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[Journal Club]. [期刊俱乐部]
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2024-04-16 DOI: 10.1007/s00391-024-02301-8
Anna Maria Meyer
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引用次数: 0
Negotiating vulnerability and attractiveness through dress. 通过着装商讨脆弱性和吸引力。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2024-05-16 DOI: 10.1007/s00391-024-02312-5
Julia Hahmann, Miranda Leontowitsch

Background: The ageing female body is particularly exposed to the social gaze. While it should remain fit and durable as well as attractive and desirable, there is the danger of ridicule through supposedly too youthful or too outlandish performance. Women's clothing practices can conform to social expectations, can circumvent them, can actively protest against them, and possibly change social demands. In every part of the process, i.e., the experience of bodily changes, the experience of social expectations, consumer choices, the practices of clothing and reactions to clothing choices, the body and getting dressed becomes a site of new feelings of vulnerability.

Objective: This article asks how these vulnerabilities are presented in the clothing practices of older women, are expressed in the materiality of clothes and in the practices of getting dressed.

Material and methods: Data from a study that followed a situational analysis methodology and used semi-structured interviews and photo elicitation, were re-examined through the lens of vulnerability.

Results: Different aspects to vulnerability are presented in this article. Interviewees had to come to terms with bodily changes and made arrangement to the way they dressed that in turn could collide with subjective and social expectations of normative femininity. In this process of acquiescing, new vulnerabilities were produced; however, interviewees developed clothing strategies that provided them with experiences of their own attractiveness. They also had to adapt to changing circumstances to present themselves as fashionable and attractive due to age.

Conclusion: Practitioners can address feelings of vulnerabilities when talking about gendered clothing practices, for example through biographical work.

背景:衰老的女性身体特别容易受到社会的注视。虽然女性的身体应保持健美、耐久、迷人和令人向往,但也有可能因为所谓的过于年轻或过于离奇的表现而受到嘲笑。女性的服装实践既可以符合社会期望,也可以规避社会期望,还可以积极抗议社会期望,并有可能改变社会需求。在这一过程的每一个部分,即身体变化的体验、社会期望的体验、消费者的选择、服装的实践以及对服装选择的反应,身体和着装都成为新的脆弱感的场所:本文探讨了这些脆弱性如何在老年妇女的着装实践中表现出来,如何在服装的物质性和着装实践中表达出来:通过脆弱性的视角重新审视了一项采用情景分析方法、半结构式访谈和照片征集的研究数据:本文介绍了脆弱性的不同方面。受访者不得不接受身体的变化,并对自己的着装方式做出安排,而这又可能与主观和社会对规范女性的期望相冲突。在这一默认的过程中,产生了新的脆弱性;然而,受访者制定的服装策略使她们体验到了自身的吸引力。她们还必须适应不断变化的环境,以展现自己因年龄而具有的时尚魅力:实践者在讨论性别服装实践时,可以通过传记工作等方式来解决脆弱感问题。
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引用次数: 0
Palliative (farewell) culture in shared housing arrangements : The perspective of everyday nursing practice. 共同住房安排中的姑息(告别)文化 :日常护理实践的视角。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2024-06-04 DOI: 10.1007/s00391-024-02313-4
Carola Walter, Katharina Lex

Background: Shared housing arrangements (SHA) are alternatives to long-term care facilities for care-dependent people. The collective perspective of nursing professionals working in SHA in dealing with death and dying is missing in recent studies. This study aimed to investigate the perspective of professionals concerning a palliative (farewell) culture in SHA.

Methods: In this study two group discussions were conducted with nurses and nursing assistants working in SHA. Data were analyzed using the documentary method, with the aim of working out the professional orientation framework concerning a collective palliative culture.

Results: Nurses enable a palliative (farewell) culture. This leads to the fact that hospice services are not used in these SHA. The distance to relatives as well as a short dying process or incomplete dying support can make a successful palliative culture difficult. Depending on the conscious assumption of responsibility for a palliative culture in the nursing concept of SHA, death and dying are discussed at an early stage with the relatives and care-dependent people.

