[Care situation for hospitalized patients with cognitive disorders].

Abstract:

BACKGROUND:The number of patients with a cognitive disorder will increase significantly in the coming years due to demographic changes. The number of patients from this group requiring stationary treatment will inevitably increase in all medical specialties. The aim of our survey was to examine how hospitals are prepared with regard to nursing and treatment for the increasing number of patients with a cognitive disorder. Data were obtained concerning which problems in care have special significance and should play a central role in future considerations. METHODS:A total of 500 questionnaires were sent to the hospital or nursing directors in Germany. The size of hospital, special wards, targeted admission of patients with a cognitive disorder, especially problematic behaviors of these patients, and measures taken were recorded in a multiple choice manner. RESULTS:The return rate was 26 %. In larger hospitals, special wards for "dementia" (geriatrics, neurology, psychiatry or geropsychiatry) were available. The patients with reduced cognitive abilities received care in specialized wards, if available. Abnormal behaviors were highly significant at all hospitals consulted. Diverse measures were used to solve the problem. The percentages of patients receiving pharmacological treatment or measures for restraint were higher in hospitals with special "dementia" departments compared to hospitals without. CONCLUSION:The number of patients with a cognitive disorder being cared for in hospitals is significantly higher than generally assumed. The mentioned problems are difficult to solve. Concepts especially for hospitals without "dementia" specialty departments are absolutely necessary and should be further validated.

journal_name

Z Gerontol Geriatr

authors

Schütz D,Füsgen I

doi

10.1007/s00391-013-0482-z

subject

Has Abstract

pub_date

2013-04-01 00:00:00

pages

203-7

issue

3

eissn

0948-6704

issn

1435-1269

journal_volume

46

pub_type

杂志文章
  • [Study concepts for social work with elderly people and planning of a new gerontological master program at the University of Dortmund].

    abstract::This article presents previous experiences regarding the study course Social Gerontology (bWSG) at the University of Dortmund. After a short historical outline the focus will be on a critical examination of the success of the study course. Finally, new developments at the University of Dortmund will be presented, amon...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-007-0497-4

    authors: Weidekamp-Maicher M,Naegele G

    更新日期:2007-12-01 00:00:00

  • [The last year of life: a representative study of deceased patients. Living arrangement, place of death and utilization of health resources].

    abstract::The aim of the present study was to describe the pattern of service use (hospitals, homes, ambulatory services) in the year before death. The results are based on administrative data for the elderly inhabitants of the city of Mannheim, who died during one year (n = 2507), as well as on a survey of the next of kin of a...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910050034

    authors: Bickel H

    更新日期:1998-06-01 00:00:00

  • [Vaccination in the elderly].

    abstract::The aging immune system, so-called immunosenescence, is well documented as the cause of increased infection rates and severe, often complicated course of infections in the elderly with increased morbidity and mortality rates. Furthermore, it can lead to decreased efficacy of vaccination. The administration of more imm...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-013-0532-6

    authors: Kwetkat A,Pletz MW

    更新日期:2013-10-01 00:00:00

  • [Number processing and acalculia in dementia].

    abstract::In this review, studies on number processing and calculation in demented patients are summarized. Single cases, group studies and our own examinations all show that acalculia is a frequent symptom of dementia and correlates with severity of dementia. While calculation and numeral transcoding deficits are often promine...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s003910200013

    authors: Kalbe E,Kessler J

    更新日期:2002-04-01 00:00:00

  • [Protein glycation as a pathological mechanism in diabetes].

    abstract::The incidence of diabetes has increased in the recent years. Diabetes is characterized by increased sugar concentrations in the blood. Due to this dysregulation, more carbohydrate-induced modification of proteins - so-called advanced glycation end products (AGEs) - are formed endogenously by non-enzymatic reactions. T...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-011-0282-2

    authors: Simm A,Navarrete-Santos A,Hofmann B,Bushnaq H,Nass N

    更新日期:2012-02-01 00:00:00

  • [New oral anticoagulants for prophylaxis of stroke. Results of an expert conference on practical use in geriatric patients].

    abstract::Geriatric patients with non-valvular atrial fibrillation (AF) are increasingly being treated with novel oral anticoagulants (NOAC) to prevent ischemic stroke. This article highlights the outcome of an expert meeting on the practical use of NOAC in elderly patients. An interdisciplinary group of experts discussed the c...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-016-1027-z

    authors: Bahrmann P,Harms F,Schambeck CM,Wehling M,Flohr J

    更新日期:2016-04-01 00:00:00

  • [Post-retirement activity in Germany].

    abstract::During recent years, a discussion on work activity of retirees has commenced also in Germany. First, this contribution presents a survey of the North American phenomenon of bridge employment and, second, complements leadoff empirical results on individual motives and favored basic conditions in Germany. Individual and...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-009-0047-3

    authors: Deller J,Maxin LM

    更新日期:2009-08-01 00:00:00

  • [Dementia in families with a Turkish migration background. Organization and characteristics of domestic care arrangements].

