Pub Date : 2009-02-27DOI: 10.2174/1874827900902010005
B. Z. Aminoff
Objectives: A new definition of human suffering and satisfaction according to the entropy hypothesis may fa- cilitate comprehension of health, disease and the aging process. Methods: A cohort study of 71 patients (28 females, 43 males), with very advanced dementia, who died in our ward dur- ing the study period. The intense suffering level of end-stage dementia patients was evaluated by the Mini-Suffering State Examination (MSSE) scale. Results: Suffering level in end-stage dementia has a significant correlation with short survival, advancing age, more se- vere illness, malnutrition, the existence of decubitus ulcers, and the administration of medications. Established correla- tions could be explained by the enhanced level of the patients' body entropy. Discussion: Suffering and satisfaction are functional levels of human entropy. An elevated level of human entropy is a measure of disorder, a process of aging and torment of the patient. a perceived threat to the integrity of the self, perceived help- lessness in the face of that threat, and exhaustion of psycho- social and personal resources of coping. The model proposed by Cherny, Coyle, Foley (10) described suffering as an aver- sive experience, characterized by the perception of personal distress which is generated by adverse factors that undermine quality-of-life. Cherny (11) proposed the triangular model of suffering and taxonomy of factors, prevalence of distress experienced by patients, their families, and their attending health care professionals.
目的:根据熵假设对人类的痛苦和满足作出新的定义，有助于理解健康、疾病和衰老过程。方法:队列研究71例(女性28例，男性43例)在研究期间在我病房死亡的晚期痴呆患者。采用Mini-Suffering State Examination (MSSE)量表评估终末期痴呆患者的强烈痛苦程度。结果:终末期痴呆患者的痛苦程度与生存时间短、年龄增长、病情严重、营养不良、是否存在卧疮、是否服用药物等因素有显著相关性。已建立的相关性可以用患者身体熵水平的提高来解释。讨论:痛苦和满足是人类熵的功能层次。人体熵的升高是一种紊乱的度量，是病人衰老和折磨的过程。感知到对自我完整性的威胁，感知到面对威胁的无助，以及心理社会和个人应对资源的枯竭。Cherny, Coyle, Foley(10)提出的模型将痛苦描述为一种痛苦的经历，其特征是对个人痛苦的感知，这种痛苦是由破坏生活质量的不利因素产生的。Cherny(11)提出了痛苦和因素分类的三角模型，患者、其家人和其主治卫生保健专业人员所经历的痛苦的普遍性。
{"title":"End Stage Dementia and Entropy Definition of Suffering","authors":"B. Z. Aminoff","doi":"10.2174/1874827900902010005","DOIUrl":"https://doi.org/10.2174/1874827900902010005","url":null,"abstract":"Objectives: A new definition of human suffering and satisfaction according to the entropy hypothesis may fa- cilitate comprehension of health, disease and the aging process. Methods: A cohort study of 71 patients (28 females, 43 males), with very advanced dementia, who died in our ward dur- ing the study period. The intense suffering level of end-stage dementia patients was evaluated by the Mini-Suffering State Examination (MSSE) scale. Results: Suffering level in end-stage dementia has a significant correlation with short survival, advancing age, more se- vere illness, malnutrition, the existence of decubitus ulcers, and the administration of medications. Established correla- tions could be explained by the enhanced level of the patients' body entropy. Discussion: Suffering and satisfaction are functional levels of human entropy. An elevated level of human entropy is a measure of disorder, a process of aging and torment of the patient. a perceived threat to the integrity of the self, perceived help- lessness in the face of that threat, and exhaustion of psycho- social and personal resources of coping. The model proposed by Cherny, Coyle, Foley (10) described suffering as an aver- sive experience, characterized by the perception of personal distress which is generated by adverse factors that undermine quality-of-life. Cherny (11) proposed the triangular model of suffering and taxonomy of factors, prevalence of distress experienced by patients, their families, and their attending health care professionals.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"2 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2009-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092327","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 : 2009-01-27DOI: 10.2174/1874827900902010001
M. Colombo, A. Guaita, Albert Cottino, M. Cairati, Danila Ferrari, Giorgio Previderè, G. Procino, M. Gandolfi, Rosaria Tararà, Angela Mercanti
Customer satisfaction is relevant for geriatric rehabilitation, besides objective outcomes. We aimed at measur- ing customer satisfaction at discharge from our rehabilitative wards, and at singling out its predictive factors. We studied 506 elderly patients, aged 78 ± 8 years. Satisfaction at discharge scored high in all 4-levels graded items of a questionnaire surveying perception of patient improvement, quality of rehabilitative treatment, physicians' and nurses' intervention, personal care, lodging quality, goodness of information got. Mean overall rating (scoring 0 to 10) of the rehabilitative stay was 9.2 ± 2.1, median and mode were 10. Rating correlated with: relative functional gain (r = 0.23, p < .000), absolute Barthel Index total score at discharge (r = 0.18, p < .000), net gain in Barthel Index total score at discharge (r = 0.1, p = 0.021), and improvement in CIRS Severity Index (r = 0.9, p = 0.043). Relative functional gain was the only variable pre- dictive of rating that was retained by stepwise multiple regressions (p < .000).
