Pub Date : 2024-12-17DOI: 10.1016/j.regg.2024.101586
Yanira Aranda Rubio , Juan Alberto García de Cubas , Francisco Javier Gómez Pavón
{"title":"El arte como aliado para mejorar la calidad de la asistencia en geriatría","authors":"Yanira Aranda Rubio , Juan Alberto García de Cubas , Francisco Javier Gómez Pavón","doi":"10.1016/j.regg.2024.101586","DOIUrl":"10.1016/j.regg.2024.101586","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101586"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855942","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 : 2024-12-17DOI: 10.1016/j.regg.2024.101572
Susanna Sirigu , José M. Tomas , Sara Enrique , Sylvia Georgieva , Patricia Sancho
Antecedents and objective
The declining birth rate and increasing life expectancy have led to an aging population, causing challenges at the economic, social and healthcare levels. Ensuring and maintaining high levels of well-being and mental health in older adults is crucial for successful aging. Given that previous literature indicates that perceived loneliness and depressive symptoms constitute significant obstacles to their quality of life, the aim of this study is to examine how perceived loneliness and depression intertwined in community-dwelling older adults over time.
Methodology
For this purpose, we conducted a longitudinal research study with a total of 46,317 European older adults (57.40% women), using the SHARE database (Survey of Health, Ageing and Retirement in Europe), at waves 6, 7, and 8, spanning a recent four-year period from 2016 to 2020. Several cross-lagged panel models were estimated using the structural equation modeling package Mplus.
Results
The results show that loneliness and depression are bidirectionally related, which is difficult to combat because of their feedback and stability over time.
Conclusions
We discuss the practical implications of these findings concerning the potential double-edged sword of these reciprocal relationships on treatment and preventive interventions, as well as the study's limitations and future research directions.
{"title":"Un modelo de panel de las relaciones entre soledad y depresión en personas mayores","authors":"Susanna Sirigu , José M. Tomas , Sara Enrique , Sylvia Georgieva , Patricia Sancho","doi":"10.1016/j.regg.2024.101572","DOIUrl":"10.1016/j.regg.2024.101572","url":null,"abstract":"<div><h3>Antecedents and objective</h3><div>The declining birth rate and increasing life expectancy have led to an aging population, causing challenges at the economic, social and healthcare levels. Ensuring and maintaining high levels of well-being and mental health in older adults is crucial for successful aging. Given that previous literature indicates that perceived loneliness and depressive symptoms constitute significant obstacles to their quality of life, the aim of this study is to examine how perceived loneliness and depression intertwined in community-dwelling older adults over time.</div></div><div><h3>Methodology</h3><div>For this purpose, we conducted a longitudinal research study with a total of 46,317 European older adults (57.40% women), using the SHARE database (Survey of Health, Ageing and Retirement in Europe), at waves 6, 7, and 8, spanning a recent four-year period from 2016 to 2020. Several cross-lagged panel models were estimated using the structural equation modeling package Mplus.</div></div><div><h3>Results</h3><div>The results show that loneliness and depression are bidirectionally related, which is difficult to combat because of their feedback and stability over time.</div></div><div><h3>Conclusions</h3><div>We discuss the practical implications of these findings concerning the potential double-edged sword of these reciprocal relationships on treatment and preventive interventions, as well as the study's limitations and future research directions.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101572"},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142855800","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 : 2024-12-16DOI: 10.1016/j.regg.2024.101575
Elena Romero Pisonero , Alicia Calle Egusquiza , Ingrid Bullich Marin , Luis Tejedor López , Carlos Gala Serra , Ainhoa Esteve Arríen , Blanca Garmendia Prieto , Sebastià J. Santaeugénia González
The aging of the population is raising the need to make structural changes in the National Health System. First, the need to increase geriatric services in all hospitals. Second, implement and integrate intermediate care (IC), and Third and last, guarantee medical care in long-term care.
