Pub Date : 2023-06-26DOI: 10.12809/ajgg-2022-575-ra
D. Miu, P. Lam, June Chui Yan Yeung
{"title":"Osteoporosis in older people: a narrative review","authors":"D. Miu, P. Lam, June Chui Yan Yeung","doi":"10.12809/ajgg-2022-575-ra","DOIUrl":"https://doi.org/10.12809/ajgg-2022-575-ra","url":null,"abstract":"","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46863461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-12DOI: 10.12809/ajgg-2022-554-ra
Mandy R Bryce, Colby J. C. Bryce
Urinary tract infection (UTI) is common in women and older people. Cranberry is effective in preventing UTI. We searched databases of Ovid, Cochrane, Medline, CINAHL, and Google Scholar using keywords (cranberry, urinary tract infection, antibiotic resistance, elderly, and geriatric) to identify systematic reviews that contained randomised controlled trials (with control and experimental groups) that investigated the effectiveness of cranberry interventions in improving urinary tract health in older adults with or without recurrent UTI. A total of six systematic reviews were included. The number of participants in each review ranged from 1494 to 4473, with >10 000 participants overall. All six reviews included participants aged >65 years. Many participants were female and from age-care and hospital settings. All six reviews found some level of support for the cranberry groups to have greater reduction in UTI recurrence than the placebo groups. Nonetheless, one review found non-significant trends. Trends towards a reduction in UTI were noted among older people who regularly consumed cranberry products. More specifically, twice daily consumption of cranberry capsule (containing at least 36 mg proanthocyanidins) was most protective against bacterial adhesion and virulence in the urinary tract.
{"title":"Cranberry products to reduce recurrence of urinary tract infections in older people: a narrative review","authors":"Mandy R Bryce, Colby J. C. Bryce","doi":"10.12809/ajgg-2022-554-ra","DOIUrl":"https://doi.org/10.12809/ajgg-2022-554-ra","url":null,"abstract":"Urinary tract infection (UTI) is common in women and older people. Cranberry is effective in preventing UTI. We searched databases of Ovid, Cochrane, Medline, CINAHL, and Google Scholar using keywords (cranberry, urinary tract infection, antibiotic resistance, elderly, and geriatric) to identify systematic reviews that contained randomised controlled trials (with control and experimental groups) that investigated the effectiveness of cranberry interventions in improving urinary tract health in older adults with or without recurrent UTI. A total of six systematic reviews were included. The number of participants in each review ranged from 1494 to 4473, with >10 000 participants overall. All six reviews included participants aged >65 years. Many participants were female and from age-care and hospital settings. All six reviews found some level of support for the cranberry groups to have greater reduction in UTI recurrence than the placebo groups. Nonetheless, one review found non-significant trends. Trends towards a reduction in UTI were noted among older people who regularly consumed cranberry products. More specifically, twice daily consumption of cranberry capsule (containing at least 36 mg proanthocyanidins) was most protective against bacterial adhesion and virulence in the urinary tract.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44074005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-12DOI: 10.12809/ajgg-2021-511-cr
Wai Chen, C. Ko
We report a case of tuberculous pericarditis in a 65-year-old man. Tuberculous pericarditis is an extra-pulmonary tuberculous in endemic areas. Its complications include constrictive pericarditis and cardiac tamponade. Computed tomography and cardiovascular magnetic resonance imaging are important tools to detect pericardial disease. Measurement of adenosine deaminase level in the pericardial fluid is a valuable diagnostic test, with good specificity and sensitivity. Timely administration of anti-tuberculous and steroid therapy reduces the risk of constrictive pericarditis.
