The prevalence of diabetes increases with age. Diabetes is a risk factor for many complications such as cardiovascular disease, kidney failure, stroke, neuropathy, and retinopathy. Data from recent years indicate that it is also a risk factor for cognitive impairment, dementia, functional disability and frailty.
View Article and Find Full Text PDFPurpose: To identify risk factors for elder falls in a geriatric rehabilitation center in Israel.
Design: Retrospective chart review study.
Methods: Four hundred and twelve medical records of inpatients in geriatric rehabilitation were retrospectively analyzed to compare between elders who sustained falls and those who did not.
Purpose: Adverse events and patient care-related adverse events are a challenging universal problem, among elder residents of geriatric facilities. The aim of this study was to examine which types of adverse events are characteristic of the geriatric center studied and which of the nursing staff reported this event.
Design/methodology/approach: Data were retrieved from the computerized adverse event management system at a large geriatric center in central Israel, and all adverse events reported over the past three years were examined.
Objectives: Despite being the highest group of users of many medications, older individuals remain underrepresented in clinical trials. This leaves a gap in evidence to guide management of many conditions, such as ischemic heart disease (IHD), in this population. This study aimed to describe factors associated with IHD medication use among nursing home residents in 7 European countries and Israel to depict challenges facing disease management in this population.
View Article and Find Full Text PDFBackground: Wandering is a common phenomenon among patients with dementia. While traditionally considered to be a behavioral problem, it also includes fundamental aspects of motor performance (e.g.
View Article and Find Full Text PDFOne of the common symptoms of dementia is delusions. Due to a biological conceptualization of the behaviors represented as delusions, these are classified as psychotic symptoms. This is a qualitative and quantitative study aiming to describe the delusions experienced by older persons with dementia and the context of occurrence, and to elucidate their etiology.
View Article and Find Full Text PDFObjective: To evaluate the efficacy of hip protectors (HP) in preventing hip fractures (HF) in patients with dementia.
Design: A case-control study.
Setting: Four specialized dementia units.
Background: The extent of medical and financial problems of polypharmacy in the elderly is disturbing, particularly in nursing homes and nursing departments.
Objectives: To improve drug therapy and minimize drug intake in nursing departments.
Methods: We introduced a geriatric-palliative approach and methodology to combat the problem of polypharmacy.
Falls are common among the elderly and stem from multiple causes. Much attention has been given to the development of falls-prevention programs, mainly because of the substantial risk for hip fracture sustained after a fall. The population of frail elderly nursing home residents is a high-risk group for falls.
View Article and Find Full Text PDFIntroduction: Methicillin-resistant Staphylococcus aureus (MRSA) infections have recently become a major concern in long-term care facilities (LTCF). Patients that have been colonized with MRSA in general hospitals may introduce the organisms into LTCF, and these can become reservoirs for the pathogen. Our objective was to evaluate the rate of colonization by S aureus, especially MRSA, in elderly residents of a large LTCF, and to find factors that predispose to it.
View Article and Find Full Text PDFObjective: Anemia is a common problem in the elderly, but its etiology in this age group is not well known, nor is its correlation with the mental and functional states. The objectives of the present study were to determine the prevalence of anemia in a large institutionalized geriatric population, to diagnose the etiology, and to analyze the correlation of anemia with the nutritional, mental and functional status.
Methods: The study was performed in a 970 bed multilevel geriatric complex, from which 481 residents were randomly chosen.