Abstract:
AIM:The aim of the present study was to find out physicians' perceptions about the transfer of dying nursing home residents to emergency departments. METHOD:This qualitative study used semi-structured interviews, and data were analyzed using qualitative methods. Participants were medical directors of nursing homes who were informed by e-mail and included when they agreed to take part in our study. RESULTS:We interviewed 12 medical directors until data saturation. The following themes emerged: (i) related to the resident - difficulties in identifying the end of life, refractory symptoms and lack of knowledge of the resident's wishes; (ii) related to the family - denial of the end of life/fear of death, lack of confidence in the nursing home and conflict among family members; (iii) related to the nursing staff - fear of death, lack of communication, lack of training, lack of staff (especially of nurses during the nightshift) and use of temporary employees; and (iv) related to the physicians - lack of anticipation of the end of life situation, difficulty in accessing some drugs, inadequate working hours in the nursing home, conflicting medical opinions of the GP and medical director, and lack of training on palliative care issues. CONCLUSIONS:These results suggest many ways of reducing the transfer of dying residents to emergency departments through palliative care training, and communication about advance care planning. Geriatr Gerontol Int 2019; 19: 249-253.
journal_name
Geriatr Gerontol Intjournal_title
Geriatrics & gerontology internationalauthors
Kouyoumdjian V,Perceau-Chambard E,Sisoix C,Filbet M,Tricou Cdoi
10.1111/ggi.13600subject
Has Abstractpub_date
2019-03-01 00:00:00pages
249-253issue
3eissn
1444-1586issn
1447-0594journal_volume
19pub_type
杂志文章abstract:AIM:To re-evaluate the suitability of calf circumference as a surrogate marker of low muscle mass measured by both bioelectrical impedance analysis (BIA) and dual-energy X-ray absorptiometry (DXA). We also examined the effects of obesity and age on low muscle mass screening using calf circumference. METHODS:In total, ...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.14025
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abstract:AIMS:To determine the independent and combined associations of leisure-time physical activity (LTPA) and fruit and vegetable consumption with subsequent new depressive symptoms in Taiwanese aged ≥53 years. METHODS:We analyzed the 1999 and 2003 datasets of the Taiwan Longitudinal Survey on Aging and used the Center for...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12459
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abstract:AIM:Previous studies on the association between intraoral conditions and mortality in community-dwelling older individuals reported that fewer present teeth (PT) are significant risk factors for mortality. However, how the number of PT relative to the number of functional teeth (FT), including both present and rehabili...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.13911
更新日期:2020-06-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章,多中心研究
doi:10.1111/ggi.12077
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abstract:AIM:To investigate an association between autoimmune disorders (AID) and hospitalization for dementia and Alzheimer's disease, and to study whether the risk is associated with follow-up time and age. METHODS:We followed up all individuals in Sweden without previous hospital admission for dementia and Alzheimer's disea...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.13488
更新日期:2018-09-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/j.1447-0594.2012.00958.x
更新日期:2013-07-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12222
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.13658
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.13249
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abstract:AIM:To examine the effects of a multifactorial intervention on frailty and functional health among community-dwelling older adults, a 6-month randomized, controlled, cross-over trial was carried out within the Hatoyama Cohort Study. METHODS:A total of 77 pre-frail or frail older adults (mean age 74.6 years) were rando...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章,随机对照试验
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12825
更新日期:2017-07-01 00:00:00
abstract:AIM:The health and well-being of older adults are closely related to their economic and living statuses. Socioeconomic inequality has a substantial impact on the healthcare received by these older adults. The present study aimed to understand the current economic and living statuses of community older adults, and exami...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12875
更新日期:2017-10-01 00:00:00
abstract:AIM:The present prospective study was carried out to determine whether participation in community-based intervention studies exerted a positive impact on disability prevention in older adults with physical frailty. METHODS:A total of 514 community-dwelling older adults (aged ≥65 years) with physical frailty who had un...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.13072
更新日期:2017-12-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章,meta分析
doi:10.1111/j.1447-0594.2011.00704.x
更新日期:2011-10-01 00:00:00
abstract:AIM:We investigated factors that predict the prognosis of activities of daily living (ADL) in elderly patients who had undergone rehabilitation during hospitalization for acute infectious disease. METHODS:The present prospective cohort study included 131 patients who were hospitalized due to acute infectious disease a...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.13227
更新日期:2018-04-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12068
更新日期:2014-01-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1447-0594.2012.00942.x
更新日期:2013-07-01 00:00:00
abstract:AIM:To investigate the prevalence and risk factors of delirium in an extended care unit, the persistence of delirium and 3-month outcome. METHOD:Patients aged >65 years were recruited. Basic demographic data, medical comorbidity using the Charlson Comorbidity Index, pre-existing cognitive impairment using the informan...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12521
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abstract:AIM:To investigate the prevalence and burden (combination of number and severity) of vertebral fractures in men and women with hip fracture. METHODS:We investigated 458 of 490 hip-fracture patients admitted consecutively to a rehabilitation hospital. Lateral radiographs of the spine were taken 19.2 ± 5.5 days (mean ± ...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12479
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
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abstract:AIM:The angiotensin-converting enzyme gene (ACE) insertion (I)/deletion (D) polymorphism is considered a biologically plausible gene for Alzheimer's disease (AD) in cross-sectional studies. The present study aimed to investigate the longitudinal effect of ACE I/D polymorphism on AD progression. METHODS:This 3-year obs...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12929
更新日期:2017-10-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.13507
更新日期:2018-10-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.13868
更新日期:2020-04-01 00:00:00
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/j.1447-0594.2010.00610.x
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Geriatricians are physicians who work primarily with the elderly and deal with diseases that often accompany old age, such as Alzheimer's disease. In the last few years, data from questionnaires have demonstrated increasing criticism of geriatricians regarding their working conditions in geriatric medicine. ...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1447-0594.2011.00714.x
更新日期:2012-01-01 00:00:00
abstract:AIM:Polypharmacy is a major problem for elderly patients in developed countries. We investigated whether a multidisciplinary medication review using electronic medical records could reduce the number of drugs administered to elderly patients receiving polypharmacy. METHODS:The present study included 432 elderly patien...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
doi:10.1111/ggi.12764
更新日期:2017-04-01 00:00:00
abstract::The imbalance between cholinergic activity and dopaminergic activity in the striatum causes a variety of neurological disorders, such as Parkinson's disease. During sensorimotor learning, the arrival of a conditioned stimulus reporting a reward evokes a pause response in the firing of the tonically active cholinergic ...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章,评审
doi:10.1111/j.1447-0594.2010.00588.x
更新日期:2010-07-01 00:00:00
abstract:AIM:The present study examined whether knee pain was associated with decline in maximum gait speed (MGS) in a rural mountainous region. METHODS:This was a population-based 1-year prospective cohort study. A total of 658 men and women aged 60 years and older participated in the baseline survey in 2006, and 400 individu...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
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journal_title:Geriatrics & gerontology international
pub_type: 杂志文章,评审
doi:10.1111/j.1447-0594.2010.00602.x
更新日期:2010-07-01 00:00:00
abstract:AIM:To assess the nutritional status, and its association with sociodemographic factors, health and functional status of community-dwelling older adults living in the Greater Beirut area. METHODS:This was a cross-sectional study involving 905 randomly selected community dwelling older adults aged ≥65 years living in G...
journal_title:Geriatrics & gerontology international
pub_type: 杂志文章
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