{"title":"Tuberculous pericarditis in an older adult: a case report","authors":"Wai Chen, C. Ko","doi":"10.12809/ajgg-2021-511-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2021-511-cr","url":null,"abstract":"We report a case of tuberculous pericarditis in a 65-year-old man. Tuberculous pericarditis is an extra-pulmonary tuberculous in endemic areas. Its complications include constrictive pericarditis and cardiac tamponade. Computed tomography and cardiovascular magnetic resonance imaging are important tools to detect pericardial disease. Measurement of adenosine deaminase level in the pericardial fluid is a valuable diagnostic test, with good specificity and sensitivity. Timely administration of anti-tuberculous and steroid therapy reduces the risk of constrictive pericarditis.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48312460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-12DOI: 10.12809/ajgg-2020-430-oa
L. Dehghankar, A. Ghorbani, M. Anbari
Objective. To determine the association between depression and quality of sleep in older people in Qazvin, Iran. Methods. Older people aged ≥ 60 years who were referred to urban health centres in Qazvin, Iran between 2018 and 2019 were randomly selected via multistage cluster sampling. Inclusion criteria were ability to communicate and no history of cognitive, psychiatric, or neurological disorders (according to medical records). Depression and sleep quality of participants were assessed by two trained nurses. Depression was assessed using the validated Iranian version of the 15-item Geriatric Depression Scale (GDS-15). Sleep quality and its problems over a 1-month period was measured using the self-report Pittsburgh Sleep Quality Index (PSQI). A cut-off score of >5 is considered poor sleep quality. Results. 194 men and 206 women aged 60 to 87 years were recruited. The mean GDS score was 7.04; 255 (63.8%) had no depression and 145 (36.3%) had depression. The two groups differed significantly in terms of education (p=0.021), chronic disease (p=0.015), and economic status (p=0.026). 80% of participants had poor sleep quality (PSQI score of >5). The mean PSQI score was higher in those with depression than in those without depression (7.82 vs 6.71, P<0.001). Participants with depression also had higher subscores in sleep latency (p=0.021), sleep disturbances (p=0.047), use of sleeping medication (p=0.011), and daytime dysfunction (p=0.003). In the logistic regression analysis, poor sleep quality (PSQI score of >5) was associated with 2.55-fold increased risk of depression after adjusting for age, sex, disease, and economic status. Discussion. The prevalence of poor sleep quality and depression in Iranian older people is high. Poor sleep quality is associated with depression in older people. Interventions should be provided to improve sleep quality of older people. Measures to attract social participation, promote health status, and provide consulting services for older people are warranted.
{"title":"Association between depression and sleep quality in Iranian older adults","authors":"L. Dehghankar, A. Ghorbani, M. Anbari","doi":"10.12809/ajgg-2020-430-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2020-430-oa","url":null,"abstract":"Objective. To determine the association between depression and quality of sleep in older people in Qazvin, Iran. Methods. Older people aged ≥ 60 years who were referred to urban health centres in Qazvin, Iran between 2018 and 2019 were randomly selected via multistage cluster sampling. Inclusion criteria were ability to communicate and no history of cognitive, psychiatric, or neurological disorders (according to medical records). Depression and sleep quality of participants were assessed by two trained nurses. Depression was assessed using the validated Iranian version of the 15-item Geriatric Depression Scale (GDS-15). Sleep quality and its problems over a 1-month period was measured using the self-report Pittsburgh Sleep Quality Index (PSQI). A cut-off score of >5 is considered poor sleep quality. Results. 194 men and 206 women aged 60 to 87 years were recruited. The mean GDS score was 7.04; 255 (63.8%) had no depression and 145 (36.3%) had depression. The two groups differed significantly in terms of education (p=0.021), chronic disease (p=0.015), and economic status (p=0.026). 80% of participants had poor sleep quality (PSQI score of >5). The mean PSQI score was higher in those with depression than in those without depression (7.82 vs 6.71, P<0.001). Participants with depression also had higher subscores in sleep latency (p=0.021), sleep disturbances (p=0.047), use of sleeping medication (p=0.011), and daytime dysfunction (p=0.003). In the logistic regression analysis, poor sleep quality (PSQI score of >5) was associated with 2.55-fold increased risk of depression after adjusting for age, sex, disease, and economic status. Discussion. The prevalence of poor sleep quality and depression in Iranian older people is high. Poor sleep quality is associated with depression in older people. Interventions should be provided to improve sleep quality of older people. Measures to attract social participation, promote health status, and provide consulting services for older people are warranted.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47339492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-12DOI: 10.12809/ajgg-2021-503-cr
T. Oo, Fong Sheng, Alexis Ang Guat Cheng
We report a case of sealed perforation of jejunoileal diverticulitis in an 88-year-old man presented with transient abdominal pain. An urgent computed tomography of the abdomen and pelvis showed foci of extra-luminal free air suspected of perforation. The patient was treated with intravenous antibiotics and regular follow-ups. He recovered after 2 months of conservative treatment.