Discussion: The constantly progressing palliative culture in SHA is based on nurses' experiences, general practitioners (GP) and relatives. The family carers' role is ambiguous. If they do what they are supposed to do from the professional nurses' point of view and are closely connected to the nurses, they are viewed positively and as enablers of a palliative culture. If family carers' responsibilities are not communicated and they are not in close contact with professional nurses, they are viewed as opponents of a palliative culture. The GPs are seen as enablers of a palliative culture in both discussions. A timely discussion on what might happen in the end of life phase, formalized or not, helps all involved groups to be prepared.

背景:共同住房安排(SHA)是为依赖护理的人提供的长期护理设施的替代方案。最近的研究中缺少在共享住房安排中工作的护理专业人员处理死亡和临终问题的集体视角。本研究旨在调查专业人员对安老院姑息(告别)文化的看法:在这项研究中,与在上海和睦家医院工作的护士和护理助理进行了两次小组讨论。采用文献法对数据进行了分析,目的是制定有关集体姑息文化的专业方向框架:结果:护士促成了姑息(告别)文化。结果:护士促成了一种姑息(告别)文化,这导致在这些医疗机构中没有使用临终关怀服务。与亲属的距离、短暂的临终过程或不完整的临终支持,都会使姑息文化难以成功实施。根据 SHA 护理理念中对姑息文化责任的自觉承担,在早期阶段就与亲属和依赖护理的人讨论死亡和临终问题:讨论:上海和睦家医院不断发展的姑息文化是基于护士、全科医生(GP)和亲属的经验。家庭照护者的角色是模糊的。如果他们从专业护士的角度出发,做了他们应该做的事情,并且与护士密切相关,那么他们就会被积极地看待,成为姑息文化的推动者。如果家庭照护者的责任没有得到沟通,也没有与专业护士保持密切联系,那么他们就会被视为姑息文化的反对者。在这两次讨论中,全科医生都被视为姑息文化的推动者。及时讨论生命末期可能发生的事情,无论是否正式,都有助于所有相关群体做好准备。
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引用次数: 0
[Cultural gerontological prolegomena]. [文化老年学前言]。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2024-06-26 DOI: 10.1007/s00391-024-02318-z
Vera Gallistl, Franz Kolland, Ulla Kriebernegg
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引用次数: 0
[New category of articles for doctoral students: "Early Career"]. [博士生文章新类别:"早期职业生涯"]。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2024-06-26 DOI: 10.1007/s00391-024-02320-5
Kirsten Aner, Markus Gosch
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引用次数: 0
Implementation behavior of communities regarding relatives caring for people with dementia : A quantitative study among German communities. 社区对痴呆症患者亲属护理的实施行为 :德国社区定量研究。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2023-09-06 DOI: 10.1007/s00391-023-02232-w
Maren Wittek, Fabian Manke-Reimers, Eric Schmitt

Background: Actors from the community (CAs) play a fundamental role in the support of caring relatives (CRs) of people with dementia (PWD). As their support is not sufficient, the implementation of support services needs to be optimized; however, little is known about the factors associated with the implementation behavior of CAs.

Aim: This study aimed to investigate the association of person-related factors with the implementation behavior of CAs.

Methods: In a cross-sectional study, 205 CAs from 16 German communities were surveyed with the community implementation behaviour questionnaire (CIBQ), which is based on the theoretical domains framework. Logistic regression analyses were conducted to identify person-related factors associated with the implementation behavior regarding support services for CRs of PWD.

Results: Implementing support services for CRs of PWD is positively and significantly (p < 0.001) associated with the agreement of CAs with the CIBQ domains. Higher scores in the CIBQ increase the chance that CAs implemented support services for the target group.

Conclusion: The CIBQ is a tool to determine the status of implementation behavior of communities. This enables an analysis of the areas CAs need to work on in order to optimize the implementation of support services for CRs of PWD or other health and care-related topics.

