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People are progressively ageing all over the world, and it is estimated that the number of persons aged 60 or over will more than triple by 2100. This emerging population will experience an inevitable rise in dementia, mental health problems and chronic diseases. According to GBD (2010), neuropsychiatric disorders among older adults account for 6.6% of the total disability (DALYs) for this age group, with 15% suffering from a mental disorder. Multiple social, psychological and biological factors are determinant of mental health, as well as life stressors. Among these, the lack of independence, limited mobility, chronic diseases, pain, frailty or other mental and physical problems require long-term care. Beyond this, the elderly are more prone to experience events such as bereavement, a drop in socio-economic status, disability, which leads to isolation, loss of independence, loneliness and psychological distress. Mental health problems and needs assessment by health-care professionals and older people themselves are under-recognised, and the stigma surrounding mental illness makes people reluctant to seek help. The early investigation and diagnosis of these situations are crucial, as well as prior management with an important combination of pharmacological and psychosocial interventions, in conjunction with caregivers' and families' support. The present book aims to contribute to the development of knowledge in Aging and Mental Health, taking different approaches from authors, coming from diverse scientific fields, with the final goal being the improvement of quality of life and healthy aging for this growing population.
Aging --- Preventive mental health services for older people. --- Psychological aspects. --- Delirium --- Disability --- chronic diseases --- Depression --- Frailty --- Mental Health --- Dementia
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People are progressively ageing all over the world, and it is estimated that the number of persons aged 60 or over will more than triple by 2100. This emerging population will experience an inevitable rise in dementia, mental health problems and chronic diseases. According to GBD (2010), neuropsychiatric disorders among older adults account for 6.6% of the total disability (DALYs) for this age group, with 15% suffering from a mental disorder. Multiple social, psychological and biological factors are determinant of mental health, as well as life stressors. Among these, the lack of independence, limited mobility, chronic diseases, pain, frailty or other mental and physical problems require long-term care. Beyond this, the elderly are more prone to experience events such as bereavement, a drop in socio-economic status, disability, which leads to isolation, loss of independence, loneliness and psychological distress. Mental health problems and needs assessment by health-care professionals and older people themselves are under-recognised, and the stigma surrounding mental illness makes people reluctant to seek help. The early investigation and diagnosis of these situations are crucial, as well as prior management with an important combination of pharmacological and psychosocial interventions, in conjunction with caregivers' and families' support. The present book aims to contribute to the development of knowledge in Aging and Mental Health, taking different approaches from authors, coming from diverse scientific fields, with the final goal being the improvement of quality of life and healthy aging for this growing population.
Aging --- Preventive mental health services for older people. --- Psychological aspects. --- Delirium --- Disability --- chronic diseases --- Depression --- Frailty --- Mental Health --- Dementia
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L’expérience de la vulnérabilité que tout être humain ne cesse de faire au long de sa vie amène à réfléchir moins sur la question qui anime le courant du transhumanisme : « Que faire pour vaincre cette vulnérabilité ? » que sur « Qu’est-ce que la vulnérabilité dit de l’homme en général ? ».Cet ouvrage propose une réflexion interdisciplinaire sur la vulnérabilité et, plus particulièrement, sur le corps vulnérable dans une société qui entre de plein pied dans la marchandisation de la vie humaine. Comment transformer les représentations sociales afin que la vieillesse ou le handicap ne soient plus vus comme des malédictions ? Comment penser la vulnérabilité afin qu’elle ne soit plus considérée comme une négation de la vie, mais comme l’une de ses expressions ? Et si la vulnérabilité était une chance pour l’humanité ? [Ed.]
Éthique médicale. --- Corps (philosophie) --- Fragilité (médecine) --- Medical ethics --- Human body (Philosophy) --- Éthique médicale. --- Corps (philosophie). --- Fragilité (médecine). --- Ethics, Medical --- Philosophy, Medical --- Human Body --- Frailty
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606.5 --- RVT --- dementie --- functiestoornissen --- mantelzorg --- psychogeriatrie --- Psychogeriatrie --- Frailty --- 616-053.9 --- 616.89 --- Geriatrische psychiatrie - Psychogeriatrie --- Geriatrics --- Psychopathologie --- Affective and dynamic functions --- Psychiatry --- psychosen --- somatoforme stoornissen
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Introduction : Chaque jour, les professionnels de l’urgence prennent en soin des personnes qui souffrent de maladies chroniques. Cette « porte d’entrée » hospitalière est une étape clé pour le patient. En effet, ce sont les urgentistes qui guident la trajectoire des soins à venir. Actuellement, les infirmiers aux urgences n’ont formulé aucune demande concernant l’acquisition de nouvelles compétences, telle que formulée par le « KCE Reports 190Bs » (1). Néanmoins, pour répondre favorablement à cette invitation selon une pensée de pratique infirmière avancée et une vision de soins intégrés, ce mémoire postule, selon un raisonnement déductif, que connaître le statut de fragilité guide l’équipe soignante vers un raisonnement clinique commun propice à la congruence du projet thérapeutique selon l’évolution de la maladie. Implémenter un instrument de mesure est un projet en soi qui peut « rapporter gros » en termes de management infirmier des risques associés à la maladie et de données collectées pour le DI-RHM. L’objectif de cette étude est de prendre connaissance des leviers et des freins liés à l’implémentation d’une échelle de mesure. Matériel et méthode : La mesure de la fragilité clinique est réalisée à l’aide de la « Rockwood Frailty Scale ». Ensuite, selon une méthode mixte, le cadre théorique « Consolidated Framework for Implementation Research » (CFIR) a été utilisé pour, d’une part, élaborer le questionnaire qui explore les éléments de l’implémentation de l’échelle de mesure et d’autre part, permettre un croisement des données (RXC) selon le profil infirmier (qualification, fonction et temps de travail). Résultats : Le taux de complétion de l’échelle de mesure est de 15,3%. Les résultats RXC indiquent que le profil de l’infirmier sisu smuriste ambulancier a influencé favorablement ses caractéristiques individuelles liées au changement, à l’intégration d’un concept abstrait ainsi que ses capacités d’enquêteur. Discussion: connaître le profil des infirmiers guide le leadership transformationnel et favorise l’adhésion des équipe infirmières à l’utilisation de l’échelle de mesure.
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sarcopenia --- falls --- frailty --- metabolic bone disease --- Musculoskeletal system --- Falls (Accidents) --- Frail elderly --- Frail elderly. --- Diseases --- Prevention --- Prevention. --- Diseases. --- Elderly, Frail --- Frail older people --- Older people --- Accidental falls --- Falling accidents --- Slip and fall accidents --- Slipping and falling accidents --- Accidents --- Locomotor system --- Musculo-skeletal system --- Skeletomuscular system --- Pharmacology. Therapy --- farmacologie --- Frailty. --- Sarcopenia. --- Accidental Falls. --- Musculoskeletal Diseases. --- Orthopedic Disorders --- Musculoskeletal Disease --- Orthopedic Disorder --- Falling --- Falls --- Slip and Fall --- Falls, Accidental --- Accidental Fall --- Fall and Slip --- Fall, Accidental --- Sarcopenias --- Frailness --- Frailty Syndrome --- Debility --- Debilities --- Frailties --- Asthenia --- Musculoskeletal System Diseases --- Older frail people --- Older people with disabilities --- Frail older people.
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Door maatschappelijke veranderingen kent Nederland een steeds groter aantal thuiswonende kwetsbare ouderen, die een verhoogd risico hebben op bijvoorbeeld ziekenhuisopname en overlijden. Het opsporen, herkennen, behandelen of ondersteunen van kwetsbare ouderen blijkt moeilijk. Het boek Werken met thuiswonende kwetsbare ouderen geeft inzicht in de complexiteit omtrent de herkenning en behandeling van deze doelgroep. Daarnaast worden veel gebruikte definities van kwetsbaarheid in kaart gebracht, alsook de veelheid aan meetinstrumenten, projecten en interventies die in het verleden zijn ingezet.Aan de hand van praktijkvoorbeelden - meestal uitgevoerd in het kader van het Nationaal Programma Ouderenzorg - aangevuld met theoretische inzichten en wetenschappelijke onderbouwing, wordt inzicht gegeven in deze complexe onderwerpen. De diversiteit aan programma's en interventies voor kwetsbare ouderen wordt op een rij gezet. Vervolgens wordt de effectiviteit van interventies besproken en waar mogelijk, de rode draad uit de bevindingen gehaald. Als laatste komen kwetsbare ouderen zelf aan het woord om het contrast van hun perceptie met die van professionals aan te geven.
613.73 --- thuiszorg --- kwetsbare ouderen --- Frailty --- Geriatrische verpleegkunde --- Thuisverpleegkunde (wit-gele kruis, wijkverpleegkunde) --- thuisverpleging --- maatschappelijke kwetsbaarheid --- bejaarden --- Social policy and particular groups --- geriatrische verpleegkunde --- thuisverpleegkunde --- mantelzorg --- PXL-Healthcare 2017 --- ouderengezondheidszorg --- thuisgezondheidszorg
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Stephen Knadler's manuscript examines the biopolitics of African American citizenship starting in the post-Reconstruction period, focusing on how African American civil, political, and economic rights became inseparably linked to African American health. "Vitality" was a value for the American populace that was promulgated in the Progressive Era, following the model of the robustly healthy Theodore Roosevelt. Knadler explores how the goal of racial uplift in the period became associated with notions of African American vitality and debility, and traces these notions through a range of African American cultural production, particularly literature. The manuscript theorizes how these works "troubled and also redeployed a biopolitical management around slow violence, health, and disability central to the emergence of modern racial capitalism and liberal citizenship."Although the study focuses on the early twentieth century and writers of that era (e.g., Charles Chesnutt, W.E.B. Du Bois, Marita Bonner, Ann Petry, Angelina Grimke, Nella Larsen, Alain Locke, Jessie Fauset, Dorothy West), its conclusions are acutely relevant to today's headlines, including the Black Lives Matter movement.
