
Autorzy:
Kot, Anna
Kenig, Jakub
Wałęga, Piotr
Powiązania:
https://bibliotekanauki.pl/articles/1394143.pdf
Data publikacji:
2016
Wydawca:
Index Copernicus International
Tematy:
appendectomy
appendicitis
geriatric patients
elderly
Opis:
Demographic changes associated with the aging population mean that surgeons increasingly have contact and make decisions about treating patients from the oldest age groups. The aim of the study was to review the literature concerning the treatment of acute appendicitis in patients over the age of 60 years old. Material and methods. A review of the literature published in the years 2000-2015 has been carried out using the PubMed database. The initial number of results corresponding to the query in English, „appendicitis (MeSH) AND elderly (MeSH)” was 260. Selection based on the titles, abstracts, and eventually whole articles, ultimately resulted in 11 papers concerning the treatment of appendicitis in patients above 60 years of age. Results. Nine papers were retrospective and 2 were prospective. In total, the studies included 82,852 patients. Laparoscopic appendectomy was associated with a lower mortality rate, a smaller number of postoperative complications and a shorter length of hospital stay, which led to it being recommended by most authors. Four of the ten papers demonstrated that the patients who were qualified for laparoscopic surgery had less comorbidity and were in a lower ASA (American Society of Anaesthesiology) category. Antibiotic therapy as an independent method was assessed in one study in a group of elderly people, on a selected group of 26 patients, and its effectiveness was shown to be 70%. Most studies, however, are highly heterogeneous which significantly hindered comparisons. Conclusions. Currently, laparoscopic appendectomy seems to be the treatment of choice in the elderly with acute appendicitis. Antibiotic therapy, as an independent method of treatment of acute appendicitis, cannot currently be recommended. However, further, prospective, and better-designed studies are needed, involving a larger number of patients, and primarily dedicated to the elderly.
Źródło:
Polish Journal of Surgery; 2016, 88, 3; 136-141
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
The Impact of ‘Stay At Home’ Orders on Emergency Room Admissions
Autorzy:
Kocak, Abdullah Osman
Dogruyo, Sinem
Akbas, Ilker
Kerget, Bugra
Gur, Sultan Tuna Akgol
Cakir, Zeynep
Powiązania:
https://bibliotekanauki.pl/articles/2038260.pdf
Data publikacji:
2020-09-30
Wydawca:
Uniwersytet Rzeszowski. Wydawnictwo Uniwersytetu Rzeszowskiego
Tematy:
Covid-19
emergency visits
geriatric patients
Opis:
Introduction. The 2019-novel-coronavirus (2019-nCoV) outbreak has become a common problem for the whole world. Aim. To investigate the impact of the 2019-nCoV pandemic period in our country on emergency room admissions. Materials and methods. The study was designed as a retrospective cohort. The first case of pneumonia infected with nCoV in our country was diagnosed on March 11, 2020. Considering the date of March 11, 2020, emergency room admissions for two periods of 7 days were investigated, pre-COVID-19 and COVID19. Demographic data, admission diagnosis, vital findings, stay times in emergency room, terminations and emergency department mortality examined. A group of ‘geriatric’ patient populations were created to examine the admission characteristics of patients aged-65 and over. Results. The 3466 patients included in the study. The average number of daily admissions was significantly higher in the pre-COVID-19 period (350.4 ± 54.5), compared to the COVID-19 period (144.7 ± 20.2, p=0001). While the proportion of cardiac-caused admissions increased during the COVID period, the proportion of gastrointestinal-induced admissions decreased (p<0001). Hospitalization rates for both adult and geriatric patients increased during the COVID period (p<0001). Conclusion. Despite all the negativity caused by the outbreak, this period has been one in which the public is aware of unnecessary emergency room which has been subsequently lessened.
