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- Szewieczek Jan
- Department of Geriatrics, School of Health Sciences in Katowice, Medical University of Silesia
抄録
<p>Aging is typically associated with multi-morbidity and complex health problems, including geriatric syndromes such as dementia, delirium, depression as well as visual and hearing impairment, falls, urinary and fecal incontinence and pressure ulcers. Problems are often underreported by the patient and unrecognized by the physician. Special attention is focused on frailty - a syndrome of decreased functional capacity and resistance to stressors, resulting from cumulative declines across multiple physiologic systems, causing vulnerability to adverse outcomes: disability, falls, multi-morbidity, hospitalization, institutionalization and mortality. Diagnostic information omitting analysis of functional relevance of the underlying conditions is of limited value. Social and environmental factors are also important, especially in older persons with functional impairment and dependency. Comprehensive geriatric assessment (CGA) is a method of complex examination of elderly patients and care planning. CGA involves the systematic evaluation of medical conditions, psychological parameters, functional status and socio-environmental networks. Our study demonstrated the rationale for including frailty examination in the CGA of geriatric inpatients. This diagnostic approach is realized by an interdisciplinary team consisting of a clinician (usually geriatrician), nurse, psychologist, physical/occupational therapist, social worker and other professionals according to the setting of the geriatric assessment. Validated measures are used to assess patient functional status. Studies comparing care based on the concept of the CGA with usual care showed benefits in terms of better patient outcomes and more efficient healthcare use.</p>
収録刊行物
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- BIOPHILIA
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BIOPHILIA 2017 (2), 61-61, 2017
特定非営利活動法人 高齢市民が活躍するための社会技術研究会
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キーワード
詳細情報 詳細情報について
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- CRID
- 1390282680393231488
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- NII論文ID
- 130006398044
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- ISSN
- 21868913
- 21868433
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可