Xem 1-20 trên 28 kết quả Hospitalized elderly
  • While the prevalence of malnutrition in the free-living elderly population is relatively low, the risk of malnutrition increases dramatically in the institutionalized and hospitalized elderly. 1 The prevalence of malnutrition is even higher in cognitively impaired elderly individuals and is associated with cognitive decline. 2 Patients who are malnourished when admitted to the hospital tend to have longer hospital stays, experience more complications, and have greater risks of morbidity and mortality than those whose nutritional state is normal.

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  • The full MNA® is a validated screening tool that identifies elderly persons who are malnourished or at risk for malnutrition. The full MNA® is the original version of the MNA® and takes 10-15 minutes to complete. The revised MNA®-SF is a short form of the MNA® that takes less than 5 minutes to complete. It retains the accuracy and validity of the full MNA®. Currently, the MNA®-SF is the preferred form of the MNA® for clinical practice in community, hospital, or long term care settings, due to its ease of use and practicality. ...

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  • In general, the health status at old age has an important individual and social relevance. The vulnerability is increasing by physiological and morphological changes in the organism and central nervous system during the ageing process. The indicators of physiological health are based on prevalence of disabilities and causes of death. In Germany the main causes of death are circulatory diseases, neoplasms, diseases of respiratory system and diseases of digestive system (Statistisches Bundesamt 2007a; Nolte, Shkolinikov & McKee 2000).

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  • We have mainly regarded elderly people’s use of information technology in their daily lives as ICT training of elderly people. We have also discussed the possibilities and limitations that technology raises for information, activity and for better contact with others. The use of ICT in nursing and care of elderly people mainly implies in this connection the use of smart-home technology in houses for old people and people with dementia. This technology involves the use of integrated ICT components.

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  • This hesitancy on the part of patients to seek the information needed may have resulted from feeling helpless due to hospitalization. How can seniors feel more proactive about their health care and less like victims? The Internet may not be able to help the elderly when they are already hospitalized, but it could be a useful resource to help them before they enter the hospital.

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  • Stroke is a vascular disease for which mortality and morbidity are relatively well-documented because most stroke victims are admitted to hospitals. Trends in stroke mortality, incidence, and prevalence are somewhat similar to those for other cardiovascular conditions. Stroke mortality has been decreasing since the 1960s, but without a consistent decrease in stroke incidence. Stroke incidence has even been reported to have been higher in the 1980s than during the 1970s, and there was no sustained decline in incidence during the 1990s....

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  • In a seminal study in New Haven, CT, United States, data from a comprehensive annual health and welfare study of a representative sample of 2812 older people were merged with the database of the local agency concerned with adult abuse for each year over a 9-year period (50). Information for the health survey was recorded by nurses, who saw the older people at a hospital for the first year’s data collection and every third year after that. In the intervening years, data were updated by telephone.

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  • In an effort to modernize Medicare insurance, the Federal government has allowed private insurers who meet strict requirements to sell private insurance to the elderly, as a substitute for 'traditional' Medicare insurance. There are many forms of private insurance now being sold to the elderly, including some managed care plan types. Managed care plans restrict the choice of physicians and hospitals to include a set selected by the insurance plan, over whom the plan has more control in terms of utilization and expenditures.

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  • Strategic actions aiming at elderly health are: implementing the Caderneta de Saúde for the elderly, with relevant information about their health, permitting better follow-ups by healthcare workers; Family Health Strategy; stimulating the Permanent Distance Education Program, implementing permanent education activities in the field of aging and elderly health, focused on workers in the basic healthcare network; establishing the Welcoming, by reorganizing the process of welcoming elderly patients in healthcare units; establishing Pharmaceutical Care, developing actions that aim at...