    abstract:BACKROUND:Until recently public health and health services research has not been concerned with people suffering from dementia with a Turkish migration background as a priority. There is little evidence about the situation of this population; however, it is known that these individuals almost always live with their fam...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-014-0802-y

    authors: Mogar M,von Kutzleben M

    更新日期:2015-07-01 00:00:00

  • A brief update on dementia prevention.

    abstract::A large number of published overview and original articles provide evidence and declare the need for immediate, appropriate preventive lifestyle measures to prevent the development of dementia and Alzheimer's disease (AD). However, despite this, there are great difficulties in drafting effective guidelines in this fie...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-011-0263-5

    authors: Polidori MC,Pientka L

    更新日期:2012-01-01 00:00:00

  • Polypharmacy and older people--the GP perspective.

    abstract::It is well known that problems with compliance rise exponentially when more that 4 drugs are prescribed. The rising use of prescription medicine forces the GP to balance the benefit of evidence group-based appropriate drug use against the problems arising when medication is given to older people and to consider differ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-005-1104-1

    authors: Vass M,Hendriksen C

    更新日期:2005-09-01 00:00:00

  • [Unequal social participation in later life].

    abstract::The concept of active ageing comprises the maintenance of societal participation throughout the life span into old age. "Good" ageing in line with this activity paradigm develops into a starting point of social inequality rather than being its result. Based on the German Ageing Survey (DEAS) we investigated access to ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-013-0498-4

    authors: Simonson J,Hagen C,Vogel C,Motel-Klingebiel A

    更新日期:2013-07-01 00:00:00

  • [Conceptual and legal variations between the treatment of people with dementia receiving inpatient and ambulatory care].

    abstract::In Germany, there clearly appears to be a gap between care carried out at home and in in-patient settings (residential nursing care). Numerous innovative projects of alternatively structured care, like for instance shared flats or group care units for people with dementia are placed in between the traditional, either ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-005-0298-6

    authors: Klie T,Pfundstein T,Eitenbichler L,Szymczak M,Strauch M

    更新日期:2005-04-01 00:00:00

  • [Cognitive dysfunction after abdominal surgery in elderly patients].

    abstract::Elderly patients often suffer from postoperative cognitive deficits (POCD) after serious surgical operations. The reasons for this are not well understood. We investigated the influence of the invasiveness of the operation and the duration of the operation as well as the patient's preoperative physical status on measu...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-004-0212-7

    authors: Müller SV,Krause N,Schmidt M,Münte TF,Münte S

    更新日期:2004-12-01 00:00:00

  • "N-active": a new comanaged, orthogeriatric ward: observations and prospects.

    abstract::The incidence of hip fractures increases with increasing age. Besides the actual trauma, it is mainly the comorbidities and an increased postoperative complication rate in old patients that lead to increased mortality in this patient population. Around 25% of patients who had previously been living independently conti...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-011-0250-x

    authors: Singler K,Biber R,Wicklein S,Heppner HJ,Sieber CC,Bail HJ

    更新日期:2011-12-01 00:00:00

  • [Associations between cognitive performance in a dementia screening test (SKT) and an intelligence test (WAIS IV) : Which deficits in cognitive performance in old age indicate a possible pathological deterioration process?]

    abstract:BACKGROUND:Which deficits in cognitive performance indicate the onset of a pathological deterioration process in older persons? AIM AND OBJECTIVES:Based on an established dementia screening test in elderly adults, a differentiation can be made between healthy cognitive performance and the onset of pathological deficit...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-017-1263-x

    authors: Pauli L,Daseking M,Petermann F,Stemmler M

    更新日期:2018-04-01 00:00:00

  • Cellular senescence in normal and premature lung aging.

    abstract::The incidence of chronic respiratory diseases (e.g., chronic obstructive pulmonary disease, COPD) and interstitial lung diseases (e.g., pneumonia and lung fibrosis) increases with age. In addition to immune senescence, the accumulation of senescent cells directly in lung tissue might play a critical role in the increa...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-013-0543-3

    authors: Bartling B

    更新日期:2013-10-01 00:00:00

  • [Basic functions and specialty standards of support management].

    abstract::Three strategies are followed in handling the key issue within the field of action of care an services for the elderly: securing the material needs of those requiring care, creating appropriate care structures, and providing an effective counselling back-up to alleviate interface problems. Those latter, process-orient...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s003910050055

    authors: Wissert M

    更新日期:1998-10-01 00:00:00

  • [Are denture cleansing tablets suitable for daily use?].

