[Changes in needs for assistance and care after hip fractures in the elderly].

Abstract:

:For the prevention and rehabilitation of fall-related fractures, not only functional status is important. It is necessary to describe the level of help and care needed at the time the fracture happened and its changes after a certain period. Investigations of the changes in the need of help and care after a fall-related fracture hardly exist for the Federal Republic of Germany. The first step in the present investigation was to analyze the changes in the need of help and care. In a second step, different developments of changes in the need of help and care after a fall-related hip fracture should be identified. Data for the present analysis were taken from a prospective 12-month observational survey (Fractures in late life). A total of 332 people aged 65 and over were assessed at two timepoints (T1-within the first 4 days post-fracture and T2-six months later by phone call). The assessed aspects were formal and informal support, financial support, ability to walk, cognition (only at T1) and form of housing. After the fall-related fracture the strain of formal and informal support increases. The strain of financial support and institutional care also increases. 20% of the patients achieved for the first time the criteria for the lowest level in the legal care system of Germany which indicates a higher level of need of care. 5% of the patients achieved post-fracture a higher level in the legal care system. Six different groups of patients could be identified by cluster analyses. They show differences in the changes in the ability to walk, form of housing, mortality and level of care and help. The different health status before and after the fall-related fracture leads to different developments post-fracture. In prevention and rehabilitation of patients with fall-related fractures, the individual needs of the subgroups should be taken into consideration.

journal_name

Z Gerontol Geriatr

authors

Bäuerle D,Specht-Leible N,Voss E

doi

10.1007/s00391-004-0257-7

subject

Has Abstract

pub_date

2004-10-01 00:00:00

pages

351-3

issue

5

eissn

0948-6704

issn

1435-1269

journal_volume

37

pub_type

临床试验,杂志文章
  • [Recognizing pain in geriatric patients by an interdisciplinary team. Reliability of judgment and factors of influence].

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    doi:10.1007/s003910170039

    authors: Schuler M,Neuhauser T,Hauer K,Oster P,Razus D,Hacker M

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  • [Effectiveness of interventions to strengthen cognitive resources in nursing home residents : A systematic review and network meta-analysis].

    abstract:BACKGROUND:Strengthening cognitive resources of residents in nursing homes is an important goal of preventive activities. The aim of this systematic review was to answer the question which intervention is most effective for nursing home residents to strengthen their cognitive resources. METHOD:A systematic literature ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Wöhl C,Siebert H,Blättner B

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  • Type and course of symptoms demonstrated in the terminal and dying phases by people with dementia in nursing homes.

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    authors: Koppitz A,Bosshard G,Schuster DH,Hediger H,Imhof L

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    abstract:BACKGROUND:Research regarding effective collaboration and communication between professional caregivers and dermatologists and the need for further education and training for caregivers in the field of geriatric dermatology still remains relatively scarce. OBJECTIVE:To document the state of knowledge of professional c...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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  • [Outpatient geriatric rehabilitation - the structural and process quality of a geriatric mobile service team and a community-based outpatient center].

    abstract::The trial "Outpatient Geriatric Rehabilitation (AMBRA)" has been launched to compare two outpatient rehabilitation models close to their place of residence or at home: a mobile rehabilitation team based at a geriatric hospital department and a community-based outpatient rehabilitation center run by GPs. Primary analys...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

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    authors: Meinck M,Freigang K,John B,Keitel C,Puls E,Robra BP

    更新日期:2002-10-01 00:00:00

  • Development of the Lie-to-Sit-to-Stand-to-Walk Transfer (LSSWT) test for early mobilization in older patients in geriatric rehabilitation.

    abstract:BACKGROUND:Early discharge from a rehabilitation center is only possible, if patients are able to do basic transfers independently (e.g., get up from bed and walk to the toilet). Against this background, the Lie-to-Sit-to-Stand-to-Walk Transfer (LSSWT) test was developed in order to quantify complex transfer abilities ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Reicherz A,Brach M,Cerny J,Nicolai S,Becker C,Lindemann U

    更新日期:2011-08-01 00:00:00

  • [Assessment of balance in community dwelling older adults: reliability and validity of the German version of the Fullerton Advanced Balance Scale].

    abstract::The purpose of this study was to validate the German translation of the originally English Fullerton Advanced Balance Scale (FAB-D). The 10-item test battery is a performance-based measure that addresses the multiple dimensions of balance. The German FAB-D using a forward-backward procedure was examined by a sample of...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    doi:10.1007/s00391-011-0236-8

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    更新日期:2011-12-01 00:00:00

  • [Palliative geriatrics. What are the differences between oncologic and non-oncologic palliative geriatric inpatients?].

    abstract:AIM OF THE STUDY:Analysis of differences between oncologic and non-oncologic patients in the first German hospital-based special care unit for palliative geriatrics. METHODS:Systematic analysis of patients' records according to a standardized protocol. RESULTS:A total of 217 patients from a hospital-based special car...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-010-0148-z

    authors: Genz H,Jenetzky E,Hauer K,Oster P,Pfisterer MH

    更新日期:2010-12-01 00:00:00

  • [Tacrine: progress in treatment of Alzheimer's disease?].

