Search results for "geriatric"
showing 10 items of 1602 documents
Trends in psychotropic drug prescribing in Norwegian nursing homes from 1997 to 2009: a comparison of six cohorts
2012
Background Psychotropic drugs are extensively prescribed for the treatment of neuropsychiatric symptoms, despite modest efficacy and severe side effects. Aims We examined trends in psychotropic drug prescribing in Norwegian nursing homes from 1997 to 2009, in order to gain insight in practice development. Methods The study is a secondary data analysis of six cross-sectional nursing home studies conducted between 1997 and 2009. Patients aged >65 years were included. We compared the prevalence of psychotropic drugs (antipsychotics, anxiolytics, hypnotics, and antidepressants). Associations between prescription of psychotropics, and patients' age, gender, type of ward, and year of data collect…
Antiepileptic drug use in nursing homes
2007
Contrary to former views, the incidence rate of epilepsy after the age of 65 years is higher than in childhood and adolescence, and epileptic seizures are one of the most common neurological problems in the elderly. Given that the incidence of epilepsy increases with advancing age and is not accompanied by an increase in mortality and given that elderly people now live longer, the prevalence of epilepsy is increasing with older age. Antiepileptic drugs (AEDs) are the primary treatment for epilepsy, although they are prescribed for other conditions too. Among nursing home residents the prevalence of seizures or epilepsy is between 5 and 8%, while AEDs are taken by approximately 5–10%. It is…
The role of prognostic stratification on prescription of anticoagulants in older patients with atrial fibrillation : a multicenter, observational, pr…
2022
Background: Literature suggests that different risks of mortality could influence physicians in prescribing or not anticoagulants in older patients with atrial fibrillation (AF). The Multidimensional Prognostic Index (MPI) can be considered a tool for the detection of multidimensional frailty. The aim of this cross-sectional study was to evaluate whether prescription patterns of oral anticoagulants exist, based on MPI values. Methods: Older hospitalised patients (age >= 65 years) with non-valvular AF were included across 24 European centres. MPI was calculated using validated and standardised tools derived from a comprehensive geriatric assessment. Other functional and clinical information …
Transcatheter aortic valve implantation in 2015
2016
Not available
Digital ageing in Europe: a comparative analysis of Italian, Finnish and Swedish national policies on eHealth
2023
AbstractAgeing Europeans are today healthier than previous generations and often manage to live independently up to a high age. The proportion of people 80 years of age and older has increased significantly, and with high age the risk of multi-illness and dementia increases. Strong urbanisation processes have changed the demographic structure in rural areas, and young women and men have migrated towards the urban areas to study and work, while older persons have remained behind. This demographic challenge of increasing numbers of persons older than 80 years with care needs living in remote rural areas has become a major European social problem. In tackling this dilemma, many European countr…
Photography in Arts-Based Educational Research
2021
[Resumen] Este artículo analiza el uso de la fotografía como artefacto y documentación pedagógica de la investigación educativa basada en las artes. Su puesta en práctica se materializa a través del proyecto colaborativo “Maneras de hacer mundos”, entre dos universidades españolas. Este ahonda en los discursos docentes, sus metodologías y su pensamiento a través de acciones performativas mediante el uso de la fotografía. Dichas acciones constituyen una manera de subvertir el aula y reflexionar sobre ella, sobre todo, al centrarnos en la formación inicial del profesorado en artes visuales. Los resultados de las acciones permiten visualizar los espacios de reflexión y análisis que los partici…
Validación de Instrumento para medir las percepciones de los docentes sobre el diseño universal para el aprendizaje
2019
El diseño universal para el aprendizaje (dua) ha sido estudiando en los últimos años como modelo para responder a la diversidad en el aula. Sin embargo, hay pocas investigaciones que proporcionen datos sobre su eficacia. El objetivo de este artículo es validar una herramienta que permita evaluar las percepciones basadas en dua de los profesionales, a través del análisis factorial confirmatorio de una muestra de 230 profesionales. Para ello, una escala fue creada con 26 ítems: 9 ítems para el principio 1, 8 ítems para el principio 2 y 9 ítems para el principio 3. Los resultados muestran que la escala tenía una solución confirmatoria válida de tres factores, índices de confiabilidad satisfact…
Frailty and emergency surgery in the elderly: protocol of a prospective, multicenter study in Italy for evaluating perioperative outcome (The FRAILES…
2018
Improvements in living conditions and progress in medical management have resulted in better quality of life and longer life expectancy. Therefore, the number of older people undergoing surgery is increasing. Frailty is often described as a syndrome in aged patients where there is augmented vulnerability due to progressive loss of functional reserves. Studies suggest that frailty predisposes elderly to worsening outcome after surgery. Since emergency surgery is associated with higher mortality rates, it is paramount to have an accurate stratification of surgical risk in such patients. The aim of our study is to characterize the clinicopathological findings, management, and short-term outcom…
Aortic valve stenosis: Treatments options in elderly high-risk patients
2016
Not available
The Impact of Using Measurements of Electrodermal Activity in the Assessment of Problematic Behaviour in Dementia
2018
Background: A major and complex challenge when trying to support individuals with dementia is meeting the needs of those who experience changes in behaviour and mood. Aim: To explore how a sensor measuring electrodermal activity (EDA) impacts assistant nurses’ structured assessments of problematic behaviours amongst people with dementia and their choices of care interventions. Methods: Fourteen individuals with dementia wore a sensor that measured EDA. The information from the sensor was presented to assistant nurses during structured assessments of problematic behaviours. The evaluation process included scorings with the instrument NPI-NH (Neuropsychiatric Inventory-Nursing Home version), …