IC is characterized by a wide range of resources located between acute hospital care and primary care, which include hospitalization devices, both with and without admission or confinement, home and outpatient care, which help to provide continuity and time-limited transition of care. The main objective of IC is an integral (multidimensional) and integrated (interdisciplinary and coordinated between different care levels) care of the older adults, based on the specialized geriatric care.
The integration of the IC in the current health system is based on the establishment of two coordinated work dynamics with primary care and acute hospital care, AI becoming key, inside several devices, to prevent hospital admissions (prevent entry -Step Up- focus to give access to primary care to avoid unnecessary hospital admissions) and to facilitate early discharge in acute hospitals (Step Down- focus to promote the best autonomy and functional recovery after a complex acute care).
With these objectives in mind, as members of the Intermediate Care Group of the Spanish Society of Geriatrics and Gerontology, the authors propose the following work aiming to revise the current status of available IC resources in Spain, to analyze the context, historical background and its conceptual framework. All these will allow to highlight the undeniable value of IC to healthcare professionals and managers.
{"title":"Marco conceptual y perspectiva histórica de la atención intermedia","authors":"Elena Romero Pisonero , Alicia Calle Egusquiza , Ingrid Bullich Marin , Luis Tejedor López , Carlos Gala Serra , Ainhoa Esteve Arríen , Blanca Garmendia Prieto , Sebastià J. Santaeugénia González","doi":"10.1016/j.regg.2024.101575","DOIUrl":"10.1016/j.regg.2024.101575","url":null,"abstract":"<div><div>The aging of the population is raising the need to make structural changes in the National Health System. First, the need to increase geriatric services in all hospitals. Second, implement and integrate intermediate care (IC), and Third and last, guarantee medical care in long-term care.</div><div>IC is characterized by a wide range of resources located between acute hospital care and primary care, which include hospitalization devices, both with and without admission or confinement, home and outpatient care, which help to provide continuity and time-limited transition of care. The main objective of IC is an integral (multidimensional) and integrated (interdisciplinary and coordinated between different care levels) care of the older adults, based on the specialized geriatric care.</div><div>The integration of the IC in the current health system is based on the establishment of two coordinated work dynamics with primary care and acute hospital care, AI becoming key, inside several devices, to prevent hospital admissions (prevent entry -Step Up- focus to give access to primary care to avoid unnecessary hospital admissions) and to facilitate early discharge in acute hospitals (Step Down- focus to promote the best autonomy and functional recovery after a complex acute care).</div><div>With these objectives in mind, as members of the Intermediate Care Group of the Spanish Society of Geriatrics and Gerontology, the authors propose the following work aiming to revise the current status of available IC resources in Spain, to analyze the context, historical background and its conceptual framework. All these will allow to highlight the undeniable value of IC to healthcare professionals and managers.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101575"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847666","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 : 2024-12-16DOI: 10.1016/j.regg.2024.101573
Mariona Gifre Monreal , Pilar Monreal-Bosch , Oriol Turró-Garriga , Gloria Pla Comas , Roger López Girao , Alexandra Devesa Fàbrega , Pere Plaja-Roman
Introduction
Currently in Catalonia, multiculturalism is increasing, also among older people. However, little is known about the aspects that give meaning to aging or whether there are differences by origin and culture.
Objectives
Identify what it means to age meaningfully for people over 50 years of age from different origins and cultures.
Method
We present a study carried out with people over 50 years of age from different cultures who live together in the Alt Empordà region (Girona). We have worked with qualitative methodology, 7 focus groups and 2 in-depth interviews.
Results
We identified 9 factors to age meaningfully: 1- Having basic needs covered. 2- Spirituality. 3- Family. 4- Contributing socially/feeling useful. 5- Carrying out leisure activities. 6- Accepting aging. 7- Being able to choose where and how to grow old and die. 8- Visualize the elderly and 9- Personalized attention. The differences between the priorities of these 9 factors have led us to describe three ways of aging with meaning: a) Aging of contemplation, b) Aging enjoying opportunities and c) Aging claiming to be full-fledged agents.