    abstract::The cholinesterase inhibitor tacrine exerts a marked therapeutic effect only at a dose which is not tolerated by many patients because of the gastrointestinal side effects and hepatotoxicity of the drug. In patients who tolerate a high dose of tacrine the mean increase in cognitive abilities is roughly equivalent to t...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:

    authors: Kurz A,Marquard R,Mösch D

    更新日期:1995-05-01 00:00:00

  • [On the stability and modifiability of the sense of coherence in active seniors].

    abstract::According to Antonovsky, the sense of coherence (SOC) determines health and wellbeing. This life orientation is shaped up to the age of 30 and is supposed to remain constant up to senior age. In a field study, in which the SOC, psycho-social resources and subjective health were assessed at three points in time, it cou...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Wiesmann U,Rölker S,Ilg H,Hirtz P,Hannich HJ

    更新日期:2006-04-01 00:00:00

  • [Abilities and restrictions of nursing home residents. Evaluation with the Minimum Data Set of the Resident Assessment Instrument].

    abstract:UNLABELLED:The main objective of the study was to examine the prevalence of problems and resources of an unselected cohort of nursing home residents. The sample includes residents (n=769) of an urban area in Southern Germany. The assessment definitions were used according to the Minimum Data Set of the Resident Assessm...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Becker C,Eichner B,Lindemann B,Sturm E,Rissmann U,Kron M,Nikolaus T

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  • [Expert assessment of nursing care need according to SGB XL. Trigger for intervention programs in geriatric rehabilitation].

    abstract::"Rehabilitation instead of nursing care" is one of the most important entitlements of the social welfare legislation to long-term care. In Germany 1.2 million evaluations per year are done by the experts of the medical review boards of the health insurance funds. As a part of those evaluations the experts also have to...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    doi:

    authors: Lürken L

    更新日期:2001-05-01 00:00:00

  • Prognostic value of plasma NT-proBNP levels in very old patients with moderate renal insufficiency in China.

    abstract:BACKGROUND:The N‑terminal pro-brain natriuretic peptide (NT-proBNP) has an important prognostic value in chronic renal insufficiency; however, most studies have been conducted in patients with end-stage renal disease (ESRD). In this study we evaluated the prognostic significance of NT-proBNP in very old patients with s...

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  • [Effect of ambulatory geriatric rehabilitation on polypharmacy and potentially inappropriate medication-an observational study].

    abstract:BACKGROUND:Ambulatory geriatric rehabilitation (AGR) is a prevention program for multimorbid patients with the contractual agreement to prevent the need for care and hospital admissions and to promote self-sufficiency. It provides an opportunity to reduce the prevalence of polypharmacy and to discontinue potentially in...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Kiel S,Zimak C,Schmidt CO,Chenot JF

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  • [Neuropsychological diagnostics of cognitive deficits : Focus on dementia].

    abstract::Older people often report a decline in their cognitive functions - memory problems and difficulty finding words are frequently mentioned. In this context it is essential to differentiate between age-related cognitive decline and pathological processes as they occur in the context of dementia. Neuropsychological diagno...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Jekel K,Wagner P

    更新日期:2020-12-01 00:00:00

  • [Management of malignant wounds].

    abstract::Malignant wounds arise either primary or secondary in the context of a malignant transformation of already existing wounds. A plethora of skin tumors, such as basal cell carcinoma, squamous cell carcinoma, melanoma, lymphoma as well as cutaneous metastases of other malignancies can ulcerate and be the cause of maligna...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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  • Social support is associated with technology use in old age.

    abstract:BACKGROUND:The use of technological innovations can play a significant role in healthy aging and social participation in old age; however, it is not well understood how social contexts can influence or support older adults' use of technology. This study explored the associations between technology use, perceived techno...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Kamin ST,Beyer A,Lang FR

    更新日期:2020-05-01 00:00:00

  • [Images and discourses of ageing--annotations to the state of research].

    abstract::Up to now, images of ageing are considered unilaterally from an individualising perspective in which the cause for negative images as well as the starting point for potential change is localised in cognitive attitude patterns. In this contribution we plead for a conceptual extension of the research on images of ageing...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

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    authors: Amrhein L,Backes GM

    更新日期:2007-04-01 00:00:00

  • [Gerontopsychiatry and nursing science. Similarities and differences].

    abstract::In the following article, two of the increasingly important public health scientific disciplines of care for the elderly are compared under systematic aspects - gerontopsychiatry and nursing science - with the aim of determining the similarities and differences of both disciplines. There follows a discussion of social...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-004-0247-9

    authors: Schaeffer D

    更新日期:2004-08-01 00:00:00

  • [Trends in participation in nonformal education in the second half of life : Increasing educational participation in retirement].

