scholarly journals GERIATRIC HEALTH ASSESSMENT AND HEARING LOSS

2018 ◽  
Vol 3 (1) ◽  
pp. 47-50
Author(s):  
T Yu Vladimirova ◽  
L V Aizenshtadt
Keyword(s):  
Hearing Loss ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Cognitive Abilities ◽  
Geriatric Patients ◽  
Health Assessment ◽  
Negative Influence ◽  
Control Group ◽  
Hearing Function ◽  
Function Test

Aim - to examine the results of a comprehensive geriatric assessment depending on the degree of hearing loss. Material and methods. We examined 110 patients aged from 60 to 90 years with bilateral symmetrical impairment of the hearing function. The research design included examination of the otolaryngologist, auditory function test, and geriatric assessment of neuropsychological status. Two groups were allocated based upon the study of the hearing function: the main group, which included 58 people with moderate hearing loss, and the control group, which included 52 people with significant hearing loss. Results. It was revealed that hearing loss has a negative influence on the cognitive abilities of geriatric patients. With increasing degrees of hearing loss, the progression of dementia is observed. There is a direct correlation between the progression of hearing loss and development of depression in geriatric patients. Conclusion. Our study revealed a relationship between the degree of hearing loss and neuropsychological changes in geriatric patients. Hearing function test as a part of comprehensive geriatric assessment would facilitate the understanding of the causes of neuropsychological disorders in geriatric patients.

Compensation capacities of brain in unilateral and bilateral auditory system damage in children

2021 ◽  
Vol 19 (1) ◽  
pp. 23-32
Author(s):  
Grażyna Gwizda ◽  
Aleksandra Marciniak ◽  
Grażyna Mielnik-Niedzielska ◽  
Antoni Niedzielski
Keyword(s):  
Hearing Loss ◽  
Hearing Impairment ◽  
Cognitive Abilities ◽  
Right Hemisphere ◽  
Basic Feature ◽  
Control Group ◽  
Neuronal System ◽  
Bilateral Hearing Loss ◽  
Verbal Scale ◽  
Auditory Dysfunction

Neuroplasticity is a basic feature of neuronal system which provides function rebuilt or developmental dysfunction repair. Hearing impairment can have an impact on intelligence levels, organization and structure of cognitive processes. Cognitive capacities profiles of deaf people present neuropsychological results of functional reorganization of brain. 208 children were accepted for this study. Experimental group consisted of 126 children suffering from sensorineural hearing insufficiency. 26 children were diagnosed with right-sided hearing loss, 34 children were diagnosed with left-sided hearing loss and 66 children were diagnosed with bilateral hearing loss. Control group consisted of 82 normally hearing children, confirmed in audiometric assessment. In order to establish levels of cognitive abilities and intelligence in patients enrolled for the study polish adaptation of Wechsler Intelligence Scale for Children (WISC-R) was administered. Children with bilateral hearing loss obtained worse results in verbal scale compared to well hearing controls. Verbal intelligence in control group was statistically higher than in right-sided auditory dysfunction group. Control group average result in nonverbal scale was statistically significantly higher compared to left-sided hearing loss patients. Children with right-sided auditory dysfunction obtained higher results in nonverbal scale compared to children with left-sided auditory dysfunction. Left-sided hearing impairment group had higher scores in almost all subtests of verbal scale than right-sided hearing impairment group. Left-sided auditory disability enhances linguistic capacity, which indicates compensation abilities of left hemisphere responsible for verbal processes. Right-sided auditory disability enhances analytic processes, visual synthesis and image reasoning, which indicates compensation abilities of right hemisphere responsible for nonverbal processes.

General practitioner conduct of clinical services representing comprehensive geriatric assessment is associated with lower risk of mortality in older Australians receiving home care packages

2020 ◽  
Author(s):  
Renuka Visvanathan ◽  
Azmeraw T Amare ◽  
Steve Wesselingh ◽  
Maria C Inacio
Keyword(s):  
Home Care ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Lower Risk ◽  
Health Assessment ◽  
Aged Care ◽  
Management Plan ◽  
Residential Aged Care ◽  
Historical Cohort ◽  
Risk Of Mortality

Abstract Objectives The purpose of this paper is to investigate the utilisation of general practice Medicare Benefit Schedule (MBS) services aligned to Comprehensive Geriatric Assessment (CGA) within 6 months of an aged care eligibility assessment and its effects on mortality and transition to permanent residential aged care (PRAC). Design Retrospective cohort study from the Historical Cohort of the Registry of Senior Australians. Setting Community. Participants In total, 69,171 Individuals (aged 75+) receiving home care packages (HCPs) between 2011 and 2015. Outcome measures Mortality and transition to PRAC. Results The claims for a management plan with team care arrangement (TCA) within 3 months of the health assessment (i.e. CGA) was present in 5% and associated with 14% lower mortality (adjusted hazard ratio [aHR], 95%CI = 0.86, 0.80–0.93) compared to no claims, lower than that seen with partial CGA which was either health assessment claims only 7.0% (aHR, 95%CI = 0.93, 0.89–0.97) or management plan coupled with TCA claims only 9.0% (aHR, 95%CI = 0.91, 0.89–0.97). This pattern was seen in those frailer but not in those where the frailty index score was <0.21. Claims for management plans coupled with TCAs alone were associated with a 10% lower transition to PRAC (asHR, 95%CI = 0.90, 0.85–0.96) in those with FI score < 0.21 while this estimate was not significant in individuals with FI score ≥ 0.21. Conclusion It appears the conduct of a combination of interventions considered to be components of the CGA by GPs was associated with a lower risk of mortality that no claims or partial conduct of CGA.