    abstract::Sufficient denture hygiene is very important in particular for immunocompromised and bedridden patients to reduce the risk posed by the aspiration of pathogenic microorganisms. In addition to mechanical cleansing, chemical denture cleansers are suitable for daily use at home. However, they continue to be seen as probl...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-010-0153-2

    authors: Blankenstein FH,Peroz I

    更新日期:2011-06-01 00:00:00

  • [Trail walking test for assessment of motor cognitive interference in older adults. Development and evaluation of the psychometric properties of the procedure].

    abstract:BACKGROUND:Activities of daily living (ADL), such as walking, often involve the added complexity of walking while doing other activities (i.e. dual task walking). A complex walking task may require a greater motor and mental capacity, resulting in decrements in gait performance not seen for simple walking tasks. AIM:T...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-015-0866-3

    authors: Schott N

    更新日期:2015-12-01 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

  • [Retirement as crisis or good fortune? Results of a quantitative-qualitative longitudinal study].

    abstract::Results of a longitudinal study about the transition to retirement are presented. 329 persons were interviewed three times (quantitative study) and 20 persons conducted a semi-structured diary (qualitative study), covering in both groups a two-year period (from half a year before retirement to one and a half years aft...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910050168

    authors: Mayring P

    更新日期:2000-04-01 00:00:00

  • [Special care units for patients with cognitive impairment : Results of a nationwide survey in geriatric hospitals in Germany].

    abstract:BACKGROUND:A large number of older acutely ill patients with cognitive impairment are treated in geriatric care units. Since 1990 some geriatric departments in Germany have established special care units (SCU) for this patient population. In 2010 the first inventory of SCUs in Germany was carried out, which was not bas...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-018-1439-z

    authors: Zieschang T,Bauer J,Kopf D,Rösler A

    更新日期:2019-10-01 00:00:00

  • [Treatment of pain in people with dementia].

    abstract::The causes of pain must always be clarified, as long as it can be justified. In dementia the placebo effect can be lacking. A treatment on demand is difficult to implement. Correctly applied nonmedicinal treatment has few unwanted effects but mostly needs constant support by personnel. Medications with anticholinergic...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-019-01578-4

    authors: Schuler M

    更新日期:2019-10-01 00:00:00

  • [Attitudes to publication of quality testing reports in nursing homes].

    abstract:BACKGROUND:The Nursing and Living Quality Act (PfleWoqG) regulates the implementation of legally regulated quality inspections and publication of statutory quality inspection reports for residential nursing homes in Bavaria. In the currently valid version, the quality records have to be published but a decision of the ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-020-01767-6

    authors: König A,Erling R,Reuschenbach B

    更新日期:2020-07-31 00:00:00

  • [The degree of Objective Health Burden (OHB) - an expert assessment of the impairment caused by somatic illnesses in geriatric medicine].

    abstract::The degree of Objective Health Burden (OHB) is an expert assessment of the impairment caused by somatic illnesses. It allows an overall clinical rating of the severity of a patient's somatic condition, considering all available information, not only the content or number of diagnoses. The rating on a five point scale ...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s003910050111

    authors: Schneider G,Nehen HG,Heuft G

    更新日期:1999-08-01 00:00:00

  • [Implementation and results of a geriatric medication database].

    abstract:BACKGROUND:The aim of this project was to obtain information about drug therapy in geriatric units. PATIENTS AND METHODS:Members of the geriatrics in Bavaria database (GiB-DAT) collected data on discharge medication and transferred them to the database. A total of 88,840 data sets of geriatric rehabilitation clinics a...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-012-0382-7

    authors: Gaßmann KG,Tümena T,Schlee S,GiB-DAT-Studiengruppe.,Garner C,Kieslich B,Kraft J,Schwab M,Sieber C,Stobbe A,Trögner J

    更新日期:2012-08-01 00:00:00

  • [What roll does the sense of coherence in coping with Morbus Parkinson play?].

    abstract:PURPOSE OF THE STUDY:In this study the relevance of sense of coherence (SOC) for coping with an illness was examined in subjects with Parkinson's disease. According to Antonovsky's model (1997) the sense of coherence is an important resource when it comes to dealing with stressors. To take into consideration the integr...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章

    doi:10.1007/s00391-008-0009-1

    authors: Pusswald G,Fleck M,Haubenberger D,Auff E,Weber G

    更新日期:2009-06-01 00:00:00

  • [Depression in old age, part 2 : Comorbidity and treatment].

    abstract::Depression in later life unfavorably impacts on the prognosis of comorbid somatic medical conditions. There are mutually reciprocal risk relationships with several frequently occurring medical conditions, such as diabetes, ischemic heart disease, stroke and Parkinson's disease. A wide range of psychological and psycho...

    journal_title:Zeitschrift fur Gerontologie und Geriatrie

    pub_type: 杂志文章,评审

    doi:10.1007/s00391-016-1022-4

    authors: Wolter DK

    更新日期:2016-07-01 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

    doi:10.1007/s00391-007-0445-3

    authors: Amrhein L,Backes GM

    更新日期:2007-04-01 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