The Evolution of the Geriatric Service

2021 ◽  
pp. 8-15
Author(s):  
Bernard Isaacs ◽  
Maureen Livingstone ◽  
Yvonne Neville
Keyword(s):  
Geriatric Service

Historical and medical aspects of the organization of medical and social services for the elderly and senile people in Russia in the late XX — early XXI centuries

2020 ◽  
pp. 49-57
Author(s):  
Lyudmila Kaspruk
Keyword(s):  
Health Care ◽  
Social Services ◽  
Social Protection ◽  
The Elderly ◽  
Primary Role ◽  
Primary Health ◽  
Geriatric Service ◽  
Delivery Of Medical Care ◽  
Older Citizens

When analyzing the historical and medical aspects of the organization of medical and social services for the elderly and senile people in Russia in the late XX — early XXI centuries not only obvious achievements in this sphere, but also a number of problems requiring solution were identified. The primary role in the delivery of medical care to geriatric patients is assigned to the primary health care sector. However the work of the geriatric service in the format of a single system for the provision of long-term medical and social care based on the continuity of patient management between differ- ent levels of the health care system and between the health and social protection services is not well organized. There is no clear coordination and interaction between health care and social protection institutions, functions of which include providing care to older citizens, and it significantly reduces the effectiveness of the provision of both medical and social services.

Ortho-geriatric service—a literature review comparing different models

2010 ◽  
Vol 21 (S4) ◽  
pp. 637-646 ◽  
Author(s):  
C. Kammerlander ◽  
T. Roth ◽  
S. M. Friedman ◽  
N. Suhm ◽  
T. J. Luger ◽  
...  
Keyword(s):  
Literature Review ◽  
Geriatric Service

scholarly journals Prospective study of drug reporting by general practitioners for an elderly population referred to a geriatric service.

BMJ ◽  
1987 ◽  
Vol 294 (6567) ◽  
pp. 289-290 ◽  
Author(s):  
W J Gilchrist ◽  
Y C Lee ◽  
H C Tam ◽  
J B Macdonald ◽  
B O Williams
Keyword(s):  
Prospective Study ◽  
General Practitioners ◽  
Elderly Population ◽  
Geriatric Service

scholarly journals Measured benefits from the introduction of an ortho-geriatric service in a district hospital trauma service

Injury Extra ◽  
2008 ◽  
Vol 39 (5) ◽  
pp. 175
Author(s):  
G. Erturan ◽  
J. McKenzie ◽  
S. Woods ◽  
R. Attoti ◽  
S. Deo
Keyword(s):  
District Hospital ◽  
Trauma Service ◽  
Geriatric Service

A Twelve Month Follow-Up Study of Psychogeriatric Admissions to Mental Health Services and Geriatric Service Hospitals

1970 ◽  
Vol 4 (3) ◽  
pp. 131-136 ◽  
Author(s):  
P. W. Burvill
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Western Australia ◽  
Hospital Admissions ◽  
Public Health Department ◽  
Home Setting ◽  
Geriatric Service ◽  
Psychogeriatric Patients

Eighty-five (100 per cent) consecutive psychogeriatric patients admitted to the Public Health Department Geriatric Service of Western Australia and eighty (94 per cent) of the original 85 psychogeriatric patients admitted to the Mental Health Services of Western Australia were re-examined by the author 12 months after admission. Twenty-five Geriatric Service patients had died, 19 were alive in the community, and 41 alive in hospital; the corresponding Mental Health Services figures were 15, 33 and 32. Differences in movement pattern and outcome between the two services, and between mental hospital admissions in the United Kingdom and Western Australia, were documented. There was a considerable number of repeated transfers from one hospital or nursing home setting to another during the 12 months among those patients living in hospital at follow-up, and to a less extent among those who died. Outcome of the patients was related to a number of factors for each service.

scholarly journals Quantitative sensory testing in elderly: longitudinal study

2018 ◽  
Vol 76 (11) ◽  
pp. 743-750
Author(s):  
Luciana Alvarenga da Silva ◽  
Omar Jaluul ◽  
Manoel Jacobsen Teixeira ◽  
José Tadeu Tesseroli de Siqueira ◽  
Wilson Jacob Filho ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Quantitative Sensory Testing ◽  
Hemoglobin Concentration ◽  
Clinical Aspects ◽  
Mean Corpuscular Hemoglobin ◽  
Sensory Testing ◽  
Geriatric Service ◽  
Sensitivity Changes ◽  
Healthy Participants

