Purpose There is insufficient information published on the topic of complementary and alternative medicine (CAM) clinical services within geriatric settings. The purpose of this presentation is to describe results of a CAM demonstration project carried out within two geriatric facilities. Acupuncture and Oriental medicine (AOM), chiropractic, and massage clinical services were integrated into t...

Throughout most of the world, people are living substantially longer. As a result, there is a rapidly expanding population of older adults who did not previously survive into old age. These adults are exposed to advanced aging processes that did not previously occur. Physiological changes of age predispose to cardiovascular diseases. Ironically, coronary heart disease, heart failure, valvular h...

BACKGROUND Emergency departments are chaotic environments in which complex, frail older persons living in the community and residential aged care facilities are sometimes subjected to prolonged emergency department lengths of stay, excessive tests and iatrogenic complications. Given the ageing population, the importance of providing appropriate, quality health care in the emergency department f...

INTRODUCTION The clinical outcome of geriatric patients with hip fracture depends on surgical management as well as other medical factors. This study aimed to evaluate the relationship between Charlson comorbidity score and in-patient, 30-day, and 1-year mortality in Chinese geriatric patients who underwent surgery for hip fracture. METHODS This was a historical cohort study conducted in a te...

BACKGROUND Dizziness/vertigo is one of the most common complaint and handicapping condition among patients aged 65 years and older (Geriatric patients). This study was conducted to assess the impact of dizziness/vertigo on the quality of life in the geriatric patients attending a geriatric outpatient clinic. SETTINGS AND DESIGN A cross-sectional study was performed in a geriatric outpatient c...

BACKGROUND Geriatric health is a neglected and under-explored area internationally and in Pakistan. We aimed to ascertain the expectations of the geriatric patients from their physicians and the factors associated with patient satisfaction in this particular age bracket. METHODS A cross-sectional survey was carried out at a tertiary care teaching hospital in Karachi, Pakistan. Data collection...

This paper reports on the development and initial end-user evaluation (after ten months in-use) of a Patient Data Analysis Information System (PDA-IS) for Geriatric Medicine. The development and evaluation is the first phase of a larger ongoing research project. The PDA-IS contains a set of high integrity patient data records (a local practice-based repository of clinical patient data) availabl...

The objective of this study was to determine the effect of a vertically integrated curriculum intervention on the geriatric knowledge and performance in clinical skills of thirdyear medical students. This observational cohort study conducted at the University of Michigan Medical School evaluates the performance of 622 third-year medical students from the graduating class years of 2004 through 2...

OBJECTIVES To develop a feasible and safe prehospital decision support system (DSS) for the emergency medical services (EMS), facilitating safe steering of geriatric patients to an optimal level of healthcare. METHODS The development process involves four consecutive steps. The first step was gathering data from patients transported by EMS, with the electronic patient care record, to retrospe...

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