Źródło:
European Journal of Clinical and Experimental Medicine; 2020, 3; 165-169
2544-2406
2544-1361
Pojawia się w:
European Journal of Clinical and Experimental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Całościowa Ocena Geriatryczna a kierunki edukacji seniorów
Comprehensive Geriatric Assessment and Directions of Senior’s Education
Autorzy:
Karolina, Piotrowicz
Jerzy, Gąsowski
Powiązania:
https://bibliotekanauki.pl/articles/461648.pdf
Data publikacji:
2014
Wydawca:
Uniwersytet Pedagogiczny im. Komisji Edukacji Narodowej w Krakowie. Instytut Spraw Społecznych
Tematy:
comprehensive geriatric assessment
MMSE
CDT
education
Opis:
The article concisely outlines the issues of the relationship between the aging of the organism and educational activities. Populations in the world are aging. Elderly people generally preserve the ability to learn, although learning takes more time. It is believed that educating the elderly reduces their risk of dementia development. Due to the changes in the aging process, the elderly require comprehensive geriatric assessment.
Źródło:
Labor et Educatio; 2014, 2; 145-151
2353-4745
2544-0179
Pojawia się w:
Labor et Educatio
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Cognitive involution and adaptive processes in late adulthood
Inwolucja poznawcza a procesy adaptacyjne w okresie późnej dorosłości
Autorzy:
Matyjasek, Aleksandra
Powiązania:
https://bibliotekanauki.pl/articles/24201050.pdf
Data publikacji:
2021-06-30
Wydawca:
Wydawnictwo Uniwersytetu Śląskiego
Tematy:
późna dorosłość
gerontologopedia
starzenie się fizjologiczne
neuropsychologia geriatryczna
late adulthood
geriatric speech-language pathology
physical ageing
geriatric neuropsychology
Opis:
Involution changes are normative consequences of ageing of the organism. They are observed through transformations in the structure of tissues and organs. As age increases, the systemic reorganisation affects the functions (changes in hormonal activity and the number of neurotransmitters) and the structure (gradual brain shrinking) of the central nervous system (CNS). Neurobiological changes are visible in one’s cognitive capabilities, which are nowadays seen as the index of a brain’s potential and plasticity. As a theoretical basis, the model of selective optimisation with compensation and the adaptive-regulatory theory are used. According to them, changes in the elderly age result from natural processes and can be considered as the measures of individual adaptive capability. Taking into consideration the resources possessed in the late adulthood, this article presents a particular point of view on such a topic. Practically speaking, it implies the need to conduct educational and rationalising actions that will improve the living standard of elderly people.
Zmiany o charakterze inwolucyjnym są normatywnym skutkiem starzenia się organizmu. Przejawiają się przekształceniami w budowie tkanek i narządów. Zachodząca wraz z wiekiem reorganizacja ogólnoustrojowa przekłada się na funkcje (zmianę aktywności hormonalnej i ilości neurotransmiterów) i strukturę (stopniowy ubytek masy mózgowia) ośrodkowego układu nerwowego. Wykładnikami zmian neurobiologicznych jednostki są jej możliwości kognitywne, które współcześnie rozpatruje się jako wskaźnik potencjału i plastyczności mózgu. Jako teoretyczną podstawę opisu przyjęto model selektywnej optymalizacji i kompensacji oraz koncepcję regulacyjno-adaptacyjną, zgodnie z którymi zmiany zachodzące w okresie senioralnym wynikają z naturalnych przeobrażeń i można je uznać za miarę możliwości przystosowawczych jednostki. Artykuł stanowi propozycję spojrzenia na okres późnej dorosłości z perspektywy posiadanych zasobów, co w wymiarze praktycznym implikuje do prowadzenia działań edukacyjnych i usprawniających, podnoszących jakość życia seniorów.