除了客观结果外，顾客满意度与老年康复有关。我们的目标是在我们的康复病房出院时测量客户满意度，并挑出其预测因素。我们研究了506例老年患者，年龄78±8岁。出院满意度在患者改善感知、康复治疗质量、医护人员干预、个人护理、住宿质量、信息获取良好度4个分级项目中均得分较高。康复住院时间的平均总评分(0 ~ 10分)为9.2±2.1分，中位数和满分均为10分。评分与:相对功能增益(r = 0.23, p < .000)、出院时绝对Barthel指数总分(r = 0.18, p < .000)、出院时Barthel指数总分净增益(r = 0.1, p = 0.021)和CIRS严重性指数改善(r = 0.9, p = 0.043)相关。相对功能增益是通过逐步多元回归保留的唯一预测评分的变量(p < .000)。
{"title":"Customer Satisfaction as a Quality Factor in Geriatric Rehabilitation","authors":"M. Colombo, A. Guaita, Albert Cottino, M. Cairati, Danila Ferrari, Giorgio Previderè, G. Procino, M. Gandolfi, Rosaria Tararà, Angela Mercanti","doi":"10.2174/1874827900902010001","DOIUrl":"https://doi.org/10.2174/1874827900902010001","url":null,"abstract":"Customer satisfaction is relevant for geriatric rehabilitation, besides objective outcomes. We aimed at measur- ing customer satisfaction at discharge from our rehabilitative wards, and at singling out its predictive factors. We studied 506 elderly patients, aged 78 ± 8 years. Satisfaction at discharge scored high in all 4-levels graded items of a questionnaire surveying perception of patient improvement, quality of rehabilitative treatment, physicians' and nurses' intervention, personal care, lodging quality, goodness of information got. Mean overall rating (scoring 0 to 10) of the rehabilitative stay was 9.2 ± 2.1, median and mode were 10. Rating correlated with: relative functional gain (r = 0.23, p < .000), absolute Barthel Index total score at discharge (r = 0.18, p < .000), net gain in Barthel Index total score at discharge (r = 0.1, p = 0.021), and improvement in CIRS Severity Index (r = 0.9, p = 0.043). Relative functional gain was the only variable pre- dictive of rating that was retained by stepwise multiple regressions (p < .000).","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"32 1","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2009-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092243","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 : 2009-01-02DOI: 10.2174/1874827900801010056
B. Drozdzowska, W. Pluskiewicz, P. Adamczyk, W. Munzer
Background: The aim of the retrospective study was to reveal the pattern of bone loss in elderly women com- pared with early postmenopausal women. Material: The group of 254 women was studied, among them were 40 elderly women (mean age 74.7+/-4.0 y.) and 214 early postmenopausal women (mean age 53.4+/-3.7 y.). Skeletal status was evaluated using quantitative ultrasound (QUS) at the calcaneus (Achilles, Lunar, USA). Parameters measured were: Speed of Sound (SOS (m/s)), Broadband Ultrasound Attenuation (BUA (dB/MHz)) and Stiffness Index (SI (%)). Results: In elderly women age, years since menopause (YSM) and body size did not influence significantly ultrasound values, only positive influence of weight and body mass index on BUA was observed (p<0.05). In early postmenopausal women YSM negatively affected SOS (p<0.05), BUA (p=0.05) and SI (p<0.05), body size had generally a positive impact on all QUS parameters, and the percentage of life with menstruation positively affected SOS (p<0.05). In multiple step- wise regression analyses in elderly women only weight had a positive effect on BUA, and in early postmenopausal women, weight was a protective factor for all parameters, age negatively influenced BUA and SI, and YSM negatively in- fluenced SOS. Multiple stepwise regression analysis in the whole group showed that weight was a protective factor and age was a negative factor for all QUS parameters. Conclusion: The pattern of bone loss in the elderly differs in comparison to younger postmenopausal women, and the weight among factors assessed was the only protective one in postmenopausal women. Maintaince of body weight seems to be the most important in osteoporosis prevention.