scholarly journals Comprehensive Geriatric Assessment for Frail Older People in Swedish Acute Care Settings (CGA-Swed): A Randomised Controlled Study

Geriatrics ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. 5 ◽  
Author(s):  
Katarina Wilhelmson ◽  
Isabelle Andersson Hammar ◽  
Anna Ehrenberg ◽  
Johan Niklasson ◽  
Jeanette Eckerblad ◽  
...  
Keyword(s):  
Older People ◽  
Geriatric Assessment ◽  
Study Design ◽  
Comprehensive Geriatric Assessment ◽  
Controlled Study ◽  
Control Group ◽  
Frail Older People ◽  
Positive Effects ◽  
Health And Social Care ◽  
Randomised Controlled

The aim of the study is to evaluate the effects of the Comprehensive Geriatric Assessment (CGA) for frail older people in Swedish acute hospital settings – the CGA-Swed study. In this study protocol, we present the study design, the intervention and the outcome measures as well as the baseline characteristics of the study participants. The study is a randomised controlled trial with an intervention group receiving the CGA and a control group receiving medical assessment without the CGA. Follow-ups were conducted after 1, 6 and 12 months, with dependence in activities of daily living (ADL) as the primary outcome measure. The study group consisted of frail older people (75 years and older) in need of acute medical hospital care. The study design, randomisation and process evaluation carried out were intended to ensure the quality of the study. Baseline data show that the randomisation was successful and that the sample included frail older people with high dependence in ADL and with a high comorbidity. The CGA contributed to early recognition of frail older people’s needs and ensured a care plan and follow-up. This study is expected to show positive effects on frail older people’s dependence in ADL, life satisfaction and satisfaction with health and social care.

scholarly journals Utilization of Comprehensive Geriatric Assessment (P3G) in Primary Health Center at Medan City and Deli Serdang District of North Sumatera Province Indonesia 2018

2019 ◽  
Vol 3 (2) ◽  
pp. 88
Author(s):  
Elman Boy ◽  
Alfi Syahri Pinem ◽  
Aulia Ulfa ◽  
Bonita Iravany Putri ◽  
Devi Pahlawati ◽  
...  
Keyword(s):  
Cognitive Function ◽  
Health Center ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Geriatric Patients ◽  
Low Risk ◽  
Primary Health Center ◽  
Risk Of Falling ◽  
Cross Sectional ◽  
Primary Health

Introduction: The Ministry of Health of the Republic of Indonesia has issued a guide to Comprehensive Geriatric Assessment (P3G) in 2017, but there is few data regarding its use in health care institutions. The primary primary health center as the spearhead of primary services always receives geriatric patients and should have taken advantage of CGA.Objective: To find out the results of using a comprehensive assessment guide for geriatric patients in Medan City Primary health center and Deli Serdang District Primary health center in 2018.Methods: Descriptive study with cross sectional design, respondents were elderly who sought treatment in three primary health center such as Sukaramai Primary health centers in Medan City, Bandar Khalipah Primary health center and Tanjung Rejo Primary health center Deli Serdang District from 27 August to 20 September 2018 by determining the number of respondentss using the Slovin method, data collection by questionnaire interviews and data analysis using SPSS.Results: A respondents of 120 people were obtained, with an advanced category elderly aged 60-74 years at 90.8%, old aged 75-90 years at 8.3% and very old aged > 90 years at 0.9%. With ADL examination, respondents experienced mild-moderate dependence 60.8%, 37.5% independent, 1.7% heavy dependence. By examining the respondents’ IADL 89.2% independently, 0.8% was done by others, 0.8% needed help all the time, and 9.2% needed occasional assistance. By checking the risk of falling, 57.5% of the respondents experienced a low risk, 35% high risk and 7.5% there was no risk. With GDS examination 67.5% of 1respondents had no depression, 32.49% were most likely to have depression. With the Mini- Cog examination 78% of normal respondents, 21.7% suspected cognitive function decreased. With MMSE examination 80.8% of normal respondents, 16.7% of mild cognitive function disorders, and 2.5% of severe cognitive dysfunction. With AMT examination 73.3% of normal respondents and 26.7% of moderate memory disorders. With MNA screening screenings, 66.7% of respondents had no risk, and 33.3% might experience malnutrition and further study was needed. Based on the assessment of advanced MNA 95% risk of malnutrition, and 5.0% malnutrition. Conclusion: Elderly people who came to the primary health center most were elderly aged 60-74 years at 90.8%, the highest gender was women at 53.3%, based on the ADL examination, the respondents experienced the most mild-moderate dependence of 57.7%, IADL examination amounting to 89.2% independently did not need assistance, risk checking fell by 57.5% respondents experienced a low risk of falling, GDS examination amounted to 67.5% of respondents had no depression, Mini- Cog examination of 78% of respondents did not experience a decline cognitive function, MMSE examination of 80.8% of respondents did not experience cognitive impairment, AMT examination was 73.3% of respondents did not experience memory impairment, MNA examination of 66.7% did not experience malnutrition.International Journal of Human and Health Sciences Vol. 03 No. 02 April’19. Page: 88-100