ABSTRACT Objective: To evaluate elderly patients in a geriatric service, along with their sensory characteristics and their association with clinical aspects. Methods: This was a descriptive longitudinal study. We enrolled 36 healthy participants of both sexes in this study. The following instruments were used and evaluations performed: clinical evaluation, Mini-Mental State Exam, and quantitative sensory testing. Results: During the follow-up, there was reduction of mean corpuscular volume at each evaluation (p < 0.001) and significant increase in mean corpuscular hemoglobin concentration (p < 0.001). There was an increase of the olfactory (p < 0.001), salty (p = 0.024), sour (p = 0.020), bitter (p = 0.001), facial cold (p = 0.019), hand cold (p = 0.004), facial tactile (p < 0.001), hand tactile (p = 0.012) and facial vibration (p = 0.018) thresholds. Previous existing morbidities were associated with sensitivity changes in the individuals in this sample. Conclusion: This longitudinal study suggests that the loss of sensitivity with aging may be associated with the presence of morbidities in elders.

P447: Efficacy of geriatric intervention on polypharmacy consumption. Experience in an outpatient geriatric service

2014 ◽  
Vol 5 ◽  
pp. S222
Author(s):  
J.D. Castro-Alvirena ◽  
C. Verdejo-Bravo ◽  
P. Gil Gregorio ◽  
A.M. Lebreault Polanco
Keyword(s):  
Consumption Experience ◽  
Geriatric Service ◽  
Geriatric Intervention

scholarly journals Virtual Geriatric Education Preferences of Rural Social Workers

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 328-328
Author(s):  
Joan Ilardo ◽  
Raza Haque ◽  
Angela Zell
Keyword(s):  
Older Adults ◽  
Rural Communities ◽  
Social Workers ◽  
Online Survey ◽  
Transitional Care ◽  
Healthcare Services ◽  
Multiple Chronic Conditions ◽  
Care Plans ◽  
Health Practitioners ◽  
Geriatric Service

Abstract Older adults in rural communities need access to comprehensive healthcare services provided by practitioners equipped with geriatric knowledge and skills. The Geriatric Rural Extension of Expertise through Telegeriatric Service (GREETS) project goal is to use telemedicine and telehealth to expand geriatric service options to underserved Michigan regions. GREETS educational programs train health practitioners to provide geriatric care for vulnerable older adults. To determine gaps in geriatric competencies, the team conducted an online survey of health professionals including behavioral health practitioners. Respondents identified educational topics and preferred virtual delivery methods. Demographic information included respondent’s professional position, practice setting, and county. The respondents were asked to indicate level of educational need using a scale ranging from a low, medium, or high need. Fifty (47%) of 106 total responses were from social workers. We compared the percent of social workers to other practitioners’ responses in our analysis. Four topics emerged for both groups as medium or high educational needs: 1) transitional care when changing residential settings or post-hospitalization; 2) assisting family caregivers cope with caregiving responsibilities; 3) incorporating community-based services into care plans; and 4) and managing frail older adults. Social workers noted higher need than the other respondents for: 1) managing chronic pain; 2) managing care of patients with multiple chronic conditions; 3) having serious illness conversations; 4) diagnosing dementia; and 5) discussing advance care planning. Both social worker and other respondents indicated interactive case-based webinars; published tools, toolkits, tip sheets; and didactic webinars as their top three learning formats.

scholarly journals Promoting Female Leadership in Healthcare: An Interview with Dr. Lara Khoury, Co-Chair of the Female Physician Leadership Committee

2017 ◽  
Vol 7 (2) ◽  
pp. 9-11
Author(s):  
Anna Liu ◽  
Gaeun Rhee
Keyword(s):  
Graduate Program ◽  
Female Physician ◽  
Assistant Professor ◽  
Female Leadership ◽  
Leadership Roles ◽  
Physician Leadership ◽  
Female Physicians ◽  
Ottawa Hospital ◽  
Geriatric Service ◽  
Leadership Committee

