Pub Date : 2019-03-14DOI: 10.23937/2469-5858/1510063
Moraes Niele Silva de, Biassi Thais Priscila, Mecabô Grazielle, Shinohara Elvira Maria Guerra, Cendoroglo Maysa Seabra, Carneiro Thiago Xavier, Figueiredo Maria Stella
{"title":"Haemoglobin Level in Oldest Old with Active Aging: Analysis of a Brazilian Population","authors":"Moraes Niele Silva de, Biassi Thais Priscila, Mecabô Grazielle, Shinohara Elvira Maria Guerra, Cendoroglo Maysa Seabra, Carneiro Thiago Xavier, Figueiredo Maria Stella","doi":"10.23937/2469-5858/1510063","DOIUrl":"https://doi.org/10.23937/2469-5858/1510063","url":null,"abstract":"","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44873958","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}
Female identity is a dynamic concept, and it has been a very discussed issue by contemporary cultural critic. How does old age affect identity construction and per-ception in elderly woman? Has feminine gender an impact in subjective well-being? Psychological changes of midlife women have been as conflicting as the idea that society has about them. Personality changes after young adulthood in women is a con-troversial matter. Erikson proposed that women might not develop identities in early adulthood as men do. In fact, he argued that women develop them later, in the context of an intimate relationship. Moreover, identity development appears to have important consequences for midlife well-being. For example, Vandewater et al. found that women’s midlife well-being was facilitated by earlier attainment of a well-articulated identity. In these situations accomplishment of developmentally earlier tasks (identity formation) sets the stage for later psychological health. Our work sheds additional light on how women live this period of life in terms of happiness and purpose of life.
{"title":"Old Age and Women’s Identity","authors":"Greco Francesca Romana, D’Onofrio Grazia, Seripa Davide, Ciccone Filomena, Sancarlo Daniele, Mangiacotti Antonio, Greco Monica","doi":"10.5772/INTECHOPEN.84740","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.84740","url":null,"abstract":"Female identity is a dynamic concept, and it has been a very discussed issue by contemporary cultural critic. How does old age affect identity construction and per-ception in elderly woman? Has feminine gender an impact in subjective well-being? Psychological changes of midlife women have been as conflicting as the idea that society has about them. Personality changes after young adulthood in women is a con-troversial matter. Erikson proposed that women might not develop identities in early adulthood as men do. In fact, he argued that women develop them later, in the context of an intimate relationship. Moreover, identity development appears to have important consequences for midlife well-being. For example, Vandewater et al. found that women’s midlife well-being was facilitated by earlier attainment of a well-articulated identity. In these situations accomplishment of developmentally earlier tasks (identity formation) sets the stage for later psychological health. Our work sheds additional light on how women live this period of life in terms of happiness and purpose of life.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75641684","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 : 2019-01-01DOI: 10.23937/2469-5858/1510058
Crystal Y Lumpkins, K Allen Greiner, Christine Daley, Jannette Berkley-Patton, Jinxiang Hu, Shana Palla
Colorectal cancer (CRC) incidence among low income populations is disproportionate when compared to the general population. Cancer screening studies show religion as a potentially influential factor in individual screening. The present study was an exploratory analysis of religious involvement (RI) among older safety-net clinic patients who participated in 90-day follow up calls during an intervention trial. Results show RI among participants (n = 185) did not significantly predict nor was associated with screening for CRC (OR = 1.36, p = 0.35). The percentage of participants that self-identified as being highly religious differed across racial/ethnic groups (25% of Non-Hispanic Whites, 22% of Hispanics were highly religious when compared to 52% of Non-Hispanic Blacks). These findings raise questions about the use of religious appeals as part of health promotion for CRC screening and religious involvement among low-income patient populations. Varied religious beliefs across groups suggest while there may be room for including religion in CRC screening promotion targeted to some patients from low income groups, this appeal would not be suitable for other low-income patient sub-populations.