    abstract:BACKGROUND:Research on nonformal education often focuses on participation within employment. Participation of workers decreases with age; however, recent studies show an increase in participation in nonformal education of older workers. It remains, however, unclear if this trend spills over to retirement. OBJECTIVE:In...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

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    authors: Wiest M,Hoffmann M,Widany S,Kaufmann K

    更新日期:2018-12-01 00:00:00

  • [European Academy for Medicine of Ageing (EAMA)].

    abstract::The European Academy for Medicine of Ageing was founded in 1995 by a nucleus group of European professors: Duursma (Utrecht, NL), Evans (Oxford, GB), Michel (Geneve, CH) and Stähelin (Basel, CH). The aim was to get an adequate postgraduate training under the auspices of an international faculty. A whole curriculum con...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-005-1113-0

    authors: Nikolaus T

    更新日期:2005-09-01 00:00:00

  • [Determining the extent of nursing care need according to the nursing care insurance law in an interdisciplinary comparison].

    abstract::The quantifying of care needed is an important issue of the long-term care insurance act in Germany. In the last three decades limits of self-sufficiency have been defined in the context of law, medicine, social science and nursing science. Following these approaches this study distinguishes between determining the li...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:

    authors: Cappell E

    更新日期:1996-11-01 00:00:00

  • [Characteristics of hospitalized geriatric patients--a comparison of two cohorts using the screening of the Arbeitsgemeinschaft Geriatrisches Basisassessment (AGAST)].

    abstract::The geriatric screening according to AGAST (Arbeitsgruppe Geriatrisches Basisassessment) contains functional and diagnosis related items, and risk indicators of prognostic relevance, particularly in hospitalized patients. In a retrospective, cohort study, we compared the screening results in 250 consecutive patients o...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-003-0098-9

    authors: von Renteln-Kruse W,Ebert D

    更新日期:2003-06-01 00:00:00

  • [Duodenal ulcers, gastric ulcers and Helicobacter pylori].

    abstract::The mortality in elderly patients over the age of 80 years with peptic ulcers in the case of complications, such as bleeding and perforation is higher than in the general population. Duodenal ulcers are associated with Helicobacter pylori infections in 90% of cases and in 70% of gastric ulcers. The treatment of elderl...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-017-1190-x

    authors: Dovjak P

    更新日期:2017-02-01 00:00:00

  • [Diastolic heart failure: heart failure with preserved ejection fraction].

    abstract::The prognosis for patients with diastolic heart failure--heart failure with preserved ejection fraction--has not improved in the last few decades despite improvement of prognosis for all patients with heart failure. Diastolic dysfunction is a typical finding in elderly patients with heart failure. The diagnostic proce...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-012-0345-z

    authors: Dovjak P

    更新日期:2013-01-01 00:00:00

  • [Human immunodeficiency virus infection in the elderly].

    abstract::Due to the excellent efficacy of antiretroviral treatment increasingly more people with human immunodeficiency virus (HIV) infections survive to old age. The national and international definition of older people with HIV infections comprises those aged 50 years and older. Practitioners caring for these patients have t...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-019-01669-2

    authors: Bogner JR

    更新日期:2020-03-01 00:00:00

  • [Regional impact of German statutory pension insurance].

    abstract::The regional impact of old age pension systems has received little attention. For example, the German statutory pension insurance ("gesetzliche Rentenversicherung", GRV) was hitherto to the greatest extent discussed in the context with the situation in West and East Germany. However, the benefits of old age pension sy...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-012-0348-9

    authors: Fachinger U,Stegmann M

    更新日期:2012-07-01 00:00:00

  • Energetic stress in combination with tumor necrosis factor-alpha (TNF-alpha) induces apoptosis of human fibroblasts (WI-38) in vitro: reduced responsiveness of senescent cells.

    abstract::The NaCl content of the culture medium of human fibroblasts (WI-38) was elevated from 0.12 M to 0.23 M. Previously it had been shown that exposure of fibroblasts to such high NaCl conditions resulted in a rise of both glycolysis and respiration ("energetic stress"), mainly due to increased demands of energy for active...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910170014

    authors: Steinkamp M,Schachtschabel DO

    更新日期:2001-12-01 00:00:00

  • [Perspectives for professionally sufficient and adequate care of ageing patients].

    abstract::This contribution deals with the question of how existing health care systems can be sufficiently and adequately adapted to ageing patients in general, and to patients with special needs for nursing care and assistance. Simultaneously, it advocates explicit consideration of the dimensions of social inequality and heal...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-009-0070-4

    authors: Naegele G

    更新日期:2009-12-01 00:00:00

  • [Treatment with psychotropic agents in patients with dementia and delirium : Gap between guideline recommendations and treatment practice].

    abstract:BACKGROUND AND OBJECTIVES:Psychiatric symptoms in dementia and delirium are associated with a substantially reduced quality of life of patients and their families and often challenging for professionals. Pharmacoepidemiological surveys have shown that, in particular, patients living in nursing homes receive prescriptio...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-016-1176-0

    authors: Hewer W,Thomas C

    更新日期:2017-02-01 00:00:00