{"title":"Sealed perforation of jejunoileal diverticulitis: a case report","authors":"T. Oo, Fong Sheng, Alexis Ang Guat Cheng","doi":"10.12809/ajgg-2021-503-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2021-503-cr","url":null,"abstract":"We report a case of sealed perforation of jejunoileal diverticulitis in an 88-year-old man presented with transient abdominal pain. An urgent computed tomography of the abdomen and pelvis showed foci of extra-luminal free air suspected of perforation. The patient was treated with intravenous antibiotics and regular follow-ups. He recovered after 2 months of conservative treatment.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66199311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-12DOI: 10.12809/ajgg-2022-528-oa
Y. Ho, Ungku Ahmad Ameen bin Ungku Mohd Zam, Dewi Juita Sirimanne, A. Shunmugarajoo, Nur Asyikin bt Mohd Yunus, Azureen bt Azmel, Ai Xuan Tee, Intan Nur Hadilah, Q. Lau, Nor Nadia Farasha bt Abdullah
Objective. This study aims to compare older and younger patients with COVID-19 infection in terms of patient characteristics, presenting symptoms, laboratory parameters, complications, treatment received, and outcomes. Methods. Medical records of patients aged >12 years who were admitted to Hospital Tengku Ampuan Rahimah between 1 January 2021 and 31 June 2021 with polymerase chain reaction-proven COVID-19 infection were retrospectively reviewed. Data collected included sociodemographic data (age, ethnicity, sex, and residence), comorbidities, COVID-19 presentation (acute presenting symptoms, primary working diagnosis, disease severity, laboratory parameters on admission, and treatment received), and outcomes (complications, length of hospital stay, discharge destination, oxygen support required, and mortality). Results. A total of 259 patients aged 18 to 91 years were admitted to our hospital with COVID-19 infection. Of them, 182 (70.3%) were younger patients and 77 (29.7%) were older patients (aged >60 years). More older patients than younger patients had comorbidities (87.0% vs 49.5%, p<0.001) and presented with delirium (13% vs 0.5%, p<0.001) and lethargy (33.8% vs 15.9%, p=0.001). More older patients had severe COVID-19 infection (72.7% vs 38.5%, p<0.001), with 9.1% necessitating intubation. More older patients were prescribed favipiravir (64.9% vs 32.4%, p<0.001), antibiotics (76.6% vs 44%, p<0.001), and steroid (75.3% vs 40.1%, p<0.001). More older patients required intensive care (32.5% vs 17%, p=0.003). More older patients developed complications such as secondary infection (41.6% vs 17%, p<0.001) and acute kidney injury necessitating dialysis (20.8% vs 8.8%, p=0.005). Older patients had longer length of hospital stay (14 vs 12 days, p<0.001) and higher mortality (18.2% vs 4.4%, p<0.001). Conclusion. Older patients with COVID-19 infection tend to have more severe disease, higher complication rate, and higher mortality. Timely management is essential to minimise morbidity and mortality.
{"title":"Clinical characteristics between older and younger patients with COVID-19 infection in a tertiary hospital: a retrospective cross-sectional study","authors":"Y. Ho, Ungku Ahmad Ameen bin Ungku Mohd Zam, Dewi Juita Sirimanne, A. Shunmugarajoo, Nur Asyikin bt Mohd Yunus, Azureen bt Azmel, Ai Xuan Tee, Intan Nur Hadilah, Q. Lau, Nor Nadia Farasha bt Abdullah","doi":"10.12809/ajgg-2022-528-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2022-528-oa","url":null,"abstract":"Objective. This study aims to compare older and younger patients with COVID-19 infection in terms of patient characteristics, presenting symptoms, laboratory parameters, complications, treatment received, and outcomes. Methods. Medical records of patients aged >12 years who were admitted to Hospital Tengku Ampuan Rahimah between 1 January 2021 and 31 June 2021 with polymerase chain reaction-proven COVID-19 infection were retrospectively reviewed. Data collected included sociodemographic data (age, ethnicity, sex, and residence), comorbidities, COVID-19 presentation (acute presenting symptoms, primary working diagnosis, disease severity, laboratory parameters on admission, and treatment received), and outcomes (complications, length of hospital stay, discharge destination, oxygen support required, and mortality). Results. A total of 259 patients aged 18 to 91 years were admitted to our hospital with COVID-19 infection. Of them, 182 (70.3%) were younger patients and 77 (29.7%) were older patients (aged >60 years). More older patients than younger patients had comorbidities (87.0% vs 49.5%, p<0.001) and presented with delirium (13% vs 0.5%, p<0.001) and lethargy (33.8% vs 15.9%, p=0.001). More older patients had severe COVID-19 infection (72.7% vs 38.5%, p<0.001), with 9.1% necessitating intubation. More older patients were prescribed favipiravir (64.9% vs 32.4%, p<0.001), antibiotics (76.6% vs 44%, p<0.001), and steroid (75.3% vs 40.1%, p<0.001). More older patients required intensive care (32.5% vs 17%, p=0.003). More older patients developed complications such as secondary infection (41.6% vs 17%, p<0.001) and acute kidney injury necessitating dialysis (20.8% vs 8.8%, p=0.005). Older patients had longer length of hospital stay (14 vs 12 days, p<0.001) and higher mortality (18.2% vs 4.4%, p<0.001). Conclusion. Older patients with COVID-19 infection tend to have more severe disease, higher complication rate, and higher mortality. Timely management is essential to minimise morbidity and mortality.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41886064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-12DOI: 10.12809/ajgg-2022-565-letter
S. Teo
{"title":"Use of ICD-10 coding in electronic records to monitor progress towards global dementia targets","authors":"S. Teo","doi":"10.12809/ajgg-2022-565-letter","DOIUrl":"https://doi.org/10.12809/ajgg-2022-565-letter","url":null,"abstract":"","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45068771","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-12DOI: 10.12809/ajgg-2021-505-cr
D. Chan, Luke KM Chan, C. Berney
We report a case of sudden onset of breathlessness secondary to diaphragmatic hernia in a 98-year-old woman admitted for recurrent falls.
