scholarly journals Multidimensional prognostic index in the elderly with hip or neck femur fracture

2012 ◽  
Vol 4 (2) ◽  
pp. 15 ◽  
Author(s):  
Elsa Vitale ◽  
Angela Notarnicola ◽  
Lorenzo Moretti ◽  
Antonio Esposito ◽  
Vito Pesce ◽  
...  
Keyword(s):  
Decision Making ◽  
Scoring System ◽  
Femur Fracture ◽  
Prognostic Index ◽  
The Elderly ◽  
Decision Making Process ◽  
Homogeneous Population ◽  
Femur Fractures ◽  
Fracture Surgery ◽  
Prognostic Indexes

Hip  and  neck  femur fracture surgery was associated with high post-operative mortality and poor functional results. The decision-making process with regards to the elderly with hip or neck femur fractures was of great importance, requiring consideration of ethical, medico legal and economic factors in addition to the purely medical ones. An important component in the decision-making process was the precise knowledge of the expected mortality. We considered here several articles from 1 January 2002 to 31 August 2010 that identified the possible scoring system to predict mortality in the elderly undergoing hip or neck femur fracture surgery. We found seven studies which included a total of 12,177 patients that were assigned to hip/neck femur fracture surgery. Each study identified the possible scoring system to predict mortality in the elderly undergoing hip/neck femur fracture surgery. By reviewing the literature available, it was shown that there were more multidimensional prognostic indexes in the elderly after hospitalization than multidimensional prognostic indexes with hip or neck femur fracture which could be used as a simple point scoring system at the bedside to predict mortality in the elderly undergoing hip or neck femur fracture surgery. Although, all the prognostic indexes searched worked well for a general population, but they were of limited validity in the specific, relatively homogeneous population of hip/neck femur fracture patients.

scholarly journals ME3CA: A Cognitive Assistant for Physical Exercises that Monitors Emotions and the Environment

Sensors ◽  
2020 ◽  
Vol 20 (3) ◽  
pp. 852
Author(s):  
Jaime A. Rincon ◽  
Angelo Costa ◽  
Paulo Novais ◽  
Vicente Julian ◽  
Carlos Carrascosa
Keyword(s):  
Decision Making ◽  
Elderly Population ◽  
Current Trend ◽  
The Elderly ◽  
Decision Making Process ◽  
The European Union ◽  
Emotion Detection ◽  
Physical Exercises ◽  
Personal Assistant ◽  
New Policies

Recent studies show that the elderly population has increased considerably in European society in recent years. This fact has led the European Union and many countries to propose new policies for caring services directed to this group. The current trend is to promote the care of the elderly in their own homes, thus avoiding inverting resources on residences. With this in mind, there are now new solutions in this direction, which try to make use of the continuous advances in computer science. This paper tries to advance in this area by proposing the use of a personal assistant to help older people at home while carrying out their daily activities. The proposed personal assistant is called ME3CA, and can be described as a cognitive assistant that offers users a personalised exercise plan for their rehabilitation. The system consists of a sensorisation platform along with decision-making algorithms paired with emotion detection models. ME3CA detects the users’ emotions, which are used in the decision-making process allowing for more precise suggestions and an accurate (and unbiased) knowledge about the users’ opinion towards each exercise.

scholarly journals Cancer Surgery in the Elderly

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Gopal C. Kowdley ◽  
Nishant Merchant ◽  
James P. Richardson ◽  
Justin Somerville ◽  
Myriam Gorospe ◽  
...  
Keyword(s):  
Decision Making ◽  
Elderly Patients ◽  
The Elderly ◽  
Cancer Surgery ◽  
Decision Making Process ◽  
Benefit Ratio ◽  
Patients With Cancer ◽  
The World ◽  
Surgery In The Elderly ◽  
Surgical Treatments

The proportions both of elderly patients in the world and of elderly patients with cancer are both increasing. In the evaluation of these patients, physiologic age, and not chronologic age, should be carefully considered in the decision-making process prior to both cancer screening and cancer treatment in an effort to avoid ageism. Many tools exist to help the practitioner determine the physiologic age of the patient, which allows for more appropriate and more individualized risk stratification, both in the pre- and postoperative periods as patients are evaluated for surgical treatments and monitored for surgical complications, respectively. During and after operations in the oncogeriatric populations, physiologic changes occuring that accompany aging include impaired stress response, increased senescence, and decreased immunity, all three of which impact the risk/benefit ratio associated with cancer surgery in the elderly.

