Publications by authors named "Sophie Lacaille"

Article Synopsis
  • Lumbar puncture (LP) is a key diagnostic tool often avoided in older adults due to fears of complications, particularly among healthcare teams unfamiliar with the procedure.
  • A qualitative study involving interviews with cognitively impaired patients over 70, their relatives, and healthcare teams aimed to gather perspectives on scheduled LP experiences.
  • Findings revealed a poor understanding of LP among patients, who had exaggerated fears about risks and pain, while both relatives and healthcare teams expressed a desire for accurate diagnoses, indicating a gap in knowledge and communication surrounding the procedure.
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The prescription of lubricating laxatives (paraffin oil) is widespread in geriatrics because of the frequency of constipation. These molecules can cause serious adverse effects such as lipoid pneumonia, especially in subjects with swallowing disorders.

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Since 2000, the mobile team of Bretonneau Hospital in Paris has helped to improve the assessment and care management of the elderly at home by strengthening the link between community health professionals and hospital geriatric services. In January 2008, an external mobile geriatric team working with nursing homes was created for the whole of the Paris area in order to strengthen the link between care homes accommodating often highly dependent elderly people and the hospital.

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Objectives: To assess the effect of an intervention on drug-related problem (DRP; adverse drug reactions, adherence problems, underuse)-related readmission rates in older adults.

Design: Ancillary study from a 6-month, prospective, randomized, parallel-group, open-label trial.

Setting: Six acute geriatric units in Paris and suburbs.

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Objectives: To determine whether a new multimodal comprehensive discharge-planning intervention would reduce emergency rehospitalizations or emergency department (ED) visits for very old inpatients.

Design: Six-month prospective, randomized (Zelen design), parallel-group, open-label trial.

Setting: Six acute geriatric units (AGUs) in Paris and its surroundings.

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