Conclusions
The group of older people is heterogeneous in the same way as the rest of society. This heterogeneity implies different ways of understanding old age with meaning as well as the needs that arise. It is important to work with social and health professionals so that they understand the need to know the person and their interests to better personalize care.
{"title":"Envejecer con sentido. Un estudio cualitativo y multicultural","authors":"Mariona Gifre Monreal , Pilar Monreal-Bosch , Oriol Turró-Garriga , Gloria Pla Comas , Roger López Girao , Alexandra Devesa Fàbrega , Pere Plaja-Roman","doi":"10.1016/j.regg.2024.101573","DOIUrl":"10.1016/j.regg.2024.101573","url":null,"abstract":"<div><h3>Introduction</h3><div>Currently in Catalonia, multiculturalism is increasing, also among older people. However, little is known about the aspects that give meaning to aging or whether there are differences by origin and culture.</div></div><div><h3>Objectives</h3><div>Identify what it means to age meaningfully for people over 50 years of age from different origins and cultures.</div></div><div><h3>Method</h3><div>We present a study carried out with people over 50 years of age from different cultures who live together in the Alt Empordà region (Girona). We have worked with qualitative methodology, 7 focus groups and 2 in-depth interviews.</div></div><div><h3>Results</h3><div>We identified 9 factors to age meaningfully: 1- Having basic needs covered. 2- Spirituality. 3- Family. 4- Contributing socially/feeling useful. 5- Carrying out leisure activities. 6- Accepting aging. 7- Being able to choose where and how to grow old and die. 8- Visualize the elderly and 9- Personalized attention. The differences between the priorities of these 9 factors have led us to describe three ways of aging with meaning: a) Aging of contemplation, b) Aging enjoying opportunities and c) Aging claiming to be full-fledged agents.</div></div><div><h3>Conclusions</h3><div>The group of older people is heterogeneous in the same way as the rest of society. This heterogeneity implies different ways of understanding old age with meaning as well as the needs that arise. It is important to work with social and health professionals so that they understand the need to know the person and their interests to better personalize care.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 3","pages":"Article 101573"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847845","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 : 2024-12-16DOI: 10.1016/j.regg.2024.101580
María Zulaika-Lloret, Ana Gil-Villalba, Marta Cebolla-Verdugo, Ricardo Ruiz-Villaverde
{"title":"Metástasis en coraza de adenocarcinoma de próstata","authors":"María Zulaika-Lloret, Ana Gil-Villalba, Marta Cebolla-Verdugo, Ricardo Ruiz-Villaverde","doi":"10.1016/j.regg.2024.101580","DOIUrl":"10.1016/j.regg.2024.101580","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101580"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847672","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 : 2024-12-16DOI: 10.1016/j.regg.2024.101579
Claudia G. Álvarez Pinheiro, Celia Corral Tuesta, Elisabet Sánchez García
{"title":"Terapia antineoplásica en el adulto mayor con cáncer de mama metastásico triple negativo: elección del régimen terapéutico, tolerabilidad y nuevas dianas. A propósito de un caso","authors":"Claudia G. Álvarez Pinheiro, Celia Corral Tuesta, Elisabet Sánchez García","doi":"10.1016/j.regg.2024.101579","DOIUrl":"10.1016/j.regg.2024.101579","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101579"},"PeriodicalIF":0.0,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142847669","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 : 2024-11-09DOI: 10.1016/j.regg.2024.101583
Carolina Prado , María Victoria López , Ana Cavallo , Milagros García Díaz , Fabián Ortiz , Juan Manuel Serna , Diego Caruso , Vilma Irazola
Background and objectives
While the concept of healthy aging tends to be homogenized, differential characteristics are observed among regions and even within the same country. There are policies aimed at promoting healthy aging; however, it is essential to understand the needs of the population so that these policies can be effective. The objective of this project was to identify gaps between the needs of individuals over 60 years old to achieve healthy aging and the policies implemented in Argentina to support this purpose.
