Article
Geriatrics & Gerontology
Jaime Barrio-Cortes, Almudena Castano-Reguillo, Maria Teresa Beca-Martinez, Mariana Bandeira-de Oliveira, Carmen Lopez-Rodriguez, Maria Angeles Jaime-Siso
Summary: In the population of elderly patients with chronic diseases, a significant number of patients with multimorbidity were identified, and they were classified into three different risk levels by AMG, showing variations in characteristics, morbidity, and use of PC services. The group that utilized services the most consisted of older patients, those with higher risk levels, greater complexity, and >=4 chronic diseases. Further research is needed to develop an intervention model tailored to the reality of the geriatric population based on risk levels by AMG.
Article
Geriatrics & Gerontology
Chia-Ter Chao
Summary: Our society is aging rapidly, and there is a need for better geriatric care. However, healthcare professionals often have a poor understanding of frailty, leading to suboptimal care for older adults. In order to improve this situation, we propose a structured program that includes digital technologies and hands-on practice opportunities to enhance medical students' understanding and care for frail older adults.
Article
Cell Biology
Luigi Ferrucci, David M. Wilson, Stefano Donega, Monty Montano
Summary: Geroscience suggests that aging mechanisms contribute to chronic diseases and disabilities in old age, and interventions can modulate health span and longevity. Collaboration between gerontologists and geriatricians is key. Early life exposures affect the pace of aging and health trajectories. Tools measuring aging pace can identify individuals at higher risk of multimorbidity and disability. Translational Geroscience extends geriatric care to a life course perspective, targeting core aging mechanisms to treat patients with complex conditions.
Article
Health Care Sciences & Services
Colleen M. McQuown, Kristina T. Snell, Lauren M. Abbate, Ethan M. Jetter, Jennifer K. Blatnik, Luna C. Ragsdale
Summary: This study presents a feasibility pilot study for older adults, addressing the digital divide, unmet health care needs, and the 4Ms of Age-Friendly Health Systems through emergency department follow-up home visits supported by telehealth.
HEALTH SERVICES RESEARCH
(2023)
Article
Geriatrics & Gerontology
Jihye Lim, Hyungchul Park, Heayon Lee, Eunju Lee, Danbi Lee, Hee-Won Jung, Il-Young Jang
Summary: This study found that oral health status is associated with the incidence of geriatric syndromes, mortality, and institutionalization among community-dwelling older adults. The findings suggest that oral health may play a role in overall geriatric health conditions and should be considered as a geriatric domain.
Article
Dentistry, Oral Surgery & Medicine
S. Leon, R. A. Giacaman
Summary: With demographic changes leading to a higher proportion of older adults worldwide and an epidemiologic transition resulting in more teeth retained, the demand and expectations for oral health care among the elderly are increasing. As a result, geriatric dentistry needs to shift from the traditional focus on prosthesis to a more holistic discipline that incorporates geriatric and gerontologic aspects. By focusing on minimal intervention dentistry, oral functionality, patient-centered care, and interdisciplinary teamwork, access to oral care for older people can be increased, leading to improved oral health-related quality of life and overall well-being. These concepts will have significant implications for the education and training of dentists and specialists, both in public and private sectors.
JOURNAL OF DENTAL RESEARCH
(2022)
Article
Nutrition & Dietetics
Alita Rushton, Judith Bauer, Adrienne Young, Heather Keller, Jack Bell
Summary: This study aimed to identify barriers and enablers to delegating malnutrition care activities to dietitian assistants. Inductive thematic analysis revealed four themes: working with the human factors; balancing value and risk of delegation; creating competence, capability, and capacity; and recognizing contextual factors. Successful delegation to dietitian assistants requires considering individual and collective perspectives, improving competency and capacity, and being responsive to contextual factors.
Review
Medicine, General & Internal
Viktoria Peters-Nehrenheim, Mike Rommerskirch-Manietta, Daniel Purwins, Martina Roes, Huerrem Tezcan-Guentekin
Summary: This planned scoping review aims to explore and systematically investigate the care preferences of older migrants and minority ethnic groups. It will be the first review to synthesize literature on this topic, providing important insights for person-centred care.
