infection among nursing home residents and, indeed, the accurate diagnosis of a UTI poses significant and distinctive challenges in the nursing home setting. There is no denying, however, that recently the global coronavirus (SARS-CoV-2) pandemic has posed an existential threat to both staff and residents of nursing homes. Resident-focused factors are striking. Psychotropic drugs are the most frequently prescribed medications in European nursing homes, but medication errors in nursing homes in general are relatively prevalent. Contributing factors to a high burden from pain for residents include residents belief set that age-related pain is inevitable, as well as un-der-recognition of pain and inappropriate pain assessment by clinicians. Dehydration is associated with frailty, poor cognition, falls, de-lirium, disability, and mortality. Issues relating to the environment also matter. It is also impossible to ignore the organisational constraints on the provision of high quality care. Faced with widespread staffing short-ages, and many economies in financial distress, one partial solution is to retain current staff longer in nursing homes. Research on nursing home staffing has expanded beyond just staffing levels to include multiple other staffing issues of concern.
{"title":"Delirium in nursing homes: the continued case of B.M.","authors":"S. Rahman","doi":"10.36150/2499-6564-n593","DOIUrl":"https://doi.org/10.36150/2499-6564-n593","url":null,"abstract":"infection among nursing home residents and, indeed, the accurate diagnosis of a UTI poses significant and distinctive challenges in the nursing home setting. There is no denying, however, that recently the global coronavirus (SARS-CoV-2) pandemic has posed an existential threat to both staff and residents of nursing homes. Resident-focused factors are striking. Psychotropic drugs are the most frequently prescribed medications in European nursing homes, but medication errors in nursing homes in general are relatively prevalent. Contributing factors to a high burden from pain for residents include residents belief set that age-related pain is inevitable, as well as un-der-recognition of pain and inappropriate pain assessment by clinicians. Dehydration is associated with frailty, poor cognition, falls, de-lirium, disability, and mortality. Issues relating to the environment also matter. It is also impossible to ignore the organisational constraints on the provision of high quality care. Faced with widespread staffing short-ages, and many economies in financial distress, one partial solution is to retain current staff longer in nursing homes. Research on nursing home staffing has expanded beyond just staffing levels to include multiple other staffing issues of concern.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46581603","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}
This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en CliniCal ObservatiOns in GeriatriCs CliniCal experienCes and Case repOrts
{"title":"Delirium in geriatric rehabilitation: the continued case of B.M","authors":"N. Gual, Cristina Norberta Nicolas, M. Inzitari","doi":"10.36150/2499-6564-n601","DOIUrl":"https://doi.org/10.36150/2499-6564-n601","url":null,"abstract":"This is an open access article distributed in accordance with the CC-BY-NC-ND (Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International) license. The article can be used by giving appropriate credit and mentioning the license, but only for non-commercial purposes and only in the original version. For further information: https://creativecommons.org/licenses/by-nc-nd/4.0/deed.en CliniCal ObservatiOns in GeriatriCs CliniCal experienCes and Case repOrts","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41984406","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}
C. Trevisan, Anna-Karin Welmer, C. Curreri, M. Noale, S. Maggi, G. Sergi
{"title":"The impact of falls on the need for hospital care in older people: results from the Pro.V.A. study","authors":"C. Trevisan, Anna-Karin Welmer, C. Curreri, M. Noale, S. Maggi, G. Sergi","doi":"10.36150/2499-6564-n406","DOIUrl":"https://doi.org/10.36150/2499-6564-n406","url":null,"abstract":"","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42766662","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}
Daniel L. Amram, V. Zagà, V. Cellesi, M. Cattaruzza
{"title":"COVID-19: tobacco smoking and other risk factors in the elderly","authors":"Daniel L. Amram, V. Zagà, V. Cellesi, M. Cattaruzza","doi":"10.36150/2499-6564-n326","DOIUrl":"https://doi.org/10.36150/2499-6564-n326","url":null,"abstract":"","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44736451","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}
R. Franchi, C. Okoye, V. Morelli, D. Guarino, Tessa Mazzarone, Giulia Coppini, U. Peta, S. Rogani, A. Fabbri, A. Polini, F. Monzani
{"title":"Utility of lung ultrasound in selecting older patients with hyperinflammatory phase in COVID-19 pneumonia. A monocentric, cross-sectional pilot study","authors":"R. Franchi, C. Okoye, V. Morelli, D. Guarino, Tessa Mazzarone, Giulia Coppini, U. Peta, S. Rogani, A. Fabbri, A. Polini, F. Monzani","doi":"10.36150/2499-6564-n554","DOIUrl":"https://doi.org/10.36150/2499-6564-n554","url":null,"abstract":"","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42193464","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}
T. Oscanoa, José Amado-Tineo, Ricardo J Ayala-García, Roxana Mamani-Quiroz, Javier Matta-Pérez, Ángel Ardiles-Melgarejo, Carlos Marcos-Hernández, Waldo Taype-Huamaní, Jefferson Rojas-Guimaray, Sthephany Matos-Santiváñez, Loyda Miranda-Chávez, Ana Deza-Sime, Moisés Apolaya-Segura, R. Romero-Ortuño
; and lower lymphocyte count (p = 0.003), albumin (p < 0.001) and Alanine aminotransferase (ALT) (p = 0.003). In the older group, CRT showed that the best predictor of mortality was the chest Computed Tomography Total Severity Score, with those with a score over 12 having 85.2% mortality. Conclusions . Mortality in patients hospitalized with severe COVID-19 was high, especially in older patients. In the latter, mortality was best predicted by an objective radiological marker of chest disease.
