Journal of the American Geriatrics Society
-
Multicenter Study Controlled Clinical Trial
A quality improvement intervention to facilitate the transition of older adults from three hospitals back to their homes.
To study the feasibility and effectiveness of a discharge planning intervention. ⋯ When hospitalized elderly patients are treated with consideration of their specific needs, healthcare outcomes can be improved.
-
To explore whether models of health behavior change can help to inform interventions for advance care planning (ACP). ⋯ The variability in participants' readiness, barriers and benefits, perceptions of susceptibility, and use of processes to increase readiness for participating in each component of ACP suggests the utility of customized, stage-specific interventions based on individualized assessments to improve ACP.
-
To compare the risk of mortality of nonagenarian siblings with that of sporadic nonagenarians (not selected on having a nonagenarian sibling) and to compare the prevalence of morbidity in their offspring with that of the offsprings' partners. ⋯ The lower mortality rate of nonagenarian siblings and lower prevalence of morbidity in their middle-aged offspring reinforce the notion that resilience against disease and death have similar underlying biology that is determined by genetic or familial factors.
-
To validate two established frailty indexes and compare their ability to predict adverse outcomes in a diverse, elderly, community-dwelling sample of men and women. ⋯ Two established frailty indexes were validated using an independent elderly sample of diverse men and women; both indexes were good at distinguishing geriatric conditions and predicting recurrent falls, overnight hospitalization, and ED visits according to level of frailty. Although both indexes are good measures of frailty, the simpler SOF index may be easier and more practical in a clinical setting.
-
Letter Comparative Study
Management and outcomes of delirium in a secured, co-located geriatric and psychogeriatric unit.