Źródło:
Logopedia Silesiana; 2021, 10, 1; pp. 1-16: English language version; pp. 17-32: Polish language version
2300-5246
2391-4297
Pojawia się w:
Logopedia Silesiana
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Challenges of modern medicine - geriatric otolaryngology or the advantages of cooperation between an otolaryngologist and a geriatrician
Autorzy:
Skalska, Anna
Składzień, Jacek
Powiązania:
https://bibliotekanauki.pl/articles/1397785.pdf
Data publikacji:
2019
Wydawca:
Index Copernicus International
Tematy:
ageing
ENT problems
hearing impairment
frailty
geriatric preoperative assessment
Opis:
Advanced age is often burdened with many deficits that are a consequence of the aging process, unfavorable lifestyle and multi-morbidity. They contribute to increased morbidity and disability of the older people. Laryngological problems often concern seniors, particularly progressing with age hearing impairment, dizziness, balance disorders, epistaxis, nasopharyngeal diseases, larynx, sinuses, and salivary glands disorders. They are not only a health threat, such as head and neck cancer, but they contribute to the deterioration of mobility, falls and injuries, depression, cognitive functions impairment and, consequently, functional disability, loss of independence and a sense of isolation. In this context, taking as an example the most common ailment, which is hearing impairment, laryngological procedures in the form of the use of hearing aids or cochlear implant improves cognitive functions, mood, self-esteem, opportunities for social interaction and everyday functioning, and the quality of life of older people. In turn, in view of the typical for older age polypathology and of significant reduction of the reserves of the organism, effective treatment aimed at improving health, preventing complications of diagnostics and therapy as well as disability with the desire to maintain independence and good quality of life requires the cooperation of different specialists. The knowledge and experience of geriatricians and the comprehensive geriatric assessment used as the diagnostic tool, aimed at identifying deficits typical of seniors’ age may significantly contribute to a more adequate risk and benefit assessment, selection of optimal treatment for a given health situation and identification of high-risk individuals requiring during the treatment period special supervision to reduce the risk of complications and the risk of development of geriatric syndromes such as delirium, cognitive disorders, malnutrition, falls and injuries, functional disability.
Źródło:
Polish Journal of Otolaryngology; 2019, 73, 1; 1-6
0030-6657
2300-8423
Pojawia się w:
Polish Journal of Otolaryngology
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Psychological peculiarities of subjective well-being of residents in geriatric homes
Autorzy:
Horbal, Iryna
Powiązania:
https://bibliotekanauki.pl/articles/628387.pdf
Data publikacji:
2011
Wydawca:
Fundacja Pro Scientia Publica
Tematy:
subjective well-being, senior person, social deprivation, geriatric home, socialization
Opis:
The article is dedicated to the theme of subjective well-being of elderly people living in geriatric homes. Social and psychological peculiarities of life satisfaction of senior people were analysed in the works of Ukrainian and foreign authors. The research found life sat-isfaction of people who have alack of social contacts is connected with the value orienta-tions of hedonism and spirituality, hardiness, mental health and low sense of pain. These physiological, social and psychological components were generalized into the structure of subjective well-being
Źródło:
Journal of Education Culture and Society; 2011, 2, 2; 27-37
2081-1640
Pojawia się w:
Journal of Education Culture and Society
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Adaptation and reliability testing of the SHARE-FI instrument for the assessment of risk of frailty syndrome among older Polish patients
Autorzy:
Muszalik, Marta
Borowiak, Ewa
Kotarba, Agnieszka
Puto, Grazyna
Doroszkiewicz, Halina
Kędziora-Kornatowska, Kornelia
Powiązania:
https://bibliotekanauki.pl/articles/552986.pdf
Data publikacji:
2018
Wydawca:
Stowarzyszenie Przyjaciół Medycyny Rodzinnej i Lekarzy Rodzinnych
Tematy:
frailty
geriatric assessment
primary health care
mass screening
validation studies.
Źródło:
Family Medicine & Primary Care Review; 2018, 1; 36-40
1734-3402
Pojawia się w:
Family Medicine & Primary Care Review
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Implementation of health services in the nursing home for the elderly
Autorzy:
Andrzej, Mielczarek,
Powiązania:
https://bibliotekanauki.pl/articles/893225.pdf
Data publikacji:
2020-01-03
Wydawca:
Akademia Pedagogiki Specjalnej im. Marii Grzegorzewskiej. Wydawnictwo APS
Tematy:
social assistance home
medical services
illness
geriatric care
treatment
rehabilitation
disability
Opis:
In the light of the Constitution of the Republic of Poland the citizen has the right to health care. This also applies to elderly people in a nursing home (DPS). The deepening of indigestion, the coexistence of many diseases, their chronicity and the level of complications trigger the increase in demand for DPS for systematic, 24-hour geriatric medical care (medical care, nursing and rehabilitation services). Realizing the health needs of elderly people in DPS by health care providers is a source of controversy, hence the need for legislative changes to shift the burden of health financing in DPS to the Polish National Health Fund (NFZ).