{"title":"Skeletal Status Assessed by Quantitative Ultrasound in Elderly Women Compared with Early Postmenopausal Women","authors":"B. Drozdzowska, W. Pluskiewicz, P. Adamczyk, W. Munzer","doi":"10.2174/1874827900801010056","DOIUrl":"https://doi.org/10.2174/1874827900801010056","url":null,"abstract":"Background: The aim of the retrospective study was to reveal the pattern of bone loss in elderly women com- pared with early postmenopausal women. Material: The group of 254 women was studied, among them were 40 elderly women (mean age 74.7+/-4.0 y.) and 214 early postmenopausal women (mean age 53.4+/-3.7 y.). Skeletal status was evaluated using quantitative ultrasound (QUS) at the calcaneus (Achilles, Lunar, USA). Parameters measured were: Speed of Sound (SOS (m/s)), Broadband Ultrasound Attenuation (BUA (dB/MHz)) and Stiffness Index (SI (%)). Results: In elderly women age, years since menopause (YSM) and body size did not influence significantly ultrasound values, only positive influence of weight and body mass index on BUA was observed (p<0.05). In early postmenopausal women YSM negatively affected SOS (p<0.05), BUA (p=0.05) and SI (p<0.05), body size had generally a positive impact on all QUS parameters, and the percentage of life with menstruation positively affected SOS (p<0.05). In multiple step- wise regression analyses in elderly women only weight had a positive effect on BUA, and in early postmenopausal women, weight was a protective factor for all parameters, age negatively influenced BUA and SI, and YSM negatively in- fluenced SOS. Multiple stepwise regression analysis in the whole group showed that weight was a protective factor and age was a negative factor for all QUS parameters. Conclusion: The pattern of bone loss in the elderly differs in comparison to younger postmenopausal women, and the weight among factors assessed was the only protective one in postmenopausal women. Maintaince of body weight seems to be the most important in osteoporosis prevention.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"56-61"},"PeriodicalIF":0.0,"publicationDate":"2009-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092202","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 : 2009-01-02DOI: 10.2174/1874827900801010062
T. Comans, S. Brauer, T. Haines
Background: Community rehabilitation services for older adults aim to address factors that lead to physical de- cline and falls and return people to their normal activities in the community. While community rehabilitation has been proven effective in reducing falls in the elderly, previous studies have not specified whether delivering services at home or in a centre-based format is the more appropriate method of service delivery. Aim: This study aims to compare a centre-based group program with a home-based program. The purpose of this study is to identify the most clinically effective way of delivering community rehabilitation services to older fallers and determine which service delivery setting is more economically efficient. Methods/Design: This paper describes the study design and methods of a randomised clinical trial. One group of partici- pants will receive a centre-based community rehabilitation service, the other group a domiciliary (home-based) commu- nity rehabilitation service of near identical content. Participants in this study are those clients over 60 years of age referred to a community rehabilitation service. Patients referred to this service typically have had recent falls, poor or declining mobility, functional dependency, cognitive decline, and / or physical deconditioning. Clinical effectiveness will be primarily determined by comparison of health-related quality of life and rates of accidental falls. Secondary outcomes include the levels of participation in functional activities, and physical capacity between the two groups. Economic efficiency will be determined through conduct of a cost-benefit analysis. Discussion: Results from this study will guide clinicians and policy makers to identify the more effective and efficient falls prevention community rehabilitation program service delivery model for older adults living in the community. Trial Registration: Australian New Zealand Clinical Trials Register: ACTRN12605000056695.