scholarly journals The use of uHear™ to screen for hearing loss in older patients with cancer as part of a comprehensive geriatric assessment

2017 ◽  
Vol 73 (2) ◽  
pp. 132-138 ◽  
Author(s):  
Michelle Lycke ◽  
Philip R. Debruyne ◽  
Tessa Lefebvre ◽  
Evi Martens ◽  
Lore Ketelaars ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Patients With Cancer

435 THE IMPACT OF COMPREHENSIVE GERIATRIC ASSESSMENT IN THE OUTCOMES OF OLDER ACUTE NEUROSURGICAL PATIENTS

2021 ◽  
Vol 50 (Supplement_2) ◽  
pp. ii8-ii13
Author(s):  
L Soutter ◽  
D Sivapathasuntharam ◽  
C Uff ◽  
S Yordanov
Keyword(s):  
Length Of Stay ◽  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Older Patients ◽  
Clinical Pathways ◽  
Control Group ◽  
Clinical Approach ◽  
Neurosurgical Patients ◽  
Significant Difference ◽  
The Impact

Abstract Introduction As the population ages, an increasing proportion of the neurosurgical caseload is comprised of older patients. This trend is reinforced by technical advances and anaesthetic considerations within the field, allowing a higher proportion of patients eligible for surgery. Comprehensive geriatric assessment (CGA) is the gold standard clinical approach for evaluating older patients. Peri-operative care of older people (POPS) has provided strong evidence that CGA services can result in fewer post-operative complications. However, this evidence stems largely from trauma and orthopaedic surgery. Currently, there is little evidence of the impact CGA has on older neurosurgical patients. The study aimed to investigate whether CGA for older neurosurgical patients improved outcomes such as thirty-day mortality and length of stay. Methods A control group was established by collecting retrospective data for all acute neurosurgical patients over the age of 65. This was then compared with an intervention group who received CGA in the form of regular geriatric consultant reviews. 49 patients were recruited into each group. Results Analysis showed that the interventional group had a significantly higher mean age and level of frailty. They also had more confirmed complications with a significant difference in the diagnosis of pneumonia (p = 0.05) and hyponatremia (p = 0.015). Despite this, the thirty-day mortality was lower and average length of stay was on average two days shorter compared to the control group, although this did not reach statistical significance (p = 0.701). The study showed that more patients who received a CGA were discharged home (p = 0.209). Conclusion Our findings suggest that CGA input for older neurosurgical patients improves outcomes and should be incorporated routinely into neurosurgical clinical pathways.

An Enhanced Role in Comprehensive Geriatric Assessment for Community-Nurse Case Managers

2003 ◽  
Vol 22 (2) ◽  
pp. 177-184 ◽  
Author(s):  
Paul Stolee ◽  
Mary Lynne Patterson ◽  
Donna Crinklaw Wiancko ◽  
Jacquelin Esbaugh ◽  
Zora A. Arcese ◽  
...  
Keyword(s):  
Geriatric Assessment ◽  
Comprehensive Geriatric Assessment ◽  
Controlled Trial ◽  
Intervention Group ◽  
Case Managers ◽  
Assessment Tools ◽  
Control Group ◽  
Community Nurse ◽  
Group Case ◽  
Nurse Case Managers

ABSTRACTWe evaluated an enhanced role in comprehensive geriatric assessment for community-nurse case managers. Following practicum education in geriatric assessment, two community-nurse case managers conducted assessments of frail older clients and served as a resource for their case-manager teams. Impacts on their colleagues' assessment skills were investigated in a non-randomized, controlled trial. Intervention-group case managers had higher confidence in assessing and managing the health and social concerns of older persons, greater use of standard assessment tools, and higher case-study assessment scores, than did control-group case managers. Case managers reported that interaction with the enhanced-role case managers had enhanced their skills and benefited clients; family physicians reported that improved patient outcomes had resulted from the assessment information received. Community case managers with enhanced training in geriatric assessment can have a valuable clinical and educational role. Issues include resource implications and integrating the enhanced role into home care operations.

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