Źródło:
Praca Socjalna; 2017, 32(2); 70-84
0860-3480
Pojawia się w:
Praca Socjalna
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Geriatric care resources in an aging society of rural and urban areas in Poland – mapping of current situation
Zasoby opieki geriatrycznej w starzejącym się społeczeństwie wsi i miast w Polsce – diagnoza stanu istniejącego
Autorzy:
Krawczyk-Sołtys, Agnieszka
Powiązania:
https://bibliotekanauki.pl/articles/952395.pdf
Data publikacji:
2017
Wydawca:
Uniwersytet Przyrodniczy w Poznaniu. Wydawnictwo Uczelniane
Tematy:
aging population
geriatric care resources
starzejące się społeczeństwo
zasoby opieki geriatrycznej
Opis:
GUS demographic forecasts show that by 2035 subpopulation of people with 65 years or more in Poland will grow by 62% compared to 2010. While the subpopulation of people with 80 years or more will increase as much as 96% over the same period. The aim of this article is a diagnosis of selected geriatric care resources in a situation of aging population of rural and urban areas in Poland. To achieve this aim, the study includes demographic forecasting for Poland until 2035 with differentiation on voivodeships and rural and urban areas. Additionally, an analysis of selected geriatric care resources (geriatric beds and specialists in geriatrics) in the context of an aging population was considered. The obtained results conclude that in Poland there is lack of geriatric care resources such as geriatric beds and specialists in geriatrics. Although the projected percentage of people aged 65+ in rural areas will be lower in 2035 than in the urban areas, the access to these resources in rural areas is more limited, due to the concentration of geriatric care resources mainly in big cities.
Prognozy demograficzne GUS pokazują, że do 2035 r. subpopulacja ludzi mających 65 lat i więcej w Polsce wzrośnie o 62% w porównaniu do 2010 r., natomiast subpopulacja ludzi mających 80 lat i więcej wzrośnie w tym samym okresie aż o 96%. Celem artykułu jest diagnoza wybranych zasobów opieki geriatrycznej w sytuacji postępującego starzenia się społeczeństwa wsi i miast w Polsce. Aby zrealizować cel, przedstawiono prognozy demograficzne dla Polski do 2035 roku z podziałem na poszczególne województwa oraz wieś i miasto, jak również dokonano analizy wybranych zasobów opieki geriatrycznej (łóżek geriatrycznych oraz lekarzy geriatrów) w kontekście starzejącego się społeczeństwa. Uzyskane wyniki badań pozwalają stwierdzić, że w Polsce występuje niedostatek zasobów geriatrycznych, tak łóżek szpitalnych, jak i lekarzy specjalistów. Mimo że prognozowany odsetek osób w wieku 65+ na wsi będzie w 2035 r. niższy niż w miastach, to na terenach wiejskich dostęp do tych zasobów jest bardziej ograniczony ze względu na koncentrację zasobów geriatrycznych głównie w dużych miastach.
Źródło:
Journal of Agribusiness and Rural Development; 2017, 44, 2; 369-376
1899-5241
Pojawia się w:
Journal of Agribusiness and Rural Development
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Późna dorosłość z perspektywy logopedii
Late adulthood from the perspective of speech therapy
Autorzy:
Milewski, Stanisław
Kaczorowska-Bray, Katarzyna
Kamińska, Barbara
Powiązania:
https://bibliotekanauki.pl/articles/952174.pdf
Data publikacji:
2016
Wydawca:
Uniwersytet w Białymstoku. Wydawnictwo Uniwersytetu w Białymstoku
Tematy:
late adulthood
geriatric speech therapy
gerontological linguistics
changes in linguistic communication
Opis:
Observed demographic changes mean that we are becoming a ‘greying society.’ This makes it necessary to introduce new curriculum content in the vocational training of speech therapists and creates a need for specialists in the area of therapy and functional assistance of seniors. At the same time, this indicates the need for conducting extensive studies in the field of gerontological linguistics, concerning the particularities of speech related to age as well as the specific features of communication with the elderly. In this speech the authors would like to discuss one of the directions of research on language phenomena related to old age, i.e. research on the particular manner of communication of those in the senior’s close environment (family, doctors, therapists, among others) with the senior. The style of communication with a person of senior age, being a result of social stereotypes of elderly people, may increase their discomfort and indicate paternalistic and condescending treatment of those in the highest age group. This may even be a sign of ageism, i.e. social discrimination based on people’s age.
