Search results for "elder"
showing 10 items of 919 documents
Focus on Liability of Residences for Elderly and Sick People: A Case Series and Medico-Legal Issues
2023
Residences for elderly and sick people, self-sufficient or dependent, are varied. To date, the liability profiles of these structures are not clearly delineated, and increasingly often, their operating and organization criteria are entrusted to subnational, regional, or local regulations. Among the various deficits, there is the keeping of a complete and detailed documentation/diary of the patient, the lack of which can generate medico-legal problems. In this paper, we present three cases of guests in residences for a dependent person brought to the attention of the Institute of Forensic Medicine of the University Hospital of Palermo due to criminal proceedings, where the lack of existing d…
Understanding frailty:a qualitative study of European healthcare policy-makers' approaches to frailty screening and management
2018
ObjectiveTo elicit European healthcare policy-makers’ views, understanding and attitudes about the implementation of frailty screening and management strategies and responses to stakeholders’ views.DesignThematic analysis of semistructured qualitative interviews.SettingEuropean healthcare policy departments.ParticipantsSeven European healthcare policy-makers representing the European Union (n=2), UK (n=2), Italy (n=1), Spain (n=1) and Poland (n=1). Participants were sourced through professional networks and the European Commission Authentication Service website and were required to be in an active healthcare policy or decision-making role.ResultsSeven themes were identified. Our findings re…
Selected Elements of Lifestyle and the Level of Functional Fitness in Older Women.
2022
Background: The appropriate level of functional fitness is a very important element for seniors to maintain self-reliance in daily life. The aim of this research was to assess sociodemographic differences, selected elements of lifestyle, and functional fitness in the older residents of social welfare homes and community dwellers Methods: The analysed group comprised 693 women aged 65–79, including 173 subjects living in social welfare homes and 520 community-dwelling women. Basic anthropometric features were measured, and functional fitness was assessed using the Senior Fitness Test. Basic sociodemographic characteristics, as well as data on health self-assessment and selected elements of l…
Mortality after transjugular intrahepatic portosystemic shunt in older adult patients with cirrhosis: A validated prediction model
2022
Background and Aims Implantation of a transjugular intrahepatic portosystemic shunt (TIPS) improves survival in patients with cirrhosis with refractory ascites and portal hypertensive bleeding. However, the indication for TIPS in older adult patients (greater than or equal to 70 years) is debated, and a specific prediction model developed in this particular setting is lacking. The aim of this study was to develop and validate a multivariable model for an accurate prediction of mortality in older adults. Approach and Results We prospectively enrolled 411 consecutive patients observed at four referral centers with de novo TIPS implantation for refractory ascites or secondary prophylaxis of va…
Impact of CMV and EBV seropositivity on CD8 T lymphocytes in an old population from West-Sicily.
2007
Abstract Herpes viruses (particularly CMV and to some extent EBV) might play a role in accelerating the deterioration of immune functions with age. Indeed, it has been demonstrated that chronic infection with CMV causes an expansion of specific CD8 T lymphocytes and that this is related to a shrinkage of the T cell repertoire in very elderly people, predicting mortality. We have analysed CD8 T cells in young and old healthy Sicilians who were both CMV- and EBV-seropositive. Our data confirm expansions of T cells specific for the HLA-A2-restricted pp65 (495–503) CMV epitope up to nearly 14% of total peripheral CD8 cells in certain elderly individuals (range 0–14%). However, the mean percenta…
Study of the leisure influence on attitude for leisure and mental health in a sample of portuguese seniors
2017
Increased human longevity has been attributed to technological and medical advances, as well as improved hygiene and nutritional conditions, access to health care, changes in eating habits and cognitive development strategies (Osório, 2007). The present study examined the influence of leisure actions in the psychological well-being, leisure attitude and distress of seniors. The sample consisted of 403 participants (37,2% male; 62,8% female). Concerning the perception of health condition, 82,6% subjects were considered independent and 17,4% participants were considered dependent. The instruments used were the MHI (Ribeiro, 2001) and the LAS (Freire & Fonte, 2007). Main results exposed that p…
Sepsis at ICU admission does not decrease 30-day survival in very old patients : a post-hoc analysis of the VIP1 multinational cohort study
2020
AbstractBackgroundThe number of intensive care patients aged ≥ 80 years (Very old Intensive Care Patients; VIPs) is growing. VIPs have high mortality and morbidity and the benefits of ICU admission are frequently questioned. Sepsis incidence has risen in recent years and identification of outcomes is of considerable public importance. We aimed to determine whether VIPs admitted for sepsis had different outcomes than those admitted for other acute reasons and identify potential prognostic factors for 30-day survival.ResultsThis prospective study included VIPs with Sequential Organ Failure Assessment (SOFA) scores ≥ 2 acutely admitted to 307 ICUs in 21 European countries. Of 3869 acutely admi…
Corrigendum to “Inflammation and frailty in the elderly: A systematic review and meta-analysis” (Ageing Research Reviews (2016) 31 (1–18) (S156816371…
2017
Since the publication of our meta-analysis it has come to light that we inadvertently categorised one study (Gale et al. 2013) as a cross sectional study instead of its true design as a longitudinal study. We have recalculated the analyses affected which is isolated to the cross sectional longitudinal biomarkers of C reactive protein. The updated analyses have not significantly changed our findings regarding CRP or the narrative of the paper in any perceptible way. Specifically, the new OR for CRP longitudinal studies is now 1.08 (95%CI 0.87–1.34) compared to a previous value of 1.06 (95%CI: 0.78–1.44) (please see the new Fig. 1a). Similarly, after removing the study of Gale et al., the cro…
Reframing health care through social media
2015
This teaching case presents the story of the Hospital Campus (HC) project and its effort to reframe health-care services for the elderly through the adoption of social media. In a world of global ageing, in which an increased number of elderly patients will be cared for by a shrinking number of workers, a primary challenge is how to use technology to provide better and more efficient services for the elderly. The HC campus project focuses on how to involve information technology-illiterate elderly patients and their social networks in the design and use of social media services to improve their quality of life. In describing the development of the project, we focus on the elderly patients’…
Differences in familiarity according to the cognitive reserve of healthy elderly people / Diferencias en familiaridad en función de la reserva cognit…
2014
AbstractThis study examines the relationship between cognitive reserve and familiarity processes in recognition memory. We hypothesize that people with high cognitive reserve are able to better compensate in alternative information retrieval processes. Forty-five participants, divided into high and low cognitive reserve groups, conducted a recognition experiment where they were asked to discriminate between studied and non-studied words that varied in perceptual familiarity. The results indicated that participants were able to use perceptual familiarity to improve their level of recognition. More importantly, people with high cognitive reserve used familiarity better than those with low cog…