Geriatric Pharmacotherapy Case Series: Overactive Bladder

2020 ◽  
Vol 35 (5) ◽  
pp. 220-224
Author(s):  
Demetra Antimisiaris ◽  
Kristina Niehoff
Keyword(s):  
Overactive Bladder ◽  
Older People ◽  
Case Series ◽  
Health Condition ◽  
Pharmacy Education ◽  
Geriatric Syndrome ◽  
Research Committee ◽  
Clinical Case Studies ◽  
Poor Outcomes ◽  
Geriatric Pharmacotherapy

GERIATRIC PHARMACOTHERAPY CASE SERIES<br/> This is the first in a series of clinical case studies developed by ASCP's Pharmacy Education and Research Committee. The series reviews approaches to managing complex problems when treating older people with concurrent chronic and acute conditions.<br/> This case study reviews the treatment of a patient with overactive bladder (OAB), a geriatric syndrome that is a prevalent and multifactorial health condition associated with substantial morbidity and poor outcomes in older people. This case illustrates a counterintuitive presentation of OAB, approaches to analyzing the case, and planning for treatment.

scholarly journals Effectiveness of the Validation Method in Work Satisfaction and Motivation of Nursing Home Care Professionals: A Literature Review

2020 ◽  
Vol 18 (1) ◽  
pp. 201
Author(s):  
Iván Sánchez-Martínez ◽  
Raül Vilar ◽  
Javier Irujo ◽  
Duna Ulsamer ◽  
Dolors Cano ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Literature Review ◽  
Older People ◽  
Single Case ◽  
Case Series ◽  
Nursing Home Care ◽  
Validation Method ◽  
People With Dementia ◽  
Cochrane Database ◽  
Quasi Experimental

The purpose of this study was to carry out a literature review on the effectiveness of the validation method (VM) in job satisfaction and motivation of care professionals working with older people in nursing homes. The review was carried out in specialised databases: Scopus, PsychINFO, PubMed, Web of Science (WOS), Google Scholar, Scielo, and Cochrane Database of Systematic Reviews. 9046 results were obtained, out of which a total of 14 studies met the inclusion criteria: five quantitative, four qualitative, one single case series, two quasi-experimental and two mixed methods studies. The results of the analysed studies report that the VM can be an effective tool that facilitates communication and interaction in care, reducing levels of stress and job dissatisfaction among care professionals. The VM facilitates communication between professionals and older people with dementia, and improves the management of complex situations that may arise in care, directly influencing a reduction in work stress and increasing job satisfaction.

Overactive bladder syndrome in older people

2007 ◽  
Vol 99 (3) ◽  
pp. 502-509 ◽  
Author(s):  
Adrian S. Wagg ◽  
Linda Cardozo ◽  
Christopher Chapple ◽  
Dirk De Ridder ◽  
Con Kelleher ◽  
...  
Keyword(s):  
Overactive Bladder ◽  
Older People ◽  
Overactive Bladder Syndrome

scholarly journals Clinically Suspected Myocarditis in COVID-19 Patients: Case Series and Review of Literature

2021 ◽  
Author(s):  
Ahmad Amin ◽  
Seyed Parsa Eftekhar ◽  
Naghmeh Ziaei ◽  
Soudeh Roudbari ◽  
Pegah Salehi ◽  
...  
Keyword(s):  
Severe Acute Respiratory Syndrome ◽  
Left Ventricle ◽  
Ejection Fraction ◽  
Case Series ◽  
Female Gender ◽  
Good Prognosis ◽  
Left Ventricle Ejection Fraction ◽  
Review Of Literature ◽  
Younger Age ◽  
Poor Outcomes

We described eleven patients positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. The younger age and female gender seem to contribute to poor outcomes possibly. Furthermore, the left ventricle ejection fraction and pro-BNP improvement within the first week of treatment might indicate a good prognosis.

scholarly journals Intravascular lymphoma - The creepy crawler: A case series and brief literature review

2021 ◽  
Author(s):  
Kainat Saleem ◽  
Azadeh Nasrazadani ◽  
Chaoyuan Kuang ◽  
Vanya Jaitly ◽  
Jonhan Ho ◽  
...  
Keyword(s):  
Cell Lymphoma ◽  
Diagnostic Yield ◽  
Case Series ◽  
B Cell Lymphoma ◽  
Diagnostic Tools ◽  
Large B Cell Lymphoma ◽  
Improved Outcomes ◽  
Rare Malignancy ◽  
Poor Outcomes ◽  
Large B Cell

We present four cases of intravascular large B-cell lymphoma (IVLBCL), a rare malignancy with poor outcomes. The exclusive presence of lymphoma cells in blood vessels leads to a heterogenous presentation and poor diagnostic yield with traditional initial diagnostic tools. Timely diagnosis and treatment can lead to improved outcomes.

scholarly journals Aetiology, Clinical Presentation, and Outcome of Meningitis in Patients Coinfected with Human Immunodeficiency Virus and Tuberculosis