Źródło:
Pogranicze. Studia Społeczne; 2016, 28
1230-2392
Pojawia się w:
Pogranicze. Studia Społeczne
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Specyficzne potrzeby lecznicze osób starszych a kształcenie geriatrów. Dlaczego geriatria jest specjalizacją ważną i dlaczego ciągle brakuje geriatrów?
Principles of health care in elderly and geriatric education. Why is geriatrics so important and why are we still lacking geriatricians?
Autorzy:
Dubiel, Marzena
Klich-Rączka, Alicja
Powiązania:
https://bibliotekanauki.pl/articles/635151.pdf
Data publikacji:
2011
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Tematy:
geriatrics
comprehensive geriatric assessment
education in geriatrics
presentation of illness in geriatrics
Opis:
While population is aging we are facing raising number of geriatric problems. It is obvious nowadays that if we do not start creating certain plans considering medical and social care of elderly people, the situation may get out of control. The natural course of diseases in elderly is different to middle aged and young people. These individuals show different symptoms and social background, different prognosis and complications of the disease and of diagnostic and therapeutic medical procedures themselves. The major feature that distinguishes geriatric medicine from others is comprehensive geriatric assessment which is holistic and considers not only medical condition but also social, psychological background together with identifying aspects of functional status, nutrition, transportation and others. It seems that the need for professionals with experience in geriatrics is growing. The most important in this area are general practitioners and geriatricians. There is also a constant need for educational effort to create society whose members are responsible for their own health.
Źródło:
Zdrowie Publiczne i Zarządzanie; 2011, 9, 1; 101-109
2084-2627
Pojawia się w:
Zdrowie Publiczne i Zarządzanie
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Vulnerable Elderly Survey 13 as a Screening Method for Frailty in Polish Elderly Surgical Patient - Prospective Study
Autorzy:
Kenig, Jakub
Richter, Piotr
Żychiewicz, Beata
Olszewska, Urszula
Powiązania:
https://bibliotekanauki.pl/articles/1395722.pdf
Data publikacji:
2014-03-01
Wydawca:
Index Copernicus International
Tematy:
Vulnerable Elders Survey
VES-13
comprehensive geriatric assessment
surgery in the elderly
Opis:
The Vulnerable Elders Survey (VES-13) is a simple function based frailty screening tool that can be also administered by the nonclinical personnel within 5 minutes and has been validated in the out- and in patient clinic and acute medical care settings. The aim of the study was to validate theaccuracy of the VES-13 screening method for predicting the frailty syndrome based on a CGA in polish surgical patients. Material and methods. We included prospectively 106 consecutive patients ≥65, that qualify for abdominal surgery (both due to oncological and benign reasons), at the tertiary referral hospital.We evaluated the diagnostic performance of VES-13 score comparing to the results from the CGA, accepted as the gold standard for identifying at risk frail elderly patients. Results. The prevalence of frailty as diagnosed by CGA was 59.4%. There was significantly higher number of frail patients in the oncological group (78% vs. 31%; p<0.01). According to the frailty screening methods, the frailty prevalence was 45.3%. The VES-13 score had a 60% sensitivity and 78% specificity in detecting frailty syndrome. The positive and negative predictive value was 81% and 57%, respectively. The overall predictive capacity was intermediate (AUC=0.69) Conclusions. At present, the VES-13 screening tool for older patients cannot replace the comprehensive geriatric assessment; this is due to the insufficient discriminative power to select patients for further assessment. It might be helpful in a busy clinical practice and in facilities that do not have trained personal for geriatric assessment.
Źródło:
Polish Journal of Surgery; 2014, 86, 3; 126-131
0032-373X
2299-2847
Pojawia się w:
Polish Journal of Surgery
Dostawca treści:
Biblioteka Nauki
Artykuł
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