Responding to Clinicians' Challenges in Working With Geriatric Patients

Clinicians work with older residents who have not only multiple physical limitations, but cognitive loss, communication deficits, dysphagia, and multiple medical diagnoses. They must work within procedural, regulatory, and reimbursement systems that challenge them to provide optimal resident care. In this article, the authors will discuss some specific challenges brought forth by clinicians in response to a clinical scenario and will provide information and feedback from several health-care consultants.

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Aging and Autism

Perspectives on Gerontology ◽

10.1044/gero17.2.69 ◽

2012 ◽

Vol 17 (2) ◽

pp. 69-75 ◽

Cited By ~ 1

Author(s):

Pamela A. Smith

Keyword(s):

Health Care ◽

Autism Spectrum Disorders ◽

Patient Group ◽

Older Patients ◽

Geriatric Patients ◽

Recent Literature ◽

Communication Disorders ◽

Autism Spectrum ◽

Need For Support ◽

Spectrum Disorders

In this article, I will review the available recent literature about the aging population with autism, a patient group that researchers know little about and a group that is experiencing a growing need for support from communication disorders professionals. Speech-language pathologists working with geriatric patients should become familiar with this issue, as the numbers of older patients with autism spectrum disorders is likely to increase. Our profession and our health care system must prepare to meet the challenge these patients and residents will present as they age.

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Eye Protection in ENT Practice During the COVID-19 Pandemic

OTO Open ◽

10.1177/2473974x211010408 ◽

2021 ◽

Vol 5 (2) ◽

pp. 2473974X2110104

Author(s):

Jia Hui Ng ◽

Dan Daniel ◽

Anton Sadovoy ◽

Constance Ee Hoon Teo

Keyword(s):

Health Care ◽

Protective Equipment ◽

Evidence Based ◽

Clinical Scenario ◽

Degree Of Contamination ◽

Eye Protection ◽

Fluorescent Microscope ◽

Set Up ◽

Evidence Based Guidelines ◽

Care Worker

Objectives There is a lack of evidence-based guidelines with regard to eye protection for aerosol-generating procedures in otolaryngology practice. In addition, some recommended personal protective equipment (PPE) is not compatible with commonly used ENT equipment. This study aims to investigate the degree of eye protection that commonly used PPE gives. Study Design Simulation model. Setting Simulation laboratory. Methods A custom-built setup was utilized to simulate the clinical scenario of a patient cough in proximity of a health care worker. A system that sprays a xanthan-fluorescein mixture was set up and calibrated to simulate a human cough. A mannequin with cellulose paper placed on its forehead, eyes, and mouth was fitted with various PPE combinations and exposed to the simulated cough. The degree of contamination on the cellulose papers was quantified with a fluorescent microscope able to detect aerosols ≥10 µm. Results When no eye protection was worn, 278 droplets/aerosols reached the eye area. The use of the surgical mask with an attached upward-facing shield alone resulted in only 2 droplets/aerosols reaching the eye area. In this experiment, safety glasses and goggles performed equally, as the addition of either brought the number of droplets/aerosols reaching the eye down to 0. Conclusion When used with an upward-facing face shield, there was no difference in the eye protection rendered by safety goggles or glasses in this study. Safety glasses may be considered a viable alternative to safety goggles in aerosol-generating procedures.

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Adding A Dietician to the Liaison-Team after Discharge of Geriatric Patients at Nutritional Risk May Save Health Care Costs

Journal of Aging Science ◽

10.4172/2329-8847.1000159 ◽

2016 ◽

Vol 04 (03) ◽

Author(s):

Anne Pohju ◽

Kerstin Belqaid ◽

Christopher Brandt

Keyword(s):

Health Care ◽

Health Care Costs ◽

Geriatric Patients ◽

Nutritional Risk ◽

Care Costs

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Analysis of spontaneously reported adverse drug reactions to pharmacovigilance cell of a tertiary care hospital