{"title":"Domiciliary vs Centre-Based Rehabilitation of Older Community Dwellers: Randomised Trial with Economic Evaluation","authors":"T. Comans, S. Brauer, T. Haines","doi":"10.2174/1874827900801010062","DOIUrl":"https://doi.org/10.2174/1874827900801010062","url":null,"abstract":"Background: Community rehabilitation services for older adults aim to address factors that lead to physical de- cline and falls and return people to their normal activities in the community. While community rehabilitation has been proven effective in reducing falls in the elderly, previous studies have not specified whether delivering services at home or in a centre-based format is the more appropriate method of service delivery. Aim: This study aims to compare a centre-based group program with a home-based program. The purpose of this study is to identify the most clinically effective way of delivering community rehabilitation services to older fallers and determine which service delivery setting is more economically efficient. Methods/Design: This paper describes the study design and methods of a randomised clinical trial. One group of partici- pants will receive a centre-based community rehabilitation service, the other group a domiciliary (home-based) commu- nity rehabilitation service of near identical content. Participants in this study are those clients over 60 years of age referred to a community rehabilitation service. Patients referred to this service typically have had recent falls, poor or declining mobility, functional dependency, cognitive decline, and / or physical deconditioning. Clinical effectiveness will be primarily determined by comparison of health-related quality of life and rates of accidental falls. Secondary outcomes include the levels of participation in functional activities, and physical capacity between the two groups. Economic efficiency will be determined through conduct of a cost-benefit analysis. Discussion: Results from this study will guide clinicians and policy makers to identify the more effective and efficient falls prevention community rehabilitation program service delivery model for older adults living in the community. Trial Registration: Australian New Zealand Clinical Trials Register: ACTRN12605000056695.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2009-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092230","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 : 2009-01-02DOI: 10.2174/1874827900801010050
S. McPhail, E. Beller, T. Haines
Background and Aims: When conducting surveys with older adults, it is important that participants have clear comprehension of the questions being asked. It is also important that survey items can be administered efficiently. This paper investigates the effect of providing visual cues to aid participant understanding and speed of completion of three types of health surveys. Methods: Design - Pilot randomized controlled trial (n=12) of participants assigned to a visual cues (intervention) or no visual cues (control) group with unblinded outcome assessment using time taken to complete survey and question com- prehension as outcome measures. Results: Although participants from both groups did not report difficulty in understanding or remembering each question, the visual cues group were able to complete the surveys in significantly less time and with significantly fewer errors in comprehension than the no cues group. Conclusions: The results of this study indicate that visual cues improved speed of survey completion and patient compre- hension of survey items. This investigation suggests the use of visual cues may enhance efficiency and reduce labor costs in survey related research with the elderly and potentially reduce burden on participants. Furthermore, this may result in higher validity of questionnaires due to improved comprehension. The findings of this pilot study were unexpectedly de- finitive on their own merit such that a larger investigation was deemed to be unwarranted for the purpose of addressing the research aims.