Materials and methods
Descriptive study with a mixed qualitative–quantitative approach was employed in three stages: 1. Documentary review of current programs in Argentina. 2. Visualization of the needs of individuals over 60 years old. 3. Identification of gaps between the stated needs and the proposals of the programs.
Results
Twenty-eight programs were identified with components such as entertainment, peer relationships, social inclusion, and health care and promotion. When evaluating needs for healthy aging, the most frequent responses were maintaining good physical health, keeping the mind active, and continuing to engage in activities. In the gap analysis, it was observed that needs such as continuing activities, family support, and positive attitudes were prioritized more by participants than by the surveyed programs.
Conclusions
There were gaps between the needs identified by adults aged 60 and over and the evaluated programs. This study represents an initial contribution to identify priorities and contribute to aligning government policies with the specific needs of this population group.
{"title":"El desafío del envejecimiento saludable: brechas entre las necesidades de las personas mayores y las políticas implementadas en Argentina","authors":"Carolina Prado , María Victoria López , Ana Cavallo , Milagros García Díaz , Fabián Ortiz , Juan Manuel Serna , Diego Caruso , Vilma Irazola","doi":"10.1016/j.regg.2024.101583","DOIUrl":"10.1016/j.regg.2024.101583","url":null,"abstract":"<div><h3>Background and objectives</h3><div>While the concept of healthy aging tends to be homogenized, differential characteristics are observed among regions and even within the same country. There are policies aimed at promoting healthy aging; however, it is essential to understand the needs of the population so that these policies can be effective. The objective of this project was to identify gaps between the needs of individuals over 60 years old to achieve healthy aging and the policies implemented in Argentina to support this purpose.</div></div><div><h3>Materials and methods</h3><div>Descriptive study with a mixed qualitative–quantitative approach was employed in three stages: 1. Documentary review of current programs in Argentina. 2. Visualization of the needs of individuals over 60 years old. 3. Identification of gaps between the stated needs and the proposals of the programs.</div></div><div><h3>Results</h3><div>Twenty-eight programs were identified with components such as entertainment, peer relationships, social inclusion, and health care and promotion. When evaluating needs for healthy aging, the most frequent responses were maintaining good physical health, keeping the mind active, and continuing to engage in activities. In the gap analysis, it was observed that needs such as continuing activities, family support, and positive attitudes were prioritized more by participants than by the surveyed programs.</div></div><div><h3>Conclusions</h3><div>There were gaps between the needs identified by adults aged 60 and over and the evaluated programs. This study represents an initial contribution to identify priorities and contribute to aligning government policies with the specific needs of this population group.</div></div>","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101583"},"PeriodicalIF":0.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630292","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 : 2024-11-07DOI: 10.1016/j.regg.2024.101584
Feliciano Villar
{"title":"[Consent and sexual rights of people with dementia: A challenge for care professionals].","authors":"Feliciano Villar","doi":"10.1016/j.regg.2024.101584","DOIUrl":"https://doi.org/10.1016/j.regg.2024.101584","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142630293","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 : 2024-11-07DOI: 10.1016/j.regg.2024.101577
Javier Gómez Pavón
{"title":"Geriatría y la atención intermedia: socios estratégicos en los hospitales de agudos","authors":"Javier Gómez Pavón","doi":"10.1016/j.regg.2024.101577","DOIUrl":"10.1016/j.regg.2024.101577","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"60 2","pages":"Article 101577"},"PeriodicalIF":0.0,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142606683","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 : 2024-11-01DOI: 10.1016/j.regg.2024.101574
Eduardo Gallegos Chávez
{"title":"Importancia de la Revista Española de Geriatría y Gerontología en Latinoamérica","authors":"Eduardo Gallegos Chávez","doi":"10.1016/j.regg.2024.101574","DOIUrl":"10.1016/j.regg.2024.101574","url":null,"abstract":"","PeriodicalId":39958,"journal":{"name":"Revista Espanola de Geriatria y Gerontologia","volume":"59 6","pages":"Article 101574"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548164","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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