{"title":"An Exploratory Analysis of the Role of Religion in Colorectal Cancer Screening among Safety-Net Clinic Patients.","authors":"Crystal Y Lumpkins, K Allen Greiner, Christine Daley, Jannette Berkley-Patton, Jinxiang Hu, Shana Palla","doi":"10.23937/2469-5858/1510058","DOIUrl":"10.23937/2469-5858/1510058","url":null,"abstract":"<p><p>Colorectal cancer (CRC) incidence among low income populations is disproportionate when compared to the general population. Cancer screening studies show religion as a potentially influential factor in individual screening. The present study was an exploratory analysis of religious involvement (RI) among older safety-net clinic patients who participated in 90-day follow up calls during an intervention trial. Results show RI among participants (n = 185) did not significantly predict nor was associated with screening for CRC (OR = 1.36, p = 0.35). The percentage of participants that self-identified as being highly religious differed across racial/ethnic groups (25% of Non-Hispanic Whites, 22% of Hispanics were highly religious when compared to 52% of Non-Hispanic Blacks). These findings raise questions about the use of religious appeals as part of health promotion for CRC screening and religious involvement among low-income patient populations. Varied religious beliefs across groups suggest while there may be room for including religion in CRC screening promotion targeted to some patients from low income groups, this appeal would not be suitable for other low-income patient sub-populations.</p>","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10655948/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49390677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-12-31DOI: 10.23937/2469-5858/1510055
N. Toosizadeh, Hossein Ehsani, S. Taleban, Todd Golden, Coco Tirambulo, J. Mohler
Screening colonoscopy is beneficial in screening for colorectal cancer, though it is not without risks, which increase with increasing age. The objectives of this prospective feasibility and outcomes study was to assess the effectiveness of the upper-extremity frailty (UEF) test to risk stratify adults ≥ 50 years of age undergoing routine screening colonoscopy. Socio-demographic data, the Charlson Comorbidity Index (CCI), and UEF clinical frailty syndrome classification (nonfrail versus pre-frail/frail) were assessed prior to colonoscopy, and acute colonoscopy outcomes were stratified into three severity categories. Logistic regression and ANOVA/ ANCOVA were employed. 41% of non-frail had one or more complications, versus 70% of pre-frail/frail group. Those in the pre-frail/frail group had nearly three times the number of acute colonoscopy complications (OR 2.84, p = 0.01) when compared to the nonfrail. Chronological age, and comorbidity score (CCI) failed to predict complication outcomes. UEF frailty was useful in predicting acute complications in screening colonoscopy.
{"title":"Screening Colonoscopy Adverse Events in Aging Adults: Does Frailty Matter?","authors":"N. Toosizadeh, Hossein Ehsani, S. Taleban, Todd Golden, Coco Tirambulo, J. Mohler","doi":"10.23937/2469-5858/1510055","DOIUrl":"https://doi.org/10.23937/2469-5858/1510055","url":null,"abstract":"Screening colonoscopy is beneficial in screening for colorectal cancer, though it is not without risks, which increase with increasing age. The objectives of this prospective feasibility and outcomes study was to assess the effectiveness of the upper-extremity frailty (UEF) test to risk stratify adults ≥ 50 years of age undergoing routine screening colonoscopy. Socio-demographic data, the Charlson Comorbidity Index (CCI), and UEF clinical frailty syndrome classification (nonfrail versus pre-frail/frail) were assessed prior to colonoscopy, and acute colonoscopy outcomes were stratified into three severity categories. Logistic regression and ANOVA/ ANCOVA were employed. 41% of non-frail had one or more complications, versus 70% of pre-frail/frail group. Those in the pre-frail/frail group had nearly three times the number of acute colonoscopy complications (OR 2.84, p = 0.01) when compared to the nonfrail. Chronological age, and comorbidity score (CCI) failed to predict complication outcomes. UEF frailty was useful in predicting acute complications in screening colonoscopy.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41737037","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 : 2018-12-31DOI: 10.23937/2469-5858/1510057
Zhou Shu-yi, Zhu Ling-ling, Z. Quan
Background: Sporadic studies have investigated the influence of administration time (morning versus evening) on the efficacy and safety of once-daily medications. It is necessary to let clinicians know the developments during the last ten years. Methods: Focusing on chronotherapeutic topic, a literature search on randomized controlled trials (RCTs) of oral oncedaily cardiovascular agents was conducted using PubMed, Cochrane Library, Scopus and Web of Science from Jan 01, 2008 to Sept 30, 2018. Results: Forty-seven RCTs investigated cardiovascular agents. Thirty-five RCTs showed the advantages of evening or bedtime dosing, only one RCT showed the superiority of morning dosing (perindopril for patients with obstructive sleep apnoea and hypertension), and 11 RCTs showed no relationship between dosing time and therapeutic outcomes. Two RCTs reported the difference in occurrence of actual side effects following morning versus evening administration (significantly lower incidence of edema following bedtime dosing of nifedipine rather than morning dosing, significantly lower rate of CKD event following bedtime dosing of ≥ 1 hypertension medications rather than therapy with all medications upon awakening). Rivaroxaban and amlodipine were cases of exhibiting chronopharmacokinetic feature. Factors determining whether to exhibit administration timedependent effects may include disease characteristics, gender, drug combination, treatment course, types of medications, dose, pharmaceutical dosage forms, and outcome measures. Conclusion: Chronotherapy intervention may be considered to improve medication therapy management before attempting to increase dose or add more drugs. Clinicians should educate patients about optimal administration time to take oral oncedaily medications. More RCTs are needed to explore the possibility of optimal dosing time because relevant descriptions are unavailable in prescribing information for many once-daily oral cardiovascular medications.