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Smita Bhagwan ◽  
Kogieleum Naidoo
Keyword(s):  
South Africa ◽  
Human Immunodeficiency Virus ◽  
Tuberculous Meningitis ◽  
Clinical Presentation ◽  
Case Series ◽  
Antituberculous Therapy ◽  
Endemic Region ◽  
Neck Stiffness ◽  
Immunodeficiency Virus ◽  
Poor Outcomes

We conducted a retrospective review of confirmed HIV-TB coinfected patients previously enrolled as part of the SAPiT study in Durban, South Africa. Patients with suspected meningitis were included in this case series. From 642 individuals, 14 episodes of meningitis in 10 patients were identified. For 8 patients, this episode of meningitis was the AIDS defining illness, with cryptococcus (9/14 episodes) and tuberculosis (3/14 episodes) as the commonest aetiological agents. The combination of headache and neck stiffness (78.6%) was the most frequent clinical presentation. Relapsing cryptococcal meningitis occurred in 3/7 patients. Mortality was 70% (7/10), with 4 deaths directly due to meningitis. In an HIV TB endemic region we identified cryptococcus followed by tuberculosis as the leading causes of meningitis. We highlight the occurrence of tuberculous meningitis in patients already receiving antituberculous therapy. The development of meningitis heralded poor outcomes, high mortality, and relapsing meningitis despite ART.

scholarly journals Preventing delirium in older people

2017 ◽  
Vol 3 (4) ◽  
Author(s):  
Alessandra Anzuini ◽  
Francesca Massariello ◽  
Giuseppe Bellelli
Keyword(s):  
Quality Of Care ◽  
Older People ◽  
State Of The Art ◽  
Altered Mental Status ◽  
Surgical Patients ◽  
Geriatric Syndrome ◽  
Improve Quality ◽  
Significant Burden ◽  
Fluctuating Course

Delirium is a geriatric syndrome, characterized by acutely altered mental status with inattention, fluctuating course and global cognitive dysfunction, which is associated with a significant burden in terms of negative outcomes and costs of care. Delirium is frequently undetected despite its prevalence and incidence are relevant. In this brief report, we report the state of the art in terms of prevention for both medical and surgical patients. A non-pharmacological approach seems to be the more promising method to prevent delirium and improve quality of care for people at risk.

scholarly journals Effectiveness of a far‐infrared low‐temperature sauna program on geriatric syndrome and frailty in community‐dwelling older people

2020 ◽  
Vol 20 (10) ◽  
pp. 892-898
Author(s):  
Masamitsu Sugie ◽  
Kazumasa Harada ◽  
Tetsuya Takahashi ◽  
Marina Nara ◽  
Hajime Fujimoto ◽  
...  
Keyword(s):  
Low Temperature ◽  
Older People ◽  
Far Infrared ◽  
Community Dwelling ◽  
Geriatric Syndrome ◽  
Community Dwelling Older People

scholarly journals Changing prevalence and treatment of depression among older people over two decades

2019 ◽  
Vol 216 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Antony Arthur ◽  
George M. Savva ◽  
Linda E. Barnes ◽  
Ayda Borjian-Boroojeny ◽  
Tom Dening ◽  
...  
Keyword(s):  
Older People ◽  
Risk Ratio ◽  
Care Home ◽  
Antidepressant Medication ◽  
Population Based ◽  
Computer Assisted ◽  
Depression Prevalence ◽  
Prevalence Of Depression ◽  
Antidepressant Use ◽  
Poor Outcomes

BackgroundDepression is a leading cause of disability, with older people particularly susceptible to poor outcomes.AimsTo investigate whether the prevalence of depression and antidepressant use have changed across two decades in older people.MethodThe Cognitive Function and Ageing Studies (CFAS I and CFAS II) are two English population-based cohort studies of older people aged ≥65 years, with baseline measurements for each cohort conducted two decades apart (between 1990 and 1993 and between 2008 and 2011). Depression was assessed by the Geriatric Mental State examination and diagnosed with the Automated Geriatric Examination for Computer-Assisted Taxonomy algorithm.ResultsIn CFAS I, 7635 people aged ≥65 years were interviewed, of whom 1457 were diagnostically assessed. In CFAS II, 7762 people were interviewed and diagnostically assessed. Age-standardised depression prevalence in CFAS II was 6.8% (95% CI 6.3–7.5%), representing a non-significant decline from CFAS I (risk ratio 0.82, 95% CI 0.64–1.07, P = 0.14). At the time of CFAS II, 10.7% of the population (95% CI 10.0–11.5%) were taking antidepressant medication, more than twice that of CFAS I (risk ratio 2.79, 95% CI 1.96–3.97, P < 0.0001). Among care home residents, depression prevalence was unchanged, but the use of antidepressants increased from 7.4% (95% CI 3.8–13.8%) to 29.2% (95% CI 22.6–36.7%).ConclusionsA substantial increase in the proportion of the population reporting taking antidepressant medication is seen across two decades for people aged ≥65 years. However there was no evidence for a change in age-specific prevalence of depression.

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