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20183022 ◽

2018 ◽

Vol 7 (8) ◽

pp. 1551

Author(s):

Kaksha J. Patel ◽

Ashwin K. Panchasara ◽

Manish J. Barvaliya ◽

C. B. Tripathi

Keyword(s):

Health Care ◽

Adverse Drug Reactions ◽

Health Care Professionals ◽

Geriatric Patients ◽

Tertiary Care ◽

Care Hospital ◽

Drug Reactions ◽

Adr Reporting ◽

Common Group ◽

Selection Of

Background: The objective of the study was to study the clinical patterns, causality and severity of adverse drug reactions in a tertiary care hospital.Methods: Total 131 ADR forms were collected from January 2012 to December 2012 and evaluated. Patient’s characteristics, ADR and drug characteristics, causality, severity and preventability of collected ADR were analyzed.Results: Total 131 ADR forms were evaluated. Male patient experiencing ADR were more (73, 55.7%) than female (58, 44.2%). Adult patients (12-60 years) experienced 110 (84%) ADR followed by pediatric patients (< 12 years) 11 (8.4%) and geriatric patients (>60 years) 10 (7.63%). Antimicrobial were the most common group of drugs responsible for ADR followed by NSAIDs and antipsychotic group.Conclusions: Present study shows lack of awareness among health care professionals for reporting of an ADR. Training and collaboration of health care professionals are needed for improvement in ADR reporting. Appropriate feedback from ADR reporting will help in selection of drug and promotes safer use of drugs.

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A Comprehensive Overview of Polypharmacy in Elderly Patients in Saudi Arabia

Geriatrics ◽

10.3390/geriatrics4020036 ◽

2019 ◽

Vol 4 (2) ◽

pp. 36 ◽

Cited By ~ 1

Author(s):

Aseel Alsuwaidan ◽

Norah Almedlej ◽

Sawsan Alsabti ◽

Omamah Daftardar ◽

Fawzi Al Deaji ◽

...

Keyword(s):

Risk Factors ◽

Health Care ◽

Adverse Drug Reaction ◽

Saudi Arabia ◽

Drug Reaction ◽

Elderly Patients ◽

Care Management ◽

Geriatric Patients ◽

Health Care Management ◽

Significant Difference

Background/Objectives: Saudi Arabia has a great percentage of geriatric patients associated with multiple chronic diseases who require close attention and monitoring for their medications. The purpose of this study is to develop a full-framed picture about the utilization of medications for geriatric patients and how to provide better health-care management. Methodology: A retrospective cross-sectional study targeting patients 65 years of age and older, who are taking multiple chronic medications for different indications. Descriptive analysis and frequency of the main variables were used as appropriate. Only qualified and professional candidates were chosen for data entry to present the quality and accuracy of data. Results: A total of 3009 patient profiles were analyzed, with the patients’ average age in years being 73.26 ± 6.6 (SD). It was found that 55% of the patients have polypharmacy. An average of 6.4 medications were prescribed for patients aged between 65 and 70 years compared with a significant difference for patients aged 71 years and above, while a linear correlation between age and comorbidity diseases associated with all elderly patients. Hypertension, hyperlipidemia, and diabetes mellitus are the most common comorbidity diseases for elderly patients aged 65 years and older. Conclusion: Polypharmacy in geriatrics is defined as a patient aged 65 years and older receiving five or more appropriate medications. It is the responsibility of health-care professionals to reduce the number of medications in elderly patients. Awareness of geriatric medications and diagnosed diseases will improve managing adverse drug reaction and other risk factors. Awareness of geriatric medications should elaborate on how to avoid adverse drug reaction and other risk factors. It is the responsibility of physicians and pharmacists to reduce the number of medications in elderly patients. We also prove that the number of medications will not necessarily increase with age. The main impact of this study is to follow the main recommendations to improve health care management in geriatrics.

