Survival in the community of the very old depressed, discharged from medical inpatient care

2007 ◽  
Vol 22 (10) ◽  
pp. 974-979 ◽  
Author(s):  
Kenneth Wilson ◽  
Patricia Mottram ◽  
Maryyum Hussain
Keyword(s):  
Inpatient Care ◽  
Very Old ◽  
Medical Inpatient

A comparison of outcomes of general medical inpatient care provided by a hospitalist-physician assistant model vs a traditional resident-based model

2011 ◽  
Vol 6 (3) ◽  
pp. 122-130 ◽  
Author(s):  
Siddhartha Singh ◽  
Kathlyn E. Fletcher ◽  
Marilyn M. Schapira ◽  
Mary Conti ◽  
Sergey Tarima ◽  
...  
Keyword(s):  
Inpatient Care ◽  
Physician Assistant ◽  
Medical Inpatient ◽  
Hospitalist Physician

scholarly journals Impact of Physical and Social Frailty on the Utilization of Nursing Care Services in Very Old Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 573-574
Author(s):  
Jaroslava Zimmermann
Keyword(s):  
Nursing Home ◽  
Nursing Care ◽  
Inpatient Care ◽  
Community Dwelling ◽  
Nursing Home Admission ◽  
Physical Frailty ◽  
Very Old ◽  
Old Adults ◽  
Care Services ◽  
The Impact

Abstract Frailty, characterized by increased vulnerability to external stressors, has been found to increase the risk of healthcare utilization and nursing home admission. As the age group of 80 years or older remains frequently underrepresented in previous research, this study examined the impact of physical and social frailty on the utilization of nursing care services in very old population of North Rhine-Westphalia. Using data from a representative cross-sectional study, 1,577 community-dwelling and institutionalized individuals aged ≥80 years were included. Physical frailty was defined according to Fried’s criteria (exhaustion, weight loss, low handgrip strength, low physical activity). Social frailty was measured with self-reported loneliness, social isolation, and time spent with others. The use of outpatient care services, day care, informal and inpatient care were considered. Multinomial regression was applied to investigate the impact of physical and social frailty on the use of outpatient and inpatient care services, controlling for relevant sociodemographic and health related characteristics. Compared to very old adults who did not use any care services, no association was found between frailty and the use of outpatient or informal care. Comparing nonusers of care services with institutionalized individuals, nursing home residents were less likely to experience physical frailty and pre-frailty, but were more likely to be socially isolated and to feel lonely. These findings suggest that physical frailty might have been successfully prevented in the context of institutional inpatient care. However, early identification and intervention focused on social inclusion of the institutionalized very old individuals are needed to reverse social frailty.

Patients with chronic diseases: tomorrow, all sentinels?

2020 ◽  
Vol 12 (1) ◽  
pp. 10502
Author(s):  
Jean-David Cohen ◽  
Cyril Crozet ◽  
Jean-François d’Ivernois ◽  
Rémi Gagnayre
Keyword(s):  
Chronic Diseases ◽  
Experimental Research ◽  
Medical Devices ◽  
Clinical Experiences ◽  
Very Old ◽  
Quasi Experimental ◽  
External Measure

Very old studies and clinical experiences of physicians already signal the ability of some patients to feel subclinical signs. These patients are called sentinel patients because they can anticipate crisis very early and therefore intervene quickly to prevent them. Studies have shown that these patients develop these skills from their own experience, in steps which are similar to quasi-experimental research. They test and adjust their competence all the more easily as they have an objective external measure available. This faculty of patients suggests the possibility of using medical devices as a means of learning for patients to tutor themselves in support of this singular skill.

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