背景:来自社区的行动者(CAs)在支持痴呆症患者(PWD)的护理亲属(CRs)方面发挥着重要作用。由于他们的支持不够充分,因此需要优化支持服务的实施;然而,人们对与社区行动者实施行为相关的因素知之甚少:在一项横断面研究中,对来自德国 16 个社区的 205 名社区保健员进行了社区实施行为问卷调查(CIBQ)。研究人员进行了逻辑回归分析,以确定与残疾人社区康复中心支持服务实施行为相关的个人因素:结果:为残疾人客户提供支持服务的实施行为具有显著的正相关性(p 结论:CIBQ 是一种工具,可用于评估为残疾人客户提供支持服务的实施行为:CIBQ 是确定社区实施行为状况的工具。这有助于分析社区卫生服务中心需要在哪些方面开展工作,以优化对残疾人社区康复支持服务或其他与健康和护理相关主题的实施。
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引用次数: 0
[Advanced practice nurses in geriatric traumatology : A scoping review]. [老年创伤科高级实习护士:范围界定综述]。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2023-10-18 DOI: 10.1007/s00391-023-02243-7
Naomi Neumann, Frederike Peter, Reinhard Lenz, Ulrike Höhmann, Christiane Knecht, Dieter Heitmann

Background: Older and very old persons have an increased risk of traumatic injuries as well as comorbidities and multimorbidities. The standardized workflow in hospitals can increase the occurrence of typical geriatric complications, such as challenging behavior and delirium, which can result in highly complex care situations. The application of advanced practice nurses (APN) is an international response to such challenges. In Germany, the scientifically based development of APN has so far lagged behind the international standard.

Method: For this scoping review, a systematic search in the databases PubMed and CINAHL and a supplementary hand search was conducted for the period 2010-2022.

Results: Tasks and role profiles for the scope of practice of APN in geriatrics and traumatology already exist in the literature. There is a lack of scientifically proven tasks and role profiles for APN in geriatric traumatology in the literature.

Discussion: Based on the current state of research it is not yet possible to derive specific tasks and role profiles for APN in geriatric traumatology. The transferability of tasks and profiles from geriatrics and traumatology seem to be possible. The development of tasks and role profiles for geriatric traumatology APN requires further research, especially to identify the specific needs of geriatric traumatology patients.

背景:老年人和高龄者发生创伤以及合并症和多发病的风险增加。医院的标准化工作流程会增加典型老年并发症的发生,如挑战性行为和谵妄,这可能导致高度复杂的护理情况。高级实习护士(APN)的应用是对这些挑战的国际回应。在德国,基于科学的APN发展至今落后于国际标准。方法:在本次范围界定审查中,对PubMed和CINAHL数据库进行了系统检索,并对2010-2022年期间进行了补充手工检索。文献中缺乏科学证明的APN在老年创伤学中的任务和作用简介。讨论:根据目前的研究状况,还不可能得出APN在老年创伤学中的具体任务和角色简介。老年医学和创伤学的任务和档案的可转移性似乎是可能的。老年创伤科APN的任务和角色简介的制定需要进一步的研究,特别是确定老年创伤科患者的具体需求。
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引用次数: 0
[Geriatric assessment in dentistry : A review of chewing function tests]. [牙科中的老年评估:咀嚼功能测试回顾]。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2023-06-26 DOI: 10.1007/s00391-023-02208-w
Maximiliane Amelie Schlenz, Alexander Schmidt, Clara Sophie Gäbler, Gerald Kolb, Bernd Wöstmann

Due to increasing life expectancy and the associated demographic changes, more and more people are dependent on care. To identify a possible need for dental treatment, chewing function tests as assessment instruments have proven their effectiveness. In this article, the reader is given an overview of existing chewing function tests and their implementation. It is important that a patient with pain should be presented to a dentist immediately, regardless of whether a chewing function test is performed. Furthermore, chewing function tests are not a substitute for routine dental examinations, but they could provide information to (dental) laypersons as to whether an appointment should be arranged in a dental practice or whether a dental consultation is necessary.