Article
Health Care Sciences & Services
Bodil B. Jorgensen, Merete Gregersen, Soren H. Pallesen, Else Marie S. Damsgaard
Summary: This study investigated the computer and Internet habits, digital literacy, stress levels, and frequency of Internet use among geriatric patients. The results showed that most patients received computer support from their children and grandchildren, and their basic computer skills influenced their choice of participation in telehealth solutions. Therefore, individualized computer support based on their basic computer skills and user-friendly computer devices are essential for the successful implementation of telehealth solutions among geriatric patients. It is also necessary to introduce people close to the patient to telehealth solutions for ongoing support.
Article
Geriatrics & Gerontology
Jesus Mateos-Nozal, Nuria Perez-Panizo, Carlota Manuela Zarate-Saez, Maria Nieves Vaquero-Pinto, Cristina Roldan-Plaza, Manuel Vicente Mejia Ramirez-Arellano, Elisabet Sanchez Garcia, Alejandro Javier Garza-Martinez, Alfonso Jose Cruz-Jentoft
Summary: During the SARS-CoV-2 pandemic, hospital-based liaison geriatric units (LGUs) were established in Spanish hospitals to improve coordination between nursing homes and hospitals. This model has been shown to be feasible, improve healthcare for nursing home residents, and prevent hospital referrals.
JOURNAL OF THE AMERICAN MEDICAL DIRECTORS ASSOCIATION
(2022)
Article
Geriatrics & Gerontology
D. Naouri, N. Pelletier-Fleury, N. Lapidus, Y. Yordanov
Summary: This study suggests that direct admission to an acute geriatric care unit (AGU) is associated with reduced hospital length of stay and lower risk of postacute care transfer, which has positive implications for elderly patients.
Article
Gerontology
Arjun K. Venkatesh, Cameron J. Gettel, Hao Mei, Shih-Chuan Chou, Craig Rothenberg, Shu-Ling Liu, Gail D'Onofrio, ZhenQiu Lin, Harlan M. Krumholz
Summary: This study aimed to characterize the distribution of acute care visits among Medicare beneficiaries receiving skilled nursing facility (SNF) services. The findings showed that beneficiaries who received SNF services tended to visit emergency departments (EDs) more often for acute care, especially after a SNF stay. The study also discussed the acute care capabilities of SNFs and the transitions of care to the community setting post-SNF.
JOURNAL OF APPLIED GERONTOLOGY
(2021)
Article
Emergency Medicine
Sarah E. Keene, Lauren Cameron-Comasco
Summary: This study examined the impact of a Geriatric Emergency Medicine Assessment (GEMA) team on the admission rate and hospital length of stay (LOS) for geriatric patients. The results showed that patients who were assessed by the GEMA team were more likely to be discharged directly from the emergency department (ED), and if admitted, the hospital LOS was reduced by over 24 hours. This suggests that targeted interventions in the ED can help reduce hospital LOS and provide cost savings for geriatric patients.
AMERICAN JOURNAL OF EMERGENCY MEDICINE
(2022)
Review
Public, Environmental & Occupational Health
Kevin Teoh, Jasmeet Singh, Asta Medisauskaite, Juliet Hassard
Summary: Studies have found a link between doctors' perceived working conditions, their psychological well-being, and patient care. However, there is a lack of research on the interrelationships among these domains, especially using longitudinal designs. This study used meta-analytical structural equation modeling to examine the longitudinal relationships and the mediating role of doctors' psychological well-being in the association between perceived working conditions and patient care.
OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
(2023)
Article
Medicine, General & Internal
Pim P. Valentijn, Marcel Kerkhoven, Jantien Heideman, Rosa Arends
Summary: This study found that organizational coordination activities are positively associated with HRQOL of adult patients in primary care, while unemployment, aging, and being female are accumulating risk factors to consider. Further research is needed to explore how different types of integration relate to HRQOL in local communities.