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Juanita Bacsu Bonnie Jeffery Nuelle Novik Sylvia Abonyi Sarah Oosman Shanthi Johnson 《Activities, Adaptation & Aging》2013,37(2):138-155
This study examines the interventions that enable rural seniors to remain within their homes and communities as they age. Through semi-structured interviews with 40 rural seniors, the findings reveal a number of actions that facilitate rural aging. This study has important implications for a range of stakeholders from policy makers to community leaders by identifying policy, community, and kin-level interventions that support rural healthy aging in place. In identifying interventions that support rural seniors’ needs, this study provides a fundamental basis to better allocate resources, plan programs, and develop policies that reflect the needs of an aging population. 相似文献
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Pedro Abizanda MD PhD Juan María Calbo Mayo MD Marta Mas Romero RN Elisa Belén Cortés Zamora RN María Teresa Tabernero Sahuquillo BE Luis Romero Rizos MD PhD Pedro Manuel Sánchez-Jurado MD PhD Ginés Sánchez-Nievas MD Carlos Campayo Escolano MD Alba Ochoa Serrano MD Victoria Sánchez-Flor Alfaro MD Rita López Bru MD Cristina Gómez Ballesteros MD David Caldevilla Bernardo MD Francisco Javier Callejas González MD PhD Fernando Andrés-Pretel BS Volker Martin Lauschke PhD Justin Stebbing MD PhD 《Journal of the American Geriatrics Society》2021,69(10):2752-2758
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Zainab Shahid BS Ricci Kalayanamitra BS Brendan McClafferty BS Douglas Kepko BS Devyani Ramgobin BS Ravi Patel DO Chander Shekher Aggarwal MBBS Ramarao Vunnam MD Nitasa Sahu MD Dhirisha Bhatt MD Kirk Jones PharmD Reshma Golamari MD Rohit Jain MD 《Journal of the American Geriatrics Society》2020,68(5):926-929
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a novel virus that causes COVID-19 infection, has recently emerged and caused a deadly pandemic. Studies have shown that this virus causes worse outcomes and a higher mortality rate in older adults and those with comorbidities such as hypertension, cardiovascular disease, diabetes, chronic respiratory disease, and chronic kidney disease (CKD). A significant percentage of older American adults have these diseases, putting them at a higher risk of infection. Additionally, many adults with hypertension, diabetes, and CKD are placed on angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers. Studies have shown that these medications upregulate the ACE-2 receptor, the very receptor that the SARS-CoV-2 virus uses to enter host cells. Although it has been hypothesized that this may cause a further increased risk of infection, more studies on the role of these medications in COVID-19 infections are necessary. In this review, we discuss the transmission, symptomatology, and mortality of COVID-19 as they relate to older adults, and possible treatments that are currently under investigation. J Am Geriatr Soc 68:926–929, 2020 相似文献
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Celso Silva MSc César Fonseca PhD Rogério Ferreira PhD Anna Weidner BSc Bruno Morgado BSc Manuel J. Lopes PhD Steffen Moritz PhD Lena Jelinek PhD Brooke C. Schneider PhD Lara G. Pinho PhD 《Journal of the American Geriatrics Society》2023,71(7):2308-2325
Background
Depression affected 5.7% of people aged 60 years and over prior to the pandemic and has increased by approximately 28%. The aim of this study is to identify and describe factors associated with depressive symptoms, the diagnostic assessment instruments and interventions used to evaluate and treat depression in adults aged 60 years and older since the onset of the COVID-19 pandemic.Methods
Four electronic databases were systematically searched to identify eligible studies published since the beginning of the COVID-19 pandemic. A total of 832 articles were screened, of which 53 met the inclusion criteria.Results
Factors contributing to depressive symptoms in older adults prior to the pandemic were grouped into the following categories: sociodemographic characteristics (i.e., being female); loneliness and weak social support; limitations in daily functioning, physical activity and neurocognitive impairment; and clinical factors. The following groups of factors directly related to the pandemic were found: stress-related factors and feelings or worries related to the pandemic; information access (e.g., receiving news about COVID-19 through the media); factors directly related to COVID-19 (e.g., having infected acquaintances); and factors related to the measures that were taken to reduce the spread of COVID-19 (e.g., confinement measures). The most frequently used instrument to assess depressive symptoms was the Geriatric Depression Scale Short Form (GDS-SF). Four studies implemented interventions during the pandemic that led to significant reductions in depressive symptoms and feelings of loneliness.Conclusions
Improved understanding of pandemic-associated risk factors for depression can inform person-cantered care. It is important continued mental healthcare for depression for older adults throughout crises, such as the COVID-19 pandemic. Remote delivery of mental healthcare represents an important alternative during such times. It is crucial to address depression in older adults (which often causes disability), since the pandemic situation has increased depressive symptoms in this population. 相似文献9.
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During the coronavirus disease 2019 (COVID-19) pandemic, principles from both clinical and public health ethics cue clinicians and healthcare administrators to plan alternatives for frail older adults who prefer to avoid critical care, and for when critical care is not available due to crisis triaging. This article will explore the COVID-19 Ethical Decision Making Framework, published in British Columbia (BC), Canada, to familiarize clinicians and policy makers with how ethical principles can guide systems change, in the service of frail older adults. In BC, the healthcare system has launched resources to support clinicians in proactive advance care planning discussions, and is providing enhanced supportive and palliative care options to residents of long-term care facilities. If the pandemic truly overwhelms the healthcare system, frailty, but not age alone, provides a fair and evidence-based means of triaging patients for critical care and could be included into ventilator allocation frameworks. J Am Geriatr Soc 68:1666-1670, 2020. 相似文献
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