由于预期寿命的延长和相关的人口结构变化,越来越多的人需要护理。为了确定是否需要进行牙科治疗,咀嚼功能测试作为一种评估工具已经证明了其有效性。本文将向读者概述现有的咀嚼功能测试及其应用。重要的是,无论是否进行了咀嚼功能测试,疼痛患者都应立即去看牙医。此外,咀嚼功能测试不能替代常规牙科检查,但可以为(牙科)非专业人士提供信息,帮助他们判断是否应该预约牙科诊所或是否有必要进行牙科咨询。
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引用次数: 0
[Conservative fracture treatment in old people]. [老年人骨折的保守治疗]。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2024-06-04 DOI: 10.1007/s00391-024-02314-3
B Pass, C Schoeneberg

The numbers of osteoporotic fractures will increase due to the demographic change, which particularly affects the proximal femur, pelvis, proximal humerus, wrist and vertebral column. Surgical treatment is superior to conservative treatment of proximal femoral fractures. Non-dislocated fractures of the wrist can also be treated with a plaster cast but studies suggest that the results in the first 12 months are better after surgical treatment. The situation is similar for fractures of the proximal humerus and non-dislocated fractures in particular can also be treated conservatively. A score and classification were recently developed for making decisions on the treatment of osteoporotic vertebral fractures. Fractures of the anterior and posterior pelvic ring can be treated conservatively with the patient under sufficient analgesia as long as there is no substantial dislocation. The highest priority in geriatric traumatology is fast remobilization.

由于人口结构的变化,骨质疏松性骨折的数量将会增加,尤其影响股骨近端、骨盆、肱骨近端、腕部和椎体。对于股骨近端骨折,手术治疗优于保守治疗。腕部非脱位骨折也可采用石膏固定治疗,但研究表明,手术治疗后头 12 个月的效果更好。肱骨近端骨折的情况与此类似,尤其是非脱位骨折也可采用保守治疗。最近制定了一种评分和分类方法,用于决定如何治疗骨质疏松性脊椎骨折。骨盆前环和后环骨折只要没有发生实质性脱位,就可以在充分镇痛的情况下进行保守治疗。老年创伤学的重中之重是快速复位。
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引用次数: 0
Vulnerability and narrative in later life. 晚年生活中的脆弱性和叙事。
IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Pub Date : 2024-07-01 Epub Date: 2024-05-18 DOI: 10.1007/s00391-024-02310-7
Kate de Medeiros, Polina Ermoshkina

Narrative gerontology considers how people age biographically as well as socially and biologically. Vulnerability as a process category and state of being remains undertheorized in the context of narratives of later life. It is argued that the narrative space for stories from old age privilege backward-looking stories that focus on positive milestones and support cultural narratives of a "life well lived." Sad, emotionally laden or uncertain/unfinished stories that reveal vulnerabilities are rejected and potentially viewed as problematic. Using an illustrative case example of a study of resilience narratives and aging, this paper considers how the study authors position and identify resilience. Some interpretative judgements used in the research regarding who is resilient based on expressions of vulnerability are highlighted. Overall, the tensions between cultural and personal narratives that position older people as vulnerable subjects are considered and it is argued that vulnerability can be a great source of strength and meaning in later life.

老年叙事学考虑的是人们如何从生物、社会和生物角度变老。在晚年生活叙事中,脆弱性作为一种过程类别和存在状态仍未被充分理论化。有观点认为,晚年故事的叙事空间偏重于向后看的故事,侧重于积极的里程碑,支持 "美好生活 "的文化叙事。揭示脆弱之处的悲伤、充满情感或不确定/未完成的故事则被排斥,并可能被视为有问题的故事。本文通过一个关于复原力叙事和老龄化研究的说明性案例,探讨了该研究的作者是如何定位和识别复原力的。本文强调了研究中使用的一些解释性判断,即根据脆弱性的表达来判断谁具有复原力。总体而言,本文考虑了将老年人定位为脆弱主体的文化叙事与个人叙事之间的紧张关系,并认为脆弱可以成为晚年生活中力量和意义的重要来源。
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引用次数: 0
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Zeitschrift Fur Gerontologie Und Geriatrie
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