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Quality of primary health care: an analysis of avoidable hospitalizations in a Minas Gerais county, Brazil

Ciência & Saúde Coletiva ◽

10.1590/1413-81232015204.12382014 ◽

2015 ◽

Vol 20 (4) ◽

pp. 1285-1293 ◽

Cited By ~ 3

Author(s):

Carolina Costa Valcanti Avelino ◽

Sueli Leiko Takamatsu Goyatá ◽

Denismar Alves Nogueira ◽

Ludmila Barbosa Bandeira Rodrigues ◽

Sarah Maria Souza Siqueira

Keyword(s):

Diabetes Mellitus ◽

Health Care ◽

Primary Health Care ◽

Circulatory System ◽

Minas Gerais ◽

Average Hospital ◽

Medical Diagnoses ◽

Avoidable Hospitalizations ◽

Primary Health

The aim of the study was to evaluate the quality of primary health care based on avoidable hospitalizations of men and women of all ages, from 2008 to 2012 in Alfenas County in the south of Minas Gerais state. This was an ecological study based on data from the Hospital Information System (HIS). The medical diagnoses selected for the study were pneumonia, diabetes mellitus and diseases of the circulatory system. There was a predominance of elderly males diagnosed with pneumonia, with an average hospital stay of five days. Admission rates for diseases of the circulatory system and diabetes mellitus tended to remain stable during the study period. While for pneumonia there was a tendency of growth that reached a plateau in early March 2009, bringing the average rate up from 2.01 to 3.51. The data suggest that primary health care is poorly organized to meet these diagnoses, particularly for pneumonia.

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The Underreporting Gap in Aggressive Incidents From Geriatric Patients Against Certified Nursing Assistants

Violence and Victims ◽

10.1891/088667007780842784 ◽

2007 ◽

Vol 22 (3) ◽

pp. 367-379 ◽

Cited By ~ 21

Author(s):

Lori Anderson Snyder ◽

Peter Y. Chen ◽

Tammi Vacha-Haase

Keyword(s):

Health Care ◽

Geriatric Patients ◽

Intent To Leave ◽

Health Care Industry ◽

Workplace Aggression ◽

Nursing Assistants ◽

Certified Nursing Assistants ◽

Care Industry ◽

Care Facilities ◽

Industry Experience

Staff in the health care industry experience workplace aggression at a much higher rate than the general workforce. However, a large proportion of aggressive incidents go unreported, and the source of many of these incidents is patients. This study investigates aggressive incidents from patients against certified nursing assistants (CNAs; n = 76) in a sample of six geriatric care facilities. The results indicate that CNAs experienced a median of 26 aggressive incidents over the course of the 2-week study and that approximately 95% of these incidents were not reported to the facility. The present study also empirically examines reasons why nursing staff decide to report incidents. Finally, this study reveals that the experience of aggression from patients is related to subsequent organizational commitment, job satisfaction, and intent to leave the job.

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Professional Practice and Patient Care: Multidisciplinary Teamwork in Geriatric Wards

Ageing and Society ◽

10.1017/s0144686x00009181 ◽

1982 ◽

Vol 2 (1) ◽

pp. 57-75 ◽

Cited By ~ 11

Author(s):

Helen Evers

Keyword(s):

Health Care ◽

Patient Care ◽

Professional Practice ◽

Health Care Professionals ◽

Geriatric Patient ◽

Geriatric Patients ◽

The Elderly ◽

Policy And Practice ◽

Professional Literature ◽

Multidisciplinary Teamwork

ABSTRACTThis paper aims to examine aspects of the nature of multidisciplinary teamwork in geriatric care. First, some of the medical profession's current views of teamwork in geriatrics will be summarized. Second, case studies from a research project on care of geriatric patients in hospital will be used to illustrate some of the strengths and limitations of the adoption of a teamwork approach by health care professionals. Evidence from research suggests that under only a few circumstances does care of the geriatric patient match the images of teamwork as portrayed in the professional literature. This finding in part reflects piecemeal developments in interprofessional responsibilities and relationships in policy and practice of care of the elderly.

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