{"title":"Clinical features and mortality predictors of older hospitalized patients with severe COVID-19 in Lima, Perú","authors":"T. Oscanoa, José Amado-Tineo, Ricardo J Ayala-García, Roxana Mamani-Quiroz, Javier Matta-Pérez, Ángel Ardiles-Melgarejo, Carlos Marcos-Hernández, Waldo Taype-Huamaní, Jefferson Rojas-Guimaray, Sthephany Matos-Santiváñez, Loyda Miranda-Chávez, Ana Deza-Sime, Moisés Apolaya-Segura, R. Romero-Ortuño","doi":"10.36150/2499-6564-n470","DOIUrl":"https://doi.org/10.36150/2499-6564-n470","url":null,"abstract":"; and lower lymphocyte count (p = 0.003), albumin (p < 0.001) and Alanine aminotransferase (ALT) (p = 0.003). In the older group, CRT showed that the best predictor of mortality was the chest Computed Tomography Total Severity Score, with those with a score over 12 having 85.2% mortality. Conclusions . Mortality in patients hospitalized with severe COVID-19 was high, especially in older patients. In the latter, mortality was best predicted by an objective radiological marker of chest disease.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44479485","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}
T. Di Libero, E. Langiano, C. Carissimo, M. Ferrara, P. Diotaiuti, A. Rodio
{"title":"Technological support for people with Parkinson’s disease: a narrative review","authors":"T. Di Libero, E. Langiano, C. Carissimo, M. Ferrara, P. Diotaiuti, A. Rodio","doi":"10.36150/2499-6564-n523","DOIUrl":"https://doi.org/10.36150/2499-6564-n523","url":null,"abstract":"","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49602880","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}
{"title":"The intricate connection between depression and dementia as a major challenge for clinicians","authors":"F. Ronchetto, Martina Ronchetto","doi":"10.36150/2499-6564-n518","DOIUrl":"https://doi.org/10.36150/2499-6564-n518","url":null,"abstract":"","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47137854","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}
Nupoor Kulkarni, E. Tsepis, Vaishali V. Phalke, S. Tilekar, Kaliopi Pouliasi, Marina Theodoritzi, Aashirwad A. Mahajan
{"title":"A randomized controlled trial on impact of group exercise programme on fall risk, balance, strength, fear of fall and quality of life of older adults","authors":"Nupoor Kulkarni, E. Tsepis, Vaishali V. Phalke, S. Tilekar, Kaliopi Pouliasi, Marina Theodoritzi, Aashirwad A. Mahajan","doi":"10.36150/2499-6564-n540","DOIUrl":"https://doi.org/10.36150/2499-6564-n540","url":null,"abstract":"","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42246790","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}
I. Mattioli, Francesca Remelli, M. Brunori, C. delli Gatti, A. Zurlo, S. Volpato
We presented a case of a 87-year-old woman hospitalized for chronic watery diarrhea, affected by multimorbidities. After excluding other causes of diarrhea by biohumoral and microbiological tests, endoscopy was performed without revealing any macroscopic abnormalities, but, at histological examination of random biopsies, the characteristic features of collagenous colitis were found. Lansoprazolo and sertraline, chronically taken by the patient, was discontinued, and budesonide was started with prompt clinical improvement. Collagenous colitis is a rare cause of chronic diarrhea in advanced age, but it should be suspected in patients with polypharmacotherapy, after an accurate differential diagnosis.
{"title":"A drug-induced microscopic colitis in an older woman: a case report","authors":"I. Mattioli, Francesca Remelli, M. Brunori, C. delli Gatti, A. Zurlo, S. Volpato","doi":"10.36150/2499-6564-n564","DOIUrl":"https://doi.org/10.36150/2499-6564-n564","url":null,"abstract":"We presented a case of a 87-year-old woman hospitalized for chronic watery diarrhea, affected by multimorbidities. After excluding other causes of diarrhea by biohumoral and microbiological tests, endoscopy was performed without revealing any macroscopic abnormalities, but, at histological examination of random biopsies, the characteristic features of collagenous colitis were found. Lansoprazolo and sertraline, chronically taken by the patient, was discontinued, and budesonide was started with prompt clinical improvement. Collagenous colitis is a rare cause of chronic diarrhea in advanced age, but it should be suspected in patients with polypharmacotherapy, after an accurate differential diagnosis.","PeriodicalId":42690,"journal":{"name":"Journal of Gerontology and Geriatrics","volume":" ","pages":""},"PeriodicalIF":0.4,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44688724","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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