THE STRUCTURED APPROACH TO THE DETERMINING OF THE OLD AND ELDERLY PATIENTS' NEEDS IN MEDICAL CARE



Cite item

Full Text

Abstract

The web-based program is described in the article. The program aimed on the assessment of health conditions of the elderly and old adults. It based on the method of comprehensive geriatric assessment. The structured approach allows using it even by preoccupied general practitioners, revealing the unmet needs of the old patients. The evidence based recommendations for the diagnosing and screening of unmet needs and for rehabilitations and treatment, plans are described.

About the authors

J -M Degryse

Universite Catholique de Louvain (UCL)

E V Frolova

North-Western State Medical University named after I. I. Mechnikov

E Y Tour

North-Western State Medical University named after I. I. Mechnikov

References

  1. Mann E., Koller M., Mann C., Steurer J. Comprehensive geriatric assessment (CGA) in general practice: results from a pilot study in Vorarlberg, Austria. // BMC Geriatrics. - 2004. - http://www. biomedcentral. com/14712318/4/4.
  2. Stuck A., Iliffe S. Comprehensive geriatric assessment for older adults should be standard practice, according to a wealth of evidence // BMJ. - 2011. - Vol. 343. - P. 6799.
  3. Фролова Е. В., Корыстина Е. М. Комплексная оценка состояния здоровья пожилого человека и возможности ее осуществления в общей врачебной практике // Российский семейный врач. - 2010. - Т. 14, № 1. - С. 12-23.
  4. Ильницкий А. Н., Прощаев К. И. Старческая астения (frailty) как концепция современной геронтологии // Геронтология. - 2013. - № 1. - http://www. gerontology. su/ru/1. - Последнее посещение сайта 01.02.2014 г.
  5. Rowe J. D., Kahn R. L. Successful ageing / / The Gerontologist. - 1997. - Т. 37, № 4. - С. 433-440.
  6. Iliffe S., Lenihan P., Orrell M. et al. The development of a short instrument to identify common unmet needs in older people in general practice // Br. J. Gen. Pract. - 2004. - № 54. - Р. 914-918.
  7. Sandholzer H., Hellenbrand W., Renteln-Kruse W., Van Weel C., Walker P. STEP - standardized assessment of elderly people in primary care //Dtsch. Med. Wochenschr. - 2004. - № 129. - Р. 183-226.
  8. Yueh B., Shapiro N., MacLean C. H., Shekelle P. G. Screening and management of adult hearing loss in primary care: scientific review // JAMA. - 2003. - № 289. - Р. 1976-1985.
  9. Akshay B., Paaladinesh T., Allan S. D. Does this patient have hearing impairment? // JAMA. - 2006. - № 295. - Р. 416-428.
  10. Nondahl D. M., Cruickshanks K. J., Wiley T. L., Tweed T. S., Klein R., Klein B. E. Accuracy of self-reported hearing loss // International Journal of Audiology. - 1998. - № 37. - Р. 295-301.
  11. Borson S. The mini-cog: a cognitive 'vitals signs' measure for dementia screening in multi-lingual elderly // Int. J. Geriatr. Psychiatry. - 2000. - № 15. - Р. 1021.
  12. Wind A. W., Gussekloo J., Vernooij-Dassen M. J. et al. NHG-standaard Dementie // Huisarts. Wet. - 2003. - № 46. - Р. 754-767.
  13. Van der Burg M., Bouwen A., Stessens J. et al. Scoring clock tests for dementia screening: a comparison of two scoring methods // Int. J. Geriatr. Psychiatry. - 2004. - № 19. - Р. 685-689.
  14. De Lepeleire J., Vernooij-Dassen M. State of the art: de diagnose van dementia // Huisarts Nu. - 2003. - № 32. - Р. 70-82.
  15. Valcour V. G., Masaki K. H., Curb J. D., Blanchette P. L. The detection of dementia in the primary care setting // Arch. Intern. Med. - 2000. - № 160. - Р. 2964- 2968.
  16. Licht-Strunk E., van der Windt D. A., van Marwijk H. W. et al. The prognosis of depression in older patients in general practice and the community. A systematic review // Fam. Pract. - 2007. - № 24. - Р. 168-180.
  17. Arroll B., Khin N., Kerse N. Screening for depression in primary care with two verbally asked questions: cross sectional study //BMJ. - 2003. - Vol. 327. - P. 1144-1146.