背景：零星的研究调查了给药时间（早上和晚上）对每日一次药物的疗效和安全性的影响。有必要让临床医生了解过去十年的发展情况。方法：2008年1月1日至2018年9月30日，围绕时间治疗主题，使用PubMed、Cochrane Library、Scopus和Web of Science对每日一次口服心血管药物的随机对照试验（RCT）进行文献检索。结果：47项随机对照试验调查了心血管药物。35项随机对照试验显示了晚上或睡前给药的优势，只有一项随机对照研究显示了早上给药的优越性（培哚普利用于阻塞性睡眠呼吸暂停和高血压患者），11项随机对照实验显示给药时间与治疗结果之间没有关系。两项随机对照试验报告了早晚给药后实际副作用发生率的差异（睡前给药硝苯地平后水肿发生率显著低于早晨给药，睡前给药≥1种高血压药物后CKD事件发生率显著降低，而不是在醒来时用所有药物治疗）。利伐沙班和氨氯地平是表现出时间药代动力学特征的病例。决定是否表现出给药时间依赖性影响的因素可能包括疾病特征、性别、药物组合、疗程、药物类型、剂量、药物剂型和结果指标。结论：在尝试增加剂量或添加更多药物之前，可以考虑采用时间治疗干预来改善药物治疗管理。临床医生应教育患者最佳给药时间，以便每天口服一次药物。需要更多的随机对照试验来探索最佳给药时间的可能性，因为许多每日一次的口服心血管药物的处方信息中没有相关描述。
{"title":"Optimal Time to Administer Once-Daily Oral Cardiovascular Agents: Evidence Based on Randomized Clinical Trials in the Last Ten Years","authors":"Zhou Shu-yi, Zhu Ling-ling, Z. Quan","doi":"10.23937/2469-5858/1510057","DOIUrl":"https://doi.org/10.23937/2469-5858/1510057","url":null,"abstract":"Background: Sporadic studies have investigated the influence of administration time (morning versus evening) on the efficacy and safety of once-daily medications. It is necessary to let clinicians know the developments during the last ten years. Methods: Focusing on chronotherapeutic topic, a literature search on randomized controlled trials (RCTs) of oral oncedaily cardiovascular agents was conducted using PubMed, Cochrane Library, Scopus and Web of Science from Jan 01, 2008 to Sept 30, 2018. Results: Forty-seven RCTs investigated cardiovascular agents. Thirty-five RCTs showed the advantages of evening or bedtime dosing, only one RCT showed the superiority of morning dosing (perindopril for patients with obstructive sleep apnoea and hypertension), and 11 RCTs showed no relationship between dosing time and therapeutic outcomes. Two RCTs reported the difference in occurrence of actual side effects following morning versus evening administration (significantly lower incidence of edema following bedtime dosing of nifedipine rather than morning dosing, significantly lower rate of CKD event following bedtime dosing of ≥ 1 hypertension medications rather than therapy with all medications upon awakening). Rivaroxaban and amlodipine were cases of exhibiting chronopharmacokinetic feature. Factors determining whether to exhibit administration timedependent effects may include disease characteristics, gender, drug combination, treatment course, types of medications, dose, pharmaceutical dosage forms, and outcome measures. Conclusion: Chronotherapy intervention may be considered to improve medication therapy management before attempting to increase dose or add more drugs. Clinicians should educate patients about optimal administration time to take oral oncedaily medications. More RCTs are needed to explore the possibility of optimal dosing time because relevant descriptions are unavailable in prescribing information for many once-daily oral cardiovascular medications.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49236088","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 : 2018-11-07DOI: 10.5772/INTECHOPEN.79830
N. M. Pereira, M. Scheicher
The aging of the population is an unprecedented world phenomenon. Numerous physiological changes occur with aging, and one of the most common situations is postural imbalance and, consequently, the occurrence of falls. Balancing is the process of controlling the body ’ s center of mass with respect to its base of support and depends on the integration of sensory systems (visual, vestibular, and somatosensory) with the central nervous system (CNS). Each system is prone to deterioration with advancing age and is influenced by age-related diseases and use of some types of medications and polypharmacy. As with any good clinical evaluation, a detailed history and a thorough physical examination are essential to evaluate postural balance. The evaluation of balance must be done with tests that are quick and with relatively little equipment and training. The improvement of postural balance can be done in many ways, and exercises are a type of this treatment and can be done with video games or a treadmill, for example.
{"title":"Postural Imbalance in the Elderly: Main Aspects","authors":"N. M. Pereira, M. Scheicher","doi":"10.5772/INTECHOPEN.79830","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.79830","url":null,"abstract":"The aging of the population is an unprecedented world phenomenon. Numerous physiological changes occur with aging, and one of the most common situations is postural imbalance and, consequently, the occurrence of falls. Balancing is the process of controlling the body ’ s center of mass with respect to its base of support and depends on the integration of sensory systems (visual, vestibular, and somatosensory) with the central nervous system (CNS). Each system is prone to deterioration with advancing age and is influenced by age-related diseases and use of some types of medications and polypharmacy. As with any good clinical evaluation, a detailed history and a thorough physical examination are essential to evaluate postural balance. The evaluation of balance must be done with tests that are quick and with relatively little equipment and training. The improvement of postural balance can be done in many ways, and exercises are a type of this treatment and can be done with video games or a treadmill, for example.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84976145","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 : 2018-09-30DOI: 10.23937/2469-5858/1510052
P. Alice, Jude Martin, K. Stephen, M. Jenna, M. Katherine, F. Paul
Objectives: To build a profile of the experiences of stroke in the oldest old in the Murrumbidgee region and compare variables with two younger cohorts to test hypotheses about background, treatment and outcomes. Methods: Prospective data from 100 stroke patients consecutively admitted to the Wagga Wagga Rural Referral Hospital Acute Stroke Unit was reviewed from a stroke database. Comparisons were made between the young old (65-74), old-old (75 to 84) and oldest old (85 and older). Results: Older stroke patients were predominantly female with poorer premorbid functional status. Atrial fibrillation (p = 0.008) and hypertension (p = 0.01) were more common with advancing age. Smoking rates (p = 0.006) were higher in younger patients. Stroke mechanism was predominantly cardioembolic in older patients. Outcomes were poorer with rates of dependency (p = 0.03) and residential aged care facility placement (p = 0.06) increased. Conclusion: These data signal how stroke may manifest in our ageing population in the future.