Value judgements in the decision-making process for the elderly patient

2008 ◽  
Vol 34 (12) ◽  
pp. 863-868 ◽  
Author(s):  
J Ubachs-Moust ◽  
R Houtepen ◽  
R Vos ◽  
R ter Meulen
Keyword(s):  
Decision Making ◽  
Elderly Patient ◽  
The Elderly ◽  
Decision Making Process ◽  
Value Judgements

scholarly journals The Decision Making Unit In The Choice Of A Long-Term Health Care Facility

2011 ◽  
Vol 10 (2) ◽  
pp. 63 ◽  
Author(s):  
Faye W. Gilbert ◽  
R. Keith Tudor ◽  
Joseph G. P. Paolillo
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Care Facility ◽  
Health Care Facility ◽  
Size Composition ◽  
The Elderly ◽  
Decision Making Process ◽  
Decision Making Unit ◽  
Situational Effects

<span>As the size of the elderly market increases, so does the need to understand the decision making process for selecting long-term health care (LTHC) facilities. This study describes the membership and relative degree of influence of specific participants in the decision making unit (DMU) as well as the situational effects of time, prompt and stage of decision making on the size, composition and influence of CMU participants.</span>

scholarly journals Lesser Trochanter Migration following Intramedullary Fixation of an Intertrochanteric Femur Fracture

2016 ◽  
Vol 2016 ◽  
pp. 1-3
Author(s):  
Carlo Montoli ◽  
Cecilia Pasquali ◽  
Elia Paiusco ◽  
Vincenzo Pellecchia ◽  
Ettore Vulcano
Keyword(s):  
Groin Pain ◽  
Femur Fracture ◽  
Rare Event ◽  
Psoas Muscle ◽  
The Elderly ◽  
Intramedullary Fixation ◽  
Lesser Trochanter ◽  
Femur Fractures ◽  
Complete Fracture ◽  
Intertrochanteric Femur Fracture

Intertrochanteric femur fractures are commonly observed in the elderly and may be associated with a complete fracture of the lesser trochanter in over 50% of cases. The migration of the lesser trochanter secondary to the psoas muscle contracture is a rare event. This case report presents a rare case of sudden groin pain three-week status after intramedullary fixation of a intertrochanteric femur fracture.

scholarly journals Systematic review of qualitative studies on participants in the decision-making process about the location of care of the elderly

BMJ Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. e036551 ◽  
Author(s):  
Gema Serrano-Gemes ◽  
Manuel Rich-Ruiz ◽  
Rafael Serrano-del-Rosal
Keyword(s):  
Systematic Review ◽  
Decision Making ◽  
Qualitative Methodology ◽  
Data Extraction ◽  
Comparative Method ◽  
Family Members ◽  
The Elderly ◽  
Qualitative Studies ◽  
Decision Making Process ◽  
The Usa

ObjectivesTo understand who are the participants in the decision-making process about the location of care of the elderly.DesignSystematic review of qualitative studies.Data sourcesThe following databases were consulted: Web of Science, MEDLINE, Scopus, CINAHL, PsycINFO and SciELO (from the beginning until 29 November 2017). The bibliographical references in the studies that were finally included in the review were also searched.Study selectionThe studies had to deal with the decision-making process (already experienced by the participants) on the location of care of the elderly (adults who are 65 or older), had to use a qualitative methodology and had to be written in English or Spanish.Data extraction and synthesisA data extraction tool was used. Data analysis was conducted through the constant comparative method from Glaser and Strauss’ grounded theory.Results46 studies were included in this review. Most of them were carried out in the USA, and in 21 of them the study population focused exclusively on the elderly. This review has found that there are many participants, with different roles and degrees of involvement, who may act jointly, separately or sequentially. These participants may be: the elders, family members, professionals and other relevant.ConclusionsThe main result of this review has been the variability found on how this decision is made, even varying the way of acting/perceiving the situation of the involved persons on certain occasions, simply due to the influence of some of the other groups of participants studied. Besides, this review has focused its results on the main participant in this process, the elders and how their family members interact with them when it comes to making this decision. This has allowed relevant results to be obtained about roles and degrees of involvement.PROSPERO registration numberCRD42018084826.

Le choix de traitement en triade incluant un patient âgé apte en soins palliatifs : à la recherche d’un modèle théorique

2011 ◽  
Vol 30 (1) ◽  
pp. 127-142
Author(s):  
Julie Lamontagne ◽  
Marie Beaulieu ◽  
Marcel Arcand
Keyword(s):  
Decision Making ◽  
Palliative Care ◽  
Ethical Issues ◽  
Elderly Person ◽  
The Elderly ◽  
Decision Making Process ◽  
Theoretical Derivation ◽  
Her Family ◽  
Theoretical Synthesis ◽  
Modèle Théorique

ABSTRACTThe elderly in palliative care are confronted with difficult decisions relating to treatments. The philosophy of palliative care, namely, including the patient and his/her family right away, leads the doctor to consult with the two parties involved when choosing a treatment. As no theoretical model allows us to understand how the decision-making process hinges on the trio (a capable elderly person, a family caregiver, and the doctor) in a context of palliative care, we propose one which was developed from three strategies of document analysis: theoretical synthesis, theoretical analysis, and theoretical derivation. According to our model, the decision-making process depends on individual factors influencing the decision of the participant, expectations and attitudes as to the role, the level of confidence amongst the parties involved, the manner in which they communicate with each other, their mutual understanding of the clinical and ethical issues, and, finally, their ability to cooperate.

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