我们报告一例突发性呼吸困难继发膈疝在一个98岁的妇女入院复发跌倒。
{"title":"Sudden onset of breathlessness secondary to diaphragmatic hernia: a case report","authors":"D. Chan, Luke KM Chan, C. Berney","doi":"10.12809/ajgg-2021-505-cr","DOIUrl":"https://doi.org/10.12809/ajgg-2021-505-cr","url":null,"abstract":"We report a case of sudden onset of breathlessness secondary to diaphragmatic hernia in a 98-year-old woman admitted for recurrent falls.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49018765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-15DOI: 10.12809/ajgg-2021-509-letter
S. Teo
{"title":"Telemedicine or virtual consultations for older adults during the COVID-19 pandemic","authors":"S. Teo","doi":"10.12809/ajgg-2021-509-letter","DOIUrl":"https://doi.org/10.12809/ajgg-2021-509-letter","url":null,"abstract":"","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43773264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-15DOI: 10.12809/ajgg-2022-522-oa
J. Luk, Francis O Y Lin, T. Chan
Objective. To evaluate the safety and effectiveness of the careful hand feeding (CHF) programme in a geriatric step-down hospital. Methods. Medical records of patients aged >65 years who received CHF in FungYiu King Hospital between February 2017 and November 2021 were retrospectively reviewed. Results. 446 patients (178 men and 268 women) aged 66 to 109 (mean, 91) years were included for analysis. 88% of patients were severely frail or very severely frail. 70% of patients had advanced dementia. 81.3% of patients had dysphagia. 44% of patients were in imminent death status (who were highly likely to die within a week) before starting CHF. Food intake during CHF was poor or very poor in 51 % of patients and satisfactory or good in 49% of patients. 90% of patients required clinically assisted hydration. The mean length of hospital stay was 19.3?16 days, and the mean duration of CHF was 14?13.5 days. 39% of patients died during the index admission;most of the remaining 61% of patients were discharged to their original placement. 27 (6%) patients had pneumonia. Independent predictors for pneumonia were the length of hospital stay (odds ratio=1.024, p=0.014) and poor/very poor intake (odds ratio=1.82, p=0.017). Conclusion. CHF is safe in a geriatric step-down hospital and avoids use of a nasogastric feeding tube in patients in their last phase of life. It fosters comfort and dignity for dying patients. Most patients can return to their original placement for CHF after discharge.
{"title":"Careful hand feeding in a geriatric step-down hospital: a retrospective study","authors":"J. Luk, Francis O Y Lin, T. Chan","doi":"10.12809/ajgg-2022-522-oa","DOIUrl":"https://doi.org/10.12809/ajgg-2022-522-oa","url":null,"abstract":"Objective. To evaluate the safety and effectiveness of the careful hand feeding (CHF) programme in a geriatric step-down hospital. Methods. Medical records of patients aged >65 years who received CHF in FungYiu King Hospital between February 2017 and November 2021 were retrospectively reviewed. Results. 446 patients (178 men and 268 women) aged 66 to 109 (mean, 91) years were included for analysis. 88% of patients were severely frail or very severely frail. 70% of patients had advanced dementia. 81.3% of patients had dysphagia. 44% of patients were in imminent death status (who were highly likely to die within a week) before starting CHF. Food intake during CHF was poor or very poor in 51 % of patients and satisfactory or good in 49% of patients. 90% of patients required clinically assisted hydration. The mean length of hospital stay was 19.3?16 days, and the mean duration of CHF was 14?13.5 days. 39% of patients died during the index admission;most of the remaining 61% of patients were discharged to their original placement. 27 (6%) patients had pneumonia. Independent predictors for pneumonia were the length of hospital stay (odds ratio=1.024, p=0.014) and poor/very poor intake (odds ratio=1.82, p=0.017). Conclusion. CHF is safe in a geriatric step-down hospital and avoids use of a nasogastric feeding tube in patients in their last phase of life. It fosters comfort and dignity for dying patients. Most patients can return to their original placement for CHF after discharge.","PeriodicalId":38338,"journal":{"name":"Asian Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49267693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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