China
Africa
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Medical Tourism And Well-Being: Trends and Strategies
Published in Frederick J. DeMicco, Ali A. Poorani, Medical Travel Brand Management, 2023
Frederick J. DeMicco, M. Cetron, O. Davies
Unfortunately, these numbers sound more impressive than the reality they represent. Expenses at the five largest government-funded insurance programs are growing about one-third faster than the money available to pay them. Many former military officers already report that they have not received pensions, jobs, or insurance since retiring; some have been waiting 20 years. By 2020, the number of elderlies collecting pensions will exceed the working-age population. And when the elderly need geriatric services, few are available. China has about half as many beds per 1,000 seniors as the developed countries. In the West, between 4% and 8% of seniors live in residential care facilities. In China, the number is 1 to 2%.
Global Focus and Interdisciplinary Approaches in COVID-19 Research and Their Outcomes
Published in Debmalya Barh, Kenneth Lundstrom, COVID-19, 2022
Geriatric care is a serious concern globally because older people are very fragile, vulnerable to infections, and the fatality rate of older people is higher compared to other age groups. All countries need a country-level geriatric policy and effective urgent measures to address all challenges related to healthcare of the geriatric population, such as providing financial security, increasing the capacity of domiciliary health workers, and the establishment of an integrated multi-sectoral network [38].
Behavior to Prevent Pressure Sores
Published in J G Webster, Prevention of Pressure Sores, 2019
Prevention of pressure sores in the hospital is a complicated process involving the assessment of complicated factors and accordingly the recommendation of interventional strategies. The traditional idea that the nurse alone should be responsible for the prevention of pressure sores is therefore ineffective. A team of nursing and medical staff responsible for this task can be most effective in the prevention of pressure sores. Nevertheless, the nurse remains the most essential part of such a team and acts as the main source of information about the patient condition. Levine et al (1989a) suggest that such a team for geriatric care in particular include a nurse, nurse’s aide, rehabilitation nurse, dietitian, physical therapist, occupational therapist and preferably an enterostomal therapist. With the physician acting as a coordinator and each member of the team interacting with other members, such an approach leads to improved diagnosis, suitable device prescription and, of course, reduced pain and cost to the patient through prevention. A quarterly periodical is available to assist the professional management team in managing, prevention, and treatment of pressure sores (Decubitus: the journal of skin ulcers, 103 North Second Street, West Dundee, IL 60118).
A comparison of clinical characteristics between old and oldest-old patients hospitalised for SARS-COV2
Published in Acta Clinica Belgica, 2023
Sylwia Szklarzewska, Justine Vande Walle, Sandra De Breucker, Didier Schoevaerdts
COVID-19 geriatric ward weren’t present in all the hospitals included in this study. However, we observed higher co-management of the oldest patients with a geriatrician, which may also have had an impact on improving their prognosis, but this remains uncertain. The oldest-old presented with a significantly higher prevalence of frailty and geriatric syndromes, which requires specific management during the hospital stay, including a focus on pharmacotherapy, fall and delirium prevention, and adequate nutritional support, which are not frequently screened for or managed systematically in non-geriatric wards [30]. Angioni et al. [31] proposed a model for the implementation of a mobile geriatric team in non-geriatric wards during the COVID-19 pandemic. Mobile geriatric teams enable the multidisciplinary management of older adults in non-geriatrics wards, including often neglected aspects of patients’ health status. It is well known that admission of patients with a geriatric profile in geriatric wards improves survival and outcomes such as quality of life and the risk of readmission [32]. A geriatric expertise is especially useful for the care of the frail older patients, which have the highest risk of mortality.
COVID-19 pandemic in Nigeria: Caregivers lived experiences in health care management of older adult
Published in Social Work in Health Care, 2022
Chibuzor Jacinta Ene, Chinwe Nnama-Okechukwu
Studies have indicated that caregivers experience burden in providing care for older adults (Faronbi et al., 2019; Jite et al., 2021). However, with the more stringent screening conditions in place, the COVID-19 pandemic has further made accessing health care difficult for older adults and their caregivers who take them there (Adebusoye et al., 2020). On this note, there are reports of higher prevalence rate of prolong hospital visitation and premature discharge from in-patient care (Adisa, 2019). Additionally, study by Ebimgbo et al. (2020) show that in Nigeria, poverty is rife and older adults are no longer in the economical active phase of life. In furtherance, the health status of the care recipient may influence caregivers’ provision of adequate health care management (Fulmer et al., 2021). For instance, the care recipient health status may be multiple co-morbidities resulting to depression, amnesia and dementia among other ill-health and may compound difficulties in providing care. However, since the care and decisions of older adults are mainly implemented by their caregivers, then the burden of managing their health care challenges falls squarely on their geriatric knowledge.
Self-perceived cognitive status and cognitive challenges associated with cardiac rehabilitation management: experiences of elderly myocardial infarction patients
Published in Disability and Rehabilitation, 2022
Thea Liljeroos, Soorej Jose Puthoopparambil, John Wallert, Claes Held, Erik M. G. Olsson
For some patients, social support was of great significance for a well-functioning self-care, this is in line with previous research identifying social support as an important factor for coping and positive change [46]. However, this could potentially indicate a vulnerability over time in the event where social support networks might be lost. Hence, we stress the importance of a continuous assessment of patients’ self-care ability over time, as a part of the patient-centred care that has been recommended for elderly cardiac patients [17]. This assessment should include the overall health and cognitive status, social network, and the objective living conditions (e.g., distance from service and housing), in order to identify individual barriers to a successful self-care. This form of assessment is a key component of Comprehensive Geriatric Assessment programs, where medical, social, and functional needs of older patients are identified and managed [47]. When paired with strong long-term management, Comprehensive Geriatric Assessment has been associated with a positive impact on survival and functional status among elderly patients [48]. Moreover, identifying and strengthening informal caregivers in their roles can be of great value in order to relieve stress, increase health and well-being and promote a well-functioning long-term rehabilitation [49,50].