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  • In addition, Kaiser CDSMP participants had 0.2 fewer visits to the emergency room and 0.97 fewer hospital days compared to the year prior to completing the CDSMP. As a result, they reduced their health care costs. For example, if the average cost per day of hospitalization were $1,000 and the average cost of an emergency room visit were $100, the potential savings would be $990 per participant for the first year following completion of the program (0.97 days of hospitalization multiplied by $1,000 plus 0.2 emergency visits multiplied by $100).

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  • significant ramifications for the overall health of seniors. Firstly, seniors tend to turn to their doctors as their primary source of medical information. Secondly, they have, in general, resisted turning to the Internet for their primary medical information seeking needs. These two characteristics are significant due to changing trends in medicine. With HMO’s and hospitals demanding that doctors see a certain number of patients each day, the average amount of time a doctor spends with her patient is fifteen minutes (Belzer 1999, n.p.).

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  • Several community health centers operate a PACE program, a home and community based service that allows severely disabled elders who are eligible for nursing home placement to remain in the community. PACE is usually based in adult day health centers and operates as a small Medicare Advantage capitated managed care plan at risk for providing all Medicare and Medicaid covered services including long term care and acute hospital care. Primary care services are also provided by the PACE program in a clinic setting utilizing employed or contracted medical providers.

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  • Testing was performed in the gait laboratory of the City Hospital Waid in Zurich, Switzerland. To measure steady state walking, the central 7.32 m active sensor area of the GAITRite® system was used as the test distance. During the measurements, the subjects walked on the walkway while wearing their own comfortable clothing and low-heeled habitual shoes.

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  • The use of hospital admission rates for ambulatory care sensitive conditions (ACSCs) has become an established tool for analyzing access to care [1,2]. ACSCs are conditions for which good outpatient care can potentially prevent the need for hospitalization. High rates of hospital admissions for ACSCs may provide evidence of problems with patient access to primary healthcare, inadequate skills and resources, or a mismatch in services.

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  • A quarter of a century ago, the proportion of older people living in institutions in developed countries had reached an estimated 9% (22). Since that time, there has been a shift in emphasis towards care in the community and the use of less restrictive residential settings. Current rates of use of nursing homes are in the range of 4–7% in countries such as Canada (6.8%), Israel (4.4%), South Africa (4.5%) and the United States (4%).

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  • Mistreatment of older people has been identified in facilities for continuing care (such as nursing homes, residential care, hospitals and day care facilities) in almost every country where such institutions exist. Various people may be responsible for the abuse: a paid member of the staff, another resident, a voluntary visitor, or relatives or friends. An abusive or neglectful relationship between the older person and their caregiver at home may not necessarily end once the older person has entered institutional care; the abuse may sometimes continue in a new setting.

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  • Ageing tends to be associated with a growing burden of disease and prolonged heavy drinking is itself a cause of health problems such as liver disease, raised blood pressure, and some forms of cancer. Alcohol misuse may also lead to an increased likelihood of falls, incontinence, cognitive impairment, hypothermia and self-neglect. These sorts of problems may be regarded by health professionals and members of the family merely as signs of ageing.

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  • In November 1999, the Department of Dental Surgery at Chubu National Hospital, National Institute of Longevity Science (Now: National Center for Geriatrics and Gerontologyʣ, established the first oral care outpatient clinic in the nation. We have instructed many people in methods of systematic oral care, and the service has earned a good reputation.

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  • A substantial number of older persons report insecure balance and experience falls and fear of falling. Prospective studies indicate that 20–30% of those over age 65 fall each year, and the proportion is even higher in hospitalized elderly and nursing home patients. Each year 8% of individuals 75 suffer a serious fall-related injury. Hip fractures often result in hospitalization and nursing home admission. For each person who is physically disabled, there are others whose functional independence is constrained by anxiety and fear of falling.

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  • It is innately human to comfort and provide care to those suffering from cancer, particularly those close to death. Yet what seems self-evident at an individual, personal level has, by and large, not guided policy at the level of institutions in this country. There is no argument that palliative care should be integrated into cancer care from diagnosis to death.

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