Dr. Lara Khoury, MD, FRCPC, is an assistant professor and geriatrician at The Ottawa Hospital (TOH). She holds numerous leadership positions, including the post-graduate Program Director of the Geriatrics Program of the University of Ottawa and the Medical Director of TOH Inpatient Geriatric Service. Currently, she is also a Co-Chair of the Female Physician Leadership Committee at TOH. In order to remove barriers faced by female physicians wishing to take on leadership roles at TOH, a number of aspiring and passionate female doctors, including Dr. Khoury, came together to form the Female Physician Leadership Committee. With the full support of TOH’s senior management team, the committee has implemented several initiatives to encourage more female physicians to take on leadership roles. The committee’s role is imperative as there has been an increasing awareness of the gender imbalance at TOH over the past years. According to a survey conducted by TOH in 2011, only 30 percent of the hospital’s physicians are female, while less than 20% of them are division heads, and less than 8% of them are department heads [1]. Today, the numbers do not look very different. To gain further insight into the importance of female leadership in medicine and her extensive leadership involvement, we would like to share our interview with Dr. Khoury. RésuméDre Lara Khoury, MD, FRCPC, est professeure adjointe et gériatre à L’Hôpital d’Ottawa (L’HO). Elle occupe de nombreux postes de direction, y compris le poste de directrice des programmes poste-diplômés du programme de gériatrie de l’Université d’Ottawa et le poste de directrice médicale du Service de gériatrie de l’Hôpital d’Ottawa. Elle est actuellement co-présidente du Comité de leadership des femmes médecins de L’HO. Afin d’éliminer les obstacles auxquels sont confrontées les femmes médecins souhaitant assumer des rôles de leadership à L’HO, un certain nombre de femmes médecins aspirantes et passionnées, incluant Dre Khoury, se sont réunies pour former le Comité de direction des femmes médecins. Avec le plein appui de l’équipe de la haute direction de L’HO, le comité a mis en œuvre plusieurs initiatives pour encourager plus de femmes médecins à assumer des rôles de leadership. Le rôle du comité est impératif, suite à la sensibilisation accrue au déséquilibre entre les sexes à L’HO au cours des dernières années. Selon une enquête menée par l’Hôpital en 2011, seulement 30% des médecins de l’hôpital sont des femmes, alors que moins de 20% d’entre eux sont chefs de division et moins de 8% sont des chefs de service [1]. Aujourd’hui, les chiffres ne sont pas très différents. Pour mieux comprendre l’importance du leadership féminin en médecine et son implication considérable dans le leadership, nous aimerions partager notre interview avec la Dre Khoury. 

scholarly journals Preventive steps implemented on geriatric services in the primary health care centers during COVID-19 pandemic

2021 ◽  
Author(s):  
Anood Alshaali ◽  
Soha Abd ElAziz ◽  
Amal Aljaziri ◽  
Tamer Farid ◽  
Mona Sobhy
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Geriatric Population ◽  
Telephone Consultation ◽  
Primary Health ◽  
Geriatric Service ◽  
Memory Clinics ◽  
Osteoporosis Clinic ◽  
Primary Health Care Centers ◽  
Health Care Centers

Background: The emergence of the COVID-19 pandemic has changed the delivery of medical care across the world.  The objective of the study is to understand and document the preventive steps implemented on geriatric services in the primary health care centers during COVID-19 pandemic. Design and Methods: This is a retrospective study carried on geriatric services utilization (Geriatric clinic- osteoporosis clinic – Memory and dementia clinic) in primary health care centers in Dubai Health Authority in 2020.Results: The study showed that the overall in person visits for all geriatric service in 2020 declined by almost 70%. The total number of telephone consultations in geriatric clinics, osteoporosis clinics and memory clinics were 1479, 1149 and 104 respectively. The COVID-19 pandemic had led to a reduction in most of the geriatric services including outpatient clinics, screening and referral. Telephone consultation provided a foundation for delivery of the service.Conclusion: This study reflected the potential for telehealth services to bring benefits and convenience to the geriatric population, even after the end of the pandemic.

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