  18. Heyrman J., Declercq T., Rogiers R., Pas L. et al. Aanbeveling voor goede medische praktijkvoering: Depressie bij volwassenen: aanpak door de huisarts //Huisarts Nu. - 2008. - N 37. - P. 284-317.
  19. Sheikh J. I., Yesavage J. A. Geriatric Depression Scale: recent evidence and development of a shorter version // Clinical gerontol. - 1986. - N 5. - P. 165-173.
  20. Van Marwijk H. W. J., Grundmeijer H. G. L. M., Bijl D. et al. NHG-standaard Depressieve stoornis M44 // Huisarts Wet. - 2003. - N46. - P. 614-33.
  21. Govaerts F., Van de Vyver N., Pilaet A. Aanbeveling voor goede medische praktijkvoering: Preventie van influenza // Huisarts Nu. - 2006. - № 35. - Р. 4-18.
  22. Govaerts F., Van de Vyver N., Pilaet A. Aanbeveling voor goede medische praktijkvoering: Preventie van ernstige pneumokokkeninfecties bij volwassenen // Huisarts Nu. - 2005. - № 34. - Р. 588-596.
  23. Dillen J. Aanbeveling voor goede medische praktijkvoering: Preventie van tetanus en difterie bij volwassenen, vaccinatie en profylactische aanpak // Huisarts Nu. - 2001. - № 30. - Р. 146-157.
  24. Vlaams Agentschap Zorg en Gezondheid. Adviezen Hoge Gezondheidsraad rond vaccinatie. www. zorg-en-gezondheid. be/Ziektes/Vaccinaties/Info-vaccinatoren/Adviezen-Hoge-Gezondheidsraad-rondvaccinatie/ (laatst geraadpleegd op 07/11/2011).
  25. Declercq T., Rogiers R., Habraken H., Michiels J., De Meyere M., Mariman A. Aanpak van slapeloosheid in de eerste lijn. // Huisarts Nu. - 2005. - № 34. - Р. 346-371.
  26. Knuistingh Neven A., Lucassen P. L. B. J., Bonsema K., Teunissen H., Verduijn M. M., Bouma M. NHG-Standaard Slaapproblemen en slaapmiddelen //Huisarts Wet. - 2005. - № 48. - Р. 402-415.
  27. Belgisch Centrum voor Farmacotherapeutische Informatie. Verantwoord gebruik van benzodiazepines // Folia Pharmacotherapeutica. - 2002. - № 29. - 82-90.
  28. Katz S., Ford A. B., Moskowitz R. W., Jackson B. A., Jaffe M. W. Studies of illness in the aged. The index of ADL: a standarized measure of biological and psychosocial function // JAMA. - 1963. - № 185. - Р. 914-919.
  29. Lawton M. P., Brody E. M. Assessment of older people: self-maintaining and instrumental activities of daily living // Gerontologist. - 1969. - № 9. - Р. 179-186.
  30. Graf C. The Lawton Instrumental Activities of Daily Living Scale //American Journal of Nursing. - 2008. - № 108. - Р. 52-62.
  31. Expertisecentrum Valpreventie Vlaanderen. www. valpreventie.be (laatst geraadpleegd op 07/11/2011).
  32. Pirlich M., Lochs H. Nutrition in the elderly //Best Practice and Research Clinical Gastroenterology. - 2001. - № 15. - Р. 869-884.
  33. DiMaria-Ghalili R. A., Guenter P. The Mini Nutritional Assessment //AJN. - 2008. - № 108. - Р. 50-59.
  34. Bauer J., Kaiser M., Sieber C. Evaluation of nutritional status in older persons: nutritional screening and assessment //Current Opinion in Clinical Nutrition and Metabolic Care. - 2010. - № 13. - Р. 8-13.
  35. Guigoz Y. The Mini Nutritional Assessment review of the literature - what does it tell us? //J. Nutr. Health Aging. - 2009. - № 10. - Р. 466-485.
  36. NIH Consensus Development Panel on Osteoporosis Prevention, Diagnosis, and Therapy. Osteoporosis prevention, diagnosis, and therapy //JAMA. - 2001. - № 285. - Р. 785-795.
  37. Nelson H. D., Helfand M., Woolf S. H., Allan J. D. Screening for postmenopausal osteoporosis: A review of the evidence for the US Preventive Services Task Force //Ann. Intern. Med. - 2002. - № 137 - Р. 529-541.
  38. Elders P. J., Leusink G. L., Graafmans W. C. et al. NHG-standaard Osteoporose //Huisarts Wet. - 2005. - № 48. - Р. 559-570.
  39. Cummings S. R., Bates D., Black D. M. Clinical use of bone densitometry: scientific review // JAMA. - 2002. - № 288. - Р. 1889-1897.
  40. World Health Organization Collaborating Centre for Metabolic Bone Diseases (WHO). FRAX: WHO fracture risk assessment tool.www.shef.ac.uk/FRAX/ (laatst geraadpleegd op 07/11/2011).
  41. Bales C., Ritchie C. Sarcopenia, weight loss and nutritional frailty in the elderly // Annu. Rev. Nutr. - 2002. - № 22 - Р. 309-323.
