International journal of geriatric psychiatry
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Int J Geriatr Psychiatry · Jul 2019
Deliberate self-harm in older adults: A national analysis of US emergency department visits and follow-up care.
To examine mental health care received by older adults following emergency department (ED) visits for deliberate self-harm. ⋯ Most older adult Medicare beneficiaries who present to EDs with self-harm are hospitalized. Of those who are discharged to the community, many are not diagnosed with mental disorder in the ED or receive timely follow-up mental health care.
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Int J Geriatr Psychiatry · Jul 2019
Validation of a brief Multicultural Cognitive Examination (MCE) for evaluation of dementia.
The aims of this study were to present the psychometric properties of a newly designed cognitive screening instrument, the Multicultural Cognitive Examination (MCE), and to compare it with the Rowland Universal Dementia Assessment Scale (RUDAS) in a multicultural population. ⋯ The MCE is a brief cross-cultural cognitive screening instrument that expands evaluation of the cognitive functions covered by the RUDAS, does not require any specialized training, and may be useful for classification of mild dementia or dementia subtypes.
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Int J Geriatr Psychiatry · Jun 2019
ReviewPain assessment and pain treatment for community-dwelling people with dementia: A systematic review and narrative synthesis.
To describe the current literature on pain assessment and pain treatment for community-dwelling people with dementia. ⋯ This review identifies a dearth of high-quality studies exploring pain assessment and/or treatment for community-dwelling people with dementia, not least into non-pharmacological interventions. The consequences of this lack of evidence, given the current and projected prevalence of the disease, are very serious and require urgent redress. In the meantime, clinicians should adopt a patient- and caregiver-centred, multi-dimensional, longitudinal approach to pain assessment and pain treatment for this population.
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Int J Geriatr Psychiatry · Jun 2019
Intraoperative blood transfusion predicts postoperative delirium among older patients undergoing elective orthopedic surgery: A prospective cohort study.
To evaluate the roles of preoperative anemia and intraoperative blood transfusion in the development of postoperative delirium among older patients undergoing elective orthopedic surgery. ⋯ Anemic older patients receiving intraoperative blood transfusion during operation were at the greatest risk for postoperative delirium when they underwent elective orthopedic surgery. Further intervention study is needed to reduce the risk of postoperative delirium for these patients.
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Int J Geriatr Psychiatry · Apr 2019
Multicenter StudyFeasibility and utility of a cognitive screening for risk stratification in hospitalized older patients.
To determine whether the Mini-Cog can be applied by nursing staff to hospitalized elderly patients for cognitive impairment associated risk stratification. ⋯ Even under naturalistic conditions, nursing staff detected cognitively low-performing inpatients with the Mini-Cog. Using this short screening instrument should enable to predict complications of hospitalized older patients associated with cognitive impairment, a precondition to implement targeted care for this vulnerable patient group.