Effect of aspiration risk on mortality in older age pneumonia cases

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.

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Ulcerative Colitis in Older Age Patients

Gastroenterology ◽

10.1016/s0016-5085(19)35312-0 ◽

1960 ◽

Vol 39 (1) ◽

pp. 28-33 ◽

Cited By ~ 13

Author(s):

Z.T. Bercovitz

Keyword(s):

Ulcerative Colitis ◽

Older Age

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T01.01.12 ANTI-PARIETAL CELL ANTIBODIES MAY BE NEGATIVE DESPITE HISTOLOGICAL CONFIRMATION OF AUTOIMMUNE ATROPHIC GASTRITIS: ROLE OF OLDER AGE

Digestive and Liver Disease ◽

10.1016/s1590-8658(20)30620-4 ◽

2020 ◽

Vol 52 ◽

pp. S56-S57

Author(s):

L. Conti ◽

M.V. Lenti ◽

A. Di Sabatino ◽

E. Miceli ◽

G. Galli ◽

...

Keyword(s):

Atrophic Gastritis ◽

Parietal Cell ◽

Older Age ◽

Parietal Cell Antibodies ◽

Autoimmune Atrophic Gastritis ◽

Histological Confirmation

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The Biological Clock and Sleep in the Elderly

Zeitschrift für Gerontopsychologie & -psychiatrie ◽

10.1024/1011-6877.19.1.45 ◽

2006 ◽

Vol 19 (1) ◽

pp. 45-51 ◽

Cited By ~ 1

Author(s):

Myriam Juda ◽

Mirjam Münch ◽

Anna Wirz-Justice ◽

Martha Merrow ◽

Till Roenneberg

Keyword(s):

Circadian Rhythms ◽

Biological Clock ◽

The Elderly ◽

Early Morning ◽

Behavioral Changes ◽

Older Age ◽

Age Related ◽

Theoretical Considerations ◽

Sleep Difficulties ◽

Circadian Biology

Abstract: Among many other changes, older age is characterized by advanced sleep-wake cycles, changes in the amplitude of various circadian rhythms, as well as reduced entrainment to zeitgebers. These features reveal themselves through early morning awakenings, sleep difficulties at night, and a re-emergence of daytime napping. This review summarizes the observations concerning the biological clock and sleep in the elderly and discusses the documented and theoretical considerations behind these age-related behavioral changes, especially with respect to circadian biology.

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