  42. Cruz-Jentoft A., Baeyens J. P., Bauer J. M. et al. Sarcopenia: European consensus on definition and diagnosis // Age and ageing. - 2010. - № 39 - Р. 1-12.
  43. Stel V. S., Smit J. H., Pluijm S. M., Visser M., Deeg D. J., Lips P. Comparison of the LASA Physical Activity Questionnaire with a 7-day diary and pedometer //J. Clin. Epidemiol. - 2004. - № 57 - Р. 252-258.
  44. Buchner D. M., Cress M. E., de Lateur B. J. et al. The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults // J. Gerontol. A Biol. Sci. Med. Sci. - 1997. - № 52 - M218-M224.
  45. Milton J. C., Hill-Smith I., Jackson S. H. Prescribing for older people // BMJ. - 2008. - № 336. - Р. 606-609.
  46. Barry P. J., Gallagher P., Ryan C., O'Mahony D. START (screening tool to alert doctors to the right treatment): an evidence-based screening tool to detect prescribing omissions in elderly patients // Age Ageing. - 2007. - № 36. - Р. 632-638.
  47. O'Mahony D., Gallagher P. F. Inappropriate prescribing in the older population: need for new criteria //Age Ageing. - 2008. - № 37. - Р. 138-141.
  48. Gallagher P. F., Barry P. J., Ryan C., Hartigan I., O'Mahony D. Inappropriate prescribing in an acutely ill population of elderly patients as determined by Beers' Criteria //Age Ageing. - 2008. - № 37. - Р. 96-101.
  49. Gallagher P., O'Mahony D. STOPP (Screening Tool of Older Persons' potentially inappropriate Prescriptions): application to acutely ill elderly patients and comparison with Beers' criteria //Age Ageing. - 2008. - № 37 - Р. 673-679.
  50. De Grauw W. J. C. et al. Landelijke transmurale afspraak Chronische nierschade // Huisarts Wet. - 2009. - № 52 - Р. 586-592.
  51. NBVN en WVVH. Richtlijnen voor de behandeling van patienten met chronische nierziekten. Nederlandstalige Belgische Vereniging voor Nefrologie. http://intranet.nbvn.be/file?fle = 132 (laatst geraadpleegd op 06/08/2011).
  52. Werkgroep RVT Formularium - RVT formularium. Leidraad bij het rationeel voorschrijven van genees-middelen bij ouderen //Verhofstadt, Destelbergen. - 2009. - Р. 7-8.
  53. Brown J., Bradley C., Subac L., Richter H. The sensitivity and specificity of a simple test to distinguish between urge and stress urinary incontinence //Ann intern Med. - 2006. - № 16. - Р. 715-723.
  54. Huisarts Anonymous. Drie vragen om urge- van stressincontinentie te onderscheiden //Minerva. - 2007. - № 6. - Р. 41-43.
  55. Lagro-Janssen A. L., Breedveldt Boer H. P., Van Dongen J. J. et al. NHGstandaard Incontinentie voor urine // Huisarts Wet. - 2006. - № 49. - Р. 501-510.
  56. Cornwell E, Waite L. Social disconnectedness, perceived isolation, and health among older adults //J. Health. Soc. Behav. - 2009. - № 50. - Р. 31-48.
  57. Seeman TE. Health promoting effects of friends and family on health outcomes in older adults //Am. J. Health Promot. - 2000. - № 14. - Р. 362-370.
  58. Eriksson M., Lindstrom B. Validity of Antonevsky's sense of coherence scale: systematic review //J. Epidemiol. Community Health. - 2005. - № 59. - Р. 460-466.
  59. Robichaud L., Lamarre C. Developing an instrument for identifying coping strategies used by the elderly to remain autonomous //Am. J. Phys. Med. Rehabil. - 2002. - № 81. - Р. 736-744.
  60. National Institute for Health and Clinical Excellence. Occupational therapy interventions and physical activity interventions to promote the mental wellbeing of older people in primary care and residential care. NICE public health guidance 16. - 2008.
  61. Keirse M. Het levenseinde teruggeven aan de mensen: Over vroegtijdige planning van de zorg. Federatie Palliatieve Zorg Vlaanderen. - 2009.
  62. Viane K., De Lepeleire J. Vroegtijdige zorgplanning bij ouderen in de thuissituatie: een pilootproject // Huisarts Nu. - 2009. - № 38. - Р. 186-192.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2014 Degryse J.-., Frolova E.V., Tour E.Y.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС 77 - 70763 от 21.08.2017 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies