Ageing: Polypharmacy and Medicine-Related Harm

Advanced clinical pharmacy - research, development and practical applications/Advanced clinical pharmacy - research, development and practical applications, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 27

Published: Jan. 1, 2025

Language: Английский

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Pitfalls in Oncogeriatrics

Cancers, Journal Year: 2023, Volume and Issue: 15(11), P. 2910 - 2910

Published: May 25, 2023

An oncogeriatric interdisciplinary activity exists only in a minority of high-income countries, and it is almost absent those with lower incomes. Considering topics, sessions, tracks the main meetings conferences major Oncological Societies Europe worldwide, USA excluded, little attention has thus far been paid to problem cancer elderly. Again, exception USA, cooperative groups, for example, EORTC Europe, have dedicated marginal research Despite shortcomings, professionals interested geriatric oncology taken number important initiatives highlight benefits this particular activity, including organization an international society (Société Internationale de Oncogeriatrie, or SIOG). In spite these efforts, authors believe that management older population still encountering several generalized pitfalls. The obstacle grossly inadequate geriatricians clinical oncologists necessary integrated care ever-expanding aging population, but other hurdles reported. Additionally, prejudice ageism can lead missing potential resources development approach.

Language: Английский

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Geriatric Medicine in South Korea: A Stagnant Reality amidst an Aging Population

Annals of Geriatric Medicine and Research, Journal Year: 2023, Volume and Issue: 27(4), P. 280 - 285

Published: Dec. 29, 2023

In the face of an ever-increasing wave aging population, this paper provides update on current status geriatric medicine in Korea, comparing it with global initiatives and suggesting future directions. Older adults require a multifaceted approach, addressing not only comorbidity management but also unmet complex medical needs, nutrition, exercise to prevent functional decline. regard, World Health Organization's Integrated Care for People guidelines underscore importance patient-centered primary care preventing decline intrinsic capacity. Despite these societal needs ongoing process, healthcare system Korea has yet show significant movement or shift toward medicine, further complicated by absence system. We explore efforts establishing age-integrative systems Singapore, Australia, Canada, United Kingdom, Japan. Additionally, we review social issues that Korean society is currently facing, local both government private tertiary hospital Korea. conclusion, considering situation, propose framework should form foundation

Language: Английский

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Epidemiological and structural overview

Elsevier eBooks, Journal Year: 2024, Volume and Issue: unknown, P. 3 - 13

Published: Nov. 22, 2024

Language: Английский

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Nothing Feels Better Than Home: Why Must Nursing‐Led Integrated Care Interventions for Older People With Chronic Conditions in Hospital‐At‐Home Be Considered?

International Journal of Older People Nursing, Journal Year: 2024, Volume and Issue: 20(1)

Published: Dec. 14, 2024

Hospitalisation of older adults with a chronic conditions is associated higher risk nosocomial infections, delirium, falls, functional decline and even early mortality (Richardson 2006; Sharek et al. 2011; Shepperd 2017; Sprivulis Vasilevskis 2012). Hospital-at-Home (HaH) interventions provide acute care treatments predetermined duration in the patient's home as an alternative to traditional hospital care. These could shorten stay by enabling discharge or becoming complete substitution for This would allow continuity at over proscribed period time (Gonçalves-Bradley 2016; Iliffe 1998). HaH were developed minimise, avoid, potential iatrogenic effects hospitalisation, improve patient caregiver satisfaction, reduce healthcare costs (Leong, Lim, Lai 2021). There growing evidence from systematic reviews demonstrating effectiveness on outcomes lower mortality, reduced readmissions lengths stay, long-term admission, depression anxiety costs, improved satisfaction (Arsenault-Lapierre 2021; Caplan 2012; Conley Leong, Patients diseases who presented emergency departments then received had risks readmission admission. They also showed rates than patients inpatient Moreover, meta-analysis scoping review that caregivers positive perceptions experiences services (Chua 2022; Wang, Stewart, Lee 2024). Older people are prone multiple specialist follow-ups, thereby generating significant fragmentation (Le Couteur, Flicker, Hilmer Sadler 2023). Care leads adverse health undermines (Duan-Porter 2020), contributes medication errors (Daunt, Curtin, O'Mahony 2023; Squires 2020). Deficiencies prioritising patient-centred multidisciplinary have, nevertheless, been identified (Wang, In fact, complex needs cannot be adequately addressed single professional; they require coordination collaboration (Araujo de Carvalho Larsen, Broberger, Petersson 2017). Thus, World Health Organization recommends implementing integrated models ensure minimise (World supported nurses model effective (Prajankett Markaki Nurse-led intervention demonstrated terms (Gabbard McParland, Johnston, Cooper 2022), primary secondary prevention management (Beks 2023), admissions (Imhof 2012), room visits (Counsell 2007), (Dorr 2008), physical functioning, nutritional status quality life (Kasa Although recent decades have seen considerable scientific research providing conditions, there has comparatively little investigation those specifically led nurses. A literature bibliometric search examining published articles Medline Ovid SP up February 21, 2024, using string Appendix, comparing studies involving general nurse-led lack impact (Figure 1). It important future nursing should focus highlighting role but systems. this domain requires rigorous evaluation through retrospective, prospective interventional studies. will enhance our understanding increase knowledge options can proposed conditions. give policymakers institutions arguments expanding efficient, home-based, person-centred population. R.A. contributed design, data analysis writing article. P.D., H.V. P.L. supervised, corrected editing The authors express their gratitude Cécile Jaques, medical librarian, her help search. declare no conflicts interest. 1—HaH conditions: ("Home Services, Hospital-Based"/OR (("hospital based" ADJ4 home) OR "hospital home" "home hospital*").ab,ti,kf.) AND (exp Aged/ exp. Geriatrics/ Geriatric Nursing/ conditions/ comorbidity/ (elder* senior* geriatr* ((aged old*) ADJ2 (adult* patient* person* people)) multimorbidity "multi-morbidity" "multi morbidity" multimorbidities "multi-morbidities" morbidities" multimorbid "multi-morbid" morbid" comorbidity "co-morbidity" "co comorbidities "co-morbidities" comorbid "co-morbid" "multiple conditions" illnesses" diseases" diagnoses" "morbidity pattern" patterns" polymorbidity "poly-morbidity" "poly polymorbidities "poly-morbidities" polypathology "poly-pathology" pathology" polypathologies "poly-pathologies" pathologies" pluripathology "pluri-pathology" "pluri multipathology "multi-pathology" multipathologies "multi-pathologies" "disease cluster" clusters").ab,ti,kf.). 2—Nurse-led clusters").ab,ti,kf.) (Primary Practice Patterns, Nurses'/ Nurse Practitioners/ nurse specialists/ clinicians/ Advanced Nurses/ Nurse's Role/ Nursing Care/ Case Management/ Managers/ (apn apns acnp acnps cnss "specialized nurse*" "advanced practice nurs*" practitioner registered rn" rns" gerontological "nurse practitioner*" "nursing "practitioner clinical specialist*" "specialist district nursing" "consultant consultant*" ((comanage* manage*") ADJ3 (physician gp nurses)) "primary nurse-delivered nurse-coordinated nurse-managed nurse-driven based intervention" "nurse-based practitioner" practitioners" nurse" nurses" specialist" specialists" clinician" clinicians" consultant" consultants" (("case manager" "case-manager" "case management" "case-management") (nurse nursing))).ab,ti,kf.). All available upon request authors.

Language: Английский

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Comparison of United States and Australian pharmacy student attitudes towards careers in geriatrics

Currents in Pharmacy Teaching and Learning, Journal Year: 2024, Volume and Issue: 17(4), P. 102208 - 102208

Published: Dec. 31, 2024

Language: Английский

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Geriatric emergency medicine: Complexity evolves with age

Emergency Medicine Australasia, Journal Year: 2023, Volume and Issue: unknown

Published: Dec. 28, 2023

Language: Английский

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STOPP/START version 3: looks great, fits well, but itches

European Geriatric Medicine, Journal Year: 2023, Volume and Issue: 14(4), P. 639 - 641

Published: July 8, 2023

Language: Английский

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