African Americans --- American literature --- Biopolitics --- Civil rights --- Health aspects. --- African American authors --- Vitality. --- Black or African American --- Health --- Frailty --- Civil Rights --- History, 20th Century --- Social conditions. --- Health and hygiene --- History. --- history --- United States
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It is important to prevent and manage the frailty of the elderly because their muscle strength and physical activity decrease in old age, making them prone to falling, depression, and social isolation. In the end, they need to be admitted to a hospital or a nursing home. When successful aging fails and motor ability declines due to illness, malnutrition, or reduced activity, frailty eventually occurs. Once frailty occurs, people with frailty do not have the power to exercise or the power to move. The functions of the heart and muscles are deteriorated more rapidly when they are not used. Consequently, frailty goes through a vicious cycle. As one’s physical fitness is deteriorated, the person has less power to exercise, poorer cognitive functions, and inferior nutrition intake. Consequently, the whole body of the person deteriorates. Therefore, in addition to observational studies to identify risk factors for preventing aging, various intervention studies have been conducted to develop exercise programs and apply them to communities, hospitals, and nursing homes for helping the elderly maintain healthy lives. Until now, most aging studies have focused on physical frailty. However, social frailty and cognitive frailty affect senile health negatively just as much as physical frailty. Nevertheless, little is known about social frailty and cognitive frailty. This special issue includes original experimental studies, reviews, systematic reviews, and meta-analysis studies on the prevention of senescence (physical senescence, cognitive senescence, social senescence), high-risk group detection, differentiation, and intervention.
Public health & preventive medicine --- brain stimulation --- dementia --- meta-analysis --- naming --- primary progressive aphasia --- qualitative evaluation --- cognitive function --- data mining --- Parkinson’s disease with mild cognitive impairment --- random forest --- neuropsychological test --- motoric cognitive risk syndrome --- fall --- gait speed --- three-item recall --- older adults --- mixing ability --- color-changing chewing gum --- frailty --- cross-sectional study --- spousal concordance --- aging --- aged --- accidental falls --- pain --- mild cognitive impairment --- depressive symptoms --- frailty profiles --- latent class analysis --- quality of life --- perceived health --- frailty syndrome --- physiotherapy --- exercise --- mood --- BDI --- STAI --- SWLS --- muscle strength --- community-dwelling older adults --- physical frailty --- prevalence --- risk factors --- non-robust --- FRAIL scale --- Tilburg Frailty Indicator --- determinants --- community-based --- sleep quality --- middle-aged and older adults --- SUNFRAIL --- psychometric properties --- screening tool --- social isolation --- social networks --- social support --- social participation --- Parkinson’s disease dementia --- instrumental activities of daily living --- clinical dementia rating --- convergence rate --- neuropsychological tests --- neuropsychiatric symptoms --- explainable artificial intelligence --- machine learning --- stacking ensemble --- Self-Rating Anxiety Scale --- multiple risk factors --- fall assessment sheet --- elderly patients --- hospitalization --- risk management --- driving cessation --- meaningful activities --- psychosomatic functions --- physical functional performance --- nursing homes --- physical fitness --- gait analysis --- indicators --- screening --- artificial intelligence --- healthcare --- frail --- Baduanjin --- strength training --- endurance training --- Explainable Artificial Intelligence
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In the last century, the average life expectancy at birth increased from roughly 45 years in the early 1900s to more than 80 years of age at present. However, living longer is often related to different levels of frailty. There is no curative treatment for frailty—the interventions that have been described as effective to slow or delay the onset of frailty are physical activity and nutritional interventions. Maintaining adequate nutrition status is important to reduce the risk of chronic diseases, many of which are age-related. On the other hand, frailty itself may have a negative effect on eating and, thus, on the nutritional status. This Special Issue, "Nutrition, Diet Quality, Aging and Frailty", addresses the existing knowledge on nutrition regarding the causative factors of frailty and disease due to aging, i.e., strategies for delaying the pathological effects of aging. It consists of twelve peer-reviewed papers covering original research, protocol development, methodological studies, narrative or systematic reviews, and meta-analyses, to better understand these complex relationships.
Medicine --- diet --- metabolism --- nutrient --- glucose --- lipid --- insulin --- neuroinflammation --- Alzheimer’s disease --- anti-ageing --- eating habits --- functional foods --- skin ageing --- breakfast --- meals --- older adults --- protein intake --- hyperhomocysteinemia --- vitamin B deficiency --- amyloid beta-peptides --- disease models --- animal --- memory and learning tests --- dietary diversity --- activities of daily living --- cohort study --- adults --- mortality --- QOL --- ADL --- Serum albumin --- self-assessed chewing ability --- inflammaging --- cognitive impairment --- cytokines --- physical frailty --- aged --- dietary inflammatory index --- dietary patterns --- frailty --- inflammation --- muscle function --- muscle mass --- sarcopenia --- prevalence --- nutrition --- physical activity --- meta-analysis --- meta-regression --- dairy products --- dietary pattern --- malnutrition --- food groups --- Mediterranean dietary pattern --- Westernized dietary pattern --- cross-sectional study --- aging --- lifespan --- carbohydrates --- whole grain --- protein