{"title":"The Impact of Demographic Changes on the Presentation and Outcome of Stroke: Experiences of the Oldest Old in the Murrumbidgee Region","authors":"P. Alice, Jude Martin, K. Stephen, M. Jenna, M. Katherine, F. Paul","doi":"10.23937/2469-5858/1510052","DOIUrl":"https://doi.org/10.23937/2469-5858/1510052","url":null,"abstract":"Objectives: To build a profile of the experiences of stroke in the oldest old in the Murrumbidgee region and compare variables with two younger cohorts to test hypotheses about background, treatment and outcomes. Methods: Prospective data from 100 stroke patients consecutively admitted to the Wagga Wagga Rural Referral Hospital Acute Stroke Unit was reviewed from a stroke database. Comparisons were made between the young old (65-74), old-old (75 to 84) and oldest old (85 and older). Results: Older stroke patients were predominantly female with poorer premorbid functional status. Atrial fibrillation (p = 0.008) and hypertension (p = 0.01) were more common with advancing age. Smoking rates (p = 0.006) were higher in younger patients. Stroke mechanism was predominantly cardioembolic in older patients. Outcomes were poorer with rates of dependency (p = 0.03) and residential aged care facility placement (p = 0.06) increased. Conclusion: These data signal how stroke may manifest in our ageing population in the future.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68751745","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 : 2018-09-30DOI: 10.23937/2469-5858/1510053
Kaltsatou Antonia, Kenny Glen P, Flouris Andreas D
The aim of this systematic review was to review the recent literature regarding the effect of heat waves on mortality in elderly adults. A systematic search of the literature, was conducted by two reviewers during March 2018, using three electronic databases (PubMed, Web of Science, and Scopus). The PRISMA guidelines were used for the quality assessment of the published studies. The literature search identified a total of 345 articles, while only 24 studies met the inclusion criteria and were included in this analysis. Overall, the results from these studies show that, although recent advances in technology allow scientists to predict heat waves, thereby enabling health agencies to alert the public with heat advisories, the number of heat wave-induced deaths remains high. The underlying reasons for these increases in heat-wave-induced mortality remains unclear, highlighting the need for developing evidence-based thresholds for the activation and implementation of actions plans to protect the health of heat-vulnerable elderly populations.
这篇系统综述的目的是回顾最近关于热浪对老年人死亡率影响的文献。2018年3月，两名评审员使用三个电子数据库（PubMed、Web of Science和Scopus）对文献进行了系统检索。PRISMA指南用于已发表研究的质量评估。文献检索共发现345篇文章，而只有24项研究符合纳入标准并被纳入本分析。总的来说，这些研究的结果表明，尽管最近的技术进步使科学家能够预测热浪，从而使卫生机构能够向公众发出高温警告，但热浪导致的死亡人数仍然很高。热浪导致的死亡率增加的根本原因尚不清楚，这突出表明需要制定基于证据的阈值，以激活和实施行动计划，保护易受高温影响的老年人群的健康。
{"title":"The Impact of Heat Waves on Mortality among the Elderly: A Mini Systematic Review","authors":"Kaltsatou Antonia, Kenny Glen P, Flouris Andreas D","doi":"10.23937/2469-5858/1510053","DOIUrl":"https://doi.org/10.23937/2469-5858/1510053","url":null,"abstract":"The aim of this systematic review was to review the recent literature regarding the effect of heat waves on mortality in elderly adults. A systematic search of the literature, was conducted by two reviewers during March 2018, using three electronic databases (PubMed, Web of Science, and Scopus). The PRISMA guidelines were used for the quality assessment of the published studies. The literature search identified a total of 345 articles, while only 24 studies met the inclusion criteria and were included in this analysis. Overall, the results from these studies show that, although recent advances in technology allow scientists to predict heat waves, thereby enabling health agencies to alert the public with heat advisories, the number of heat wave-induced deaths remains high. The underlying reasons for these increases in heat-wave-induced mortality remains unclear, highlighting the need for developing evidence-based thresholds for the activation and implementation of actions plans to protect the health of heat-vulnerable elderly populations.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49172013","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 : 2018-09-30DOI: 10.23937/2469-5858/1510051
Culross Beth, Cramer Mary E, T. Shari
The purpose of this case study is to share an innovative program developed for Registered Nurses (RNs) working in long-term care settings in the Midwest region of the United States and outcomes of the Geriatric Nurse Leadership Academy for Long-Term Care (Leadership Academy). In the United States, the growth of the population over the age of 65 and the need to quality and competent care in long term care has grown exponentially. The Leadership Academy was developed as one component of a research grant aimed at improving the competency of RNs in long-term care (nursing home) settings. The goals of the grant, which also included two on-line educational programs along with the Leadership Academy, were to improve Gerontological nurse competency, enhance leadership skills, and impact job satisfaction and intent to remain in current practice. These are metrics that are evaluated annually by the American Health Care Association and found to continually be a concern for long term care facilities [1]. The Leadership Academy provided a venue for peer networking, mentoring and resources for the RN members who had completed at least one of the two online educational offering: Gerontological Nurse or Nurse Leader. These courses prepared the RNs to sit for national certification exams in these specific areas. In this community based participatory approach, the volunteer Leadership Academy Board and members actively participated in the process, helping to develop a business plan that lead to sustainability of the group and a Best Practices in Long Term care document that was accepted by the five-community based long term care partners in the project. Valuable lessons from both the successes and challenges encountered during the program were learned that could help improve the success of future programs to support nurses working in nursing homes.