{"title":"Are Pictures Worth a Thousand Words: A Pilot Randomized Trial of Visual Cues to Improve Speed of Completion and Comprehension of Three Surveys for Older Adults","authors":"S. McPhail, E. Beller, T. Haines","doi":"10.2174/1874827900801010050","DOIUrl":"https://doi.org/10.2174/1874827900801010050","url":null,"abstract":"Background and Aims: When conducting surveys with older adults, it is important that participants have clear comprehension of the questions being asked. It is also important that survey items can be administered efficiently. This paper investigates the effect of providing visual cues to aid participant understanding and speed of completion of three types of health surveys. Methods: Design - Pilot randomized controlled trial (n=12) of participants assigned to a visual cues (intervention) or no visual cues (control) group with unblinded outcome assessment using time taken to complete survey and question com- prehension as outcome measures. Results: Although participants from both groups did not report difficulty in understanding or remembering each question, the visual cues group were able to complete the surveys in significantly less time and with significantly fewer errors in comprehension than the no cues group. Conclusions: The results of this study indicate that visual cues improved speed of survey completion and patient compre- hension of survey items. This investigation suggests the use of visual cues may enhance efficiency and reduce labor costs in survey related research with the elderly and potentially reduce burden on participants. Furthermore, this may result in higher validity of questionnaires due to improved comprehension. The findings of this pilot study were unexpectedly de- finitive on their own merit such that a larger investigation was deemed to be unwarranted for the purpose of addressing the research aims.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"50-55"},"PeriodicalIF":0.0,"publicationDate":"2009-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092193","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 : 2009-01-02DOI: 10.2174/1874827900801010043
H. Martin, H. Syddall, E. Dennison, V. Cox, C. Cooper, A. Sayer
Background: Physical activity (PA) is difficult to assess and few instruments are relevant to older people. We have developed a self-administered PA questionnaire (HPAQ) for the Hertfordshire Cohort Study; we report its feasibility and validity and describe PA participation in older people. Methods: 525 participants completed the HPAQ; 15 women also completed the EPAQ-2 for validation. Activity participa- tion was described using percentage participation, estimated energy expenditure and cluster analysis. Results: Most participants found the HPAQ simple to complete. Agreement between the HPAQ and EPAQ-2 was good. Activities with highest participation rates and energy expenditures were walking (99.6%, 149.8 MET.h/mth) for men and home activities (100%, 287.1 MET.h/mth) for women. Clustering identified three patterns of activity participation for men ("Keep Fit", "Indoors" & "Less active"), and two for women ("Keep Fit" & "Indoors"). Conclusions: The HPAQ is a feasible and valid PA questionnaire for older people. Clustering identified different patterns of PA participation.
{"title":"Assessing Physical Activity in Older People: Findings from the Hertfordshire Cohort Study","authors":"H. Martin, H. Syddall, E. Dennison, V. Cox, C. Cooper, A. Sayer","doi":"10.2174/1874827900801010043","DOIUrl":"https://doi.org/10.2174/1874827900801010043","url":null,"abstract":"Background: Physical activity (PA) is difficult to assess and few instruments are relevant to older people. We have developed a self-administered PA questionnaire (HPAQ) for the Hertfordshire Cohort Study; we report its feasibility and validity and describe PA participation in older people. Methods: 525 participants completed the HPAQ; 15 women also completed the EPAQ-2 for validation. Activity participa- tion was described using percentage participation, estimated energy expenditure and cluster analysis. Results: Most participants found the HPAQ simple to complete. Agreement between the HPAQ and EPAQ-2 was good. Activities with highest participation rates and energy expenditures were walking (99.6%, 149.8 MET.h/mth) for men and home activities (100%, 287.1 MET.h/mth) for women. Clustering identified three patterns of activity participation for men (\"Keep Fit\", \"Indoors\" & \"Less active\"), and two for women (\"Keep Fit\" & \"Indoors\"). Conclusions: The HPAQ is a feasible and valid PA questionnaire for older people. Clustering identified different patterns of PA participation.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"43-49"},"PeriodicalIF":0.0,"publicationDate":"2009-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092180","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 : 2008-12-01DOI: 10.2174/1874827900801010033
D. Galimberti, E. Scarpini
{"title":"New Perspectives for the Treatment of Alzheimer’s Disease~!2008-10-07~!2008-10-30~!2008-11-26~!","authors":"D. Galimberti, E. Scarpini","doi":"10.2174/1874827900801010033","DOIUrl":"https://doi.org/10.2174/1874827900801010033","url":null,"abstract":"","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"33-42"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092170","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 : 2008-12-01DOI: 10.2174/1874827900801010029
B. Z. Aminoff
Aminoff suffering syndrome (ASS) in advanced dementia is the new proposed term for a pathological symptoma- tology and entity that is characterized by a high Mini Suffering State Examination (MSSE) scale score, <6 months survival, irreversible and intractable aggravation of suffering and medical condition until demise. This paper proffers a new, alternative approach and setting for end-stage dementia (ESD) patients with ASS that could pertain to the Israeli setting, and could possibly also be applicable in other countries. Short hospitalization periods of approximately 1 month, and treatment in Relief of Suffering Units may be a new, palliative approach and present a possible solution for cop- ing with the horrendous burden of the anguish of end-of-life dementia patients, their families, and the medical and nursing staff.
