Community Geriatrics

Do we need community geriatrics?

Community geriatrics has evolved as a specific aspect of geriatric medicine in the UK. In Ireland there is uncertainty as to how it should be planned. This is the first national survey of consultants, specialist registrars and general practitioners to seek their opinions. Most consultants and GPs reported already having a community aspect to their current practice, e.g. nursing home visits or c...

Can hip protector use cost-effectively prevent fractures in community-dwelling geriatric patients?

Senior Medical Students' Self Evaluation of their Capability in General Competencies in Shiraz University of Medical Sciences

Introduction: Evaluating graduates' proficiencies can provide a helpful reflection of medical education performance and lead to its improvement. The aim of this study was to assess general competencies of final year medical students from their own viewpoints. Methods: In this descriptive–evaluative study, 71 graduating students of Shiraz University of Medical Sciences evaluated themselves base...

A novel emergency medical services-based program to identify and assist older adults in a rural community.

Rural-dwelling older adults experience unique challenges related to accessing medical and social services. This article describes the development, implementation, and experience of a novel, community-based program to identify rural-dwelling older adults with unmet medical and social needs that leveraged the existing emergency medical services (EMS) system. The program specifically included geri...

A Modest Proposition to align Geriatrics and Long Term Care Medicine

Approximately 10 million Americans have long-term care needs,[1] including 2 million community-based elders who suffer impairments akin to those of the nation's 1.6 million nursing home residents.[2] In light of projections regarding the growth of the elderly population in the coming decades, particularly those over 85, the size of the elderly population requiring long term care who also have c...

The cost-effectiveness of home care.

The May 2004 Journal of the American Geriatrics Society reports a study conducted at six Philadelphia academic and community hospitals to determine whether a three-month regime of homecare directed by Advanced Practice Nurses (APNs) would have a significant impact on rehospitalizations and costs over a year with respect to hospitalized patients suffering from heart failure and other comorbid co...