{"title":"Strengthening Nurse Leadership in Long-term Care: A Case Study","authors":"Culross Beth, Cramer Mary E, T. Shari","doi":"10.23937/2469-5858/1510051","DOIUrl":"https://doi.org/10.23937/2469-5858/1510051","url":null,"abstract":"The purpose of this case study is to share an innovative program developed for Registered Nurses (RNs) working in long-term care settings in the Midwest region of the United States and outcomes of the Geriatric Nurse Leadership Academy for Long-Term Care (Leadership Academy). In the United States, the growth of the population over the age of 65 and the need to quality and competent care in long term care has grown exponentially. The Leadership Academy was developed as one component of a research grant aimed at improving the competency of RNs in long-term care (nursing home) settings. The goals of the grant, which also included two on-line educational programs along with the Leadership Academy, were to improve Gerontological nurse competency, enhance leadership skills, and impact job satisfaction and intent to remain in current practice. These are metrics that are evaluated annually by the American Health Care Association and found to continually be a concern for long term care facilities [1]. The Leadership Academy provided a venue for peer networking, mentoring and resources for the RN members who had completed at least one of the two online educational offering: Gerontological Nurse or Nurse Leader. These courses prepared the RNs to sit for national certification exams in these specific areas. In this community based participatory approach, the volunteer Leadership Academy Board and members actively participated in the process, helping to develop a business plan that lead to sustainability of the group and a Best Practices in Long Term care document that was accepted by the five-community based long term care partners in the project. Valuable lessons from both the successes and challenges encountered during the program were learned that could help improve the success of future programs to support nurses working in nursing homes.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44492094","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 : 2018-06-30DOI: 10.23937/2469-5858/1510046
G. S. Aycicek, Ta Cetiner, G. Arık, B. Canbaz, F. Sumer, O. Kara, H. Kucuk, Z. Ulger
Sixty five-year-old female patient admitted to our clinic with complaint of intermittent fever and abdominal pain for forty years. We learned that she has mouth and eye dryness. Laboratory examination revealed elevated levels of inflammatory parameters. In chest X-ray there was reticular appearance. Then we suspect that rheumatic diseases and serological examination revealed positive ANA and anti-centromere antibodies. Minor salivary gland biopsy was reported as ‘chronic inflammation with focus score 2’. The patient was diagnosed with Sjogren’s syndrome. Because of recurrent abdominal pain with febrile episodes, we suspect of Familial Mediterranean Fever (FMF). We detected homozygous MEFV mutation in genetic mutation analysis and then FMF was diagnosed. In literature, this is the first case, coincidence of Sjogren’s syndrome and FMF, in the geriatric age group and the second case in all age groups.
{"title":"FMF and Sjogren's Syndrome Overlap in an Elderly Patient: A Rare Coincidence or a Causal Association?","authors":"G. S. Aycicek, Ta Cetiner, G. Arık, B. Canbaz, F. Sumer, O. Kara, H. Kucuk, Z. Ulger","doi":"10.23937/2469-5858/1510046","DOIUrl":"https://doi.org/10.23937/2469-5858/1510046","url":null,"abstract":"Sixty five-year-old female patient admitted to our clinic with complaint of intermittent fever and abdominal pain for forty years. We learned that she has mouth and eye dryness. Laboratory examination revealed elevated levels of inflammatory parameters. In chest X-ray there was reticular appearance. Then we suspect that rheumatic diseases and serological examination revealed positive ANA and anti-centromere antibodies. Minor salivary gland biopsy was reported as ‘chronic inflammation with focus score 2’. The patient was diagnosed with Sjogren’s syndrome. Because of recurrent abdominal pain with febrile episodes, we suspect of Familial Mediterranean Fever (FMF). We detected homozygous MEFV mutation in genetic mutation analysis and then FMF was diagnosed. In literature, this is the first case, coincidence of Sjogren’s syndrome and FMF, in the geriatric age group and the second case in all age groups.","PeriodicalId":91314,"journal":{"name":"Journal of geriatric medicine and gerontology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2018-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42082583","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：