{"title":"End-Stage Dementia: Aminoff Suffering Syndrome and Relief of Suffering Units~!2008-10-06~!2008-10-23~!2008-11-12~!","authors":"B. Z. Aminoff","doi":"10.2174/1874827900801010029","DOIUrl":"https://doi.org/10.2174/1874827900801010029","url":null,"abstract":"Aminoff suffering syndrome (ASS) in advanced dementia is the new proposed term for a pathological symptoma- tology and entity that is characterized by a high Mini Suffering State Examination (MSSE) scale score, <6 months survival, irreversible and intractable aggravation of suffering and medical condition until demise. This paper proffers a new, alternative approach and setting for end-stage dementia (ESD) patients with ASS that could pertain to the Israeli setting, and could possibly also be applicable in other countries. Short hospitalization periods of approximately 1 month, and treatment in Relief of Suffering Units may be a new, palliative approach and present a possible solution for cop- ing with the horrendous burden of the anguish of end-of-life dementia patients, their families, and the medical and nursing staff.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"29-32"},"PeriodicalIF":0.0,"publicationDate":"2008-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092135","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 : 2008-07-24DOI: 10.2174/1874827900801010014
M. Cesari, A. Ferrini, V. Zamboni, M. Pahor
Sarcopenia is the age-related progressive decline of muscle mass, strength and function. It is not due to dis- eases, but a normal part of the aging process, and multiple physiological and psychological factors seem to contribute to it. Sarcopenia has been associated with a higher risk of falls, incident disability and all-cause mortality in the elderly. De- spite this phenomenon has major clinical, social and economic consequences in older persons, its study is still limited and/or partial. The major issues making difficult the design of clinical trials on sarcopenia are: the multidimensional physiological mechanisms determining it, the lack of standardized definitions, the difficulties in operatively defining this dynamic mechanism, and the different methodologies able to estimate the muscle mass and function. The present review will 1) overview the current clinical and research issues related to the study of sarcopenia in the elderly, and 2) discuss the possible solutions on the basis of evidence on the topic.
{"title":"Sarcopenia: Current Clinical and Research Issues","authors":"M. Cesari, A. Ferrini, V. Zamboni, M. Pahor","doi":"10.2174/1874827900801010014","DOIUrl":"https://doi.org/10.2174/1874827900801010014","url":null,"abstract":"Sarcopenia is the age-related progressive decline of muscle mass, strength and function. It is not due to dis- eases, but a normal part of the aging process, and multiple physiological and psychological factors seem to contribute to it. Sarcopenia has been associated with a higher risk of falls, incident disability and all-cause mortality in the elderly. De- spite this phenomenon has major clinical, social and economic consequences in older persons, its study is still limited and/or partial. The major issues making difficult the design of clinical trials on sarcopenia are: the multidimensional physiological mechanisms determining it, the lack of standardized definitions, the difficulties in operatively defining this dynamic mechanism, and the different methodologies able to estimate the muscle mass and function. The present review will 1) overview the current clinical and research issues related to the study of sarcopenia in the elderly, and 2) discuss the possible solutions on the basis of evidence on the topic.","PeriodicalId":89035,"journal":{"name":"The open geriatric medicine journal","volume":"1 1","pages":"14-23"},"PeriodicalIF":0.0,"publicationDate":"2008-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68092110","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 : 2008-05-19DOI: 10.2174/1874827900801010010
J. Heinik, P. Werner, G. Kavé
Psychiatric symptoms/syndromes are frequent in Mild Cognitive Impairment (MCI). However, only a few stud- ies reported full psychiatric diagnoses in MCI. We describe the nosology and prevalence of psychiatric diagnoses in a group of 102 consecutive patients evaluated for suspected MCI and finally re-classified into dementia, MCI and No Cog- nitive Impairment. Psychiatric diagnoses were frequent in MCI and the